Billing and Coding Resource Center

  • Focus on Member Services: Getting Paid

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    TMA's Hassle Factor Log program recouped more than $1.8 million in unpaid insurance claims for physician members last year. If you have unresolved payment issues, know that your TMA membership gives you access to help to get you paid.

    Learn More  
  • Should You Bill This Visit as “Incident to”?


    A physician hires a nonphysician practitioner and establishes a standing delegation order for a specific course of treatment. … Read the rest of the scenario. Can you answer the billing question correctly?


    Learn About "Incident To" Billing
  • What could a TMA membership mean for you, your practice, and your patients?

  • Billing and Coding Articles

    CMS Delays Dramatic Office-Visit Coding Changes Until 2021


    Following advocacy by the Texas Medical Association and much of organized medicine, the Centers for Medicare & Medicaid Services (CMS) has delayed its proposal to dramatically overhaul evaluation and management (E&M) coding for physician services, a proposal that TMA warned would make treating Medicare patients “even more challenging.”

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  • Dos and Don’ts of Using Modifier 22

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    Sometimes the work to provide a service is “substantially greater” than typically required on the date of services. When this happens, document the extra work by adding modifier 22 to the procedure code.
    However, as Blue Cross and Blue Shield of Texas (BCBSTX) explains in its Policy No. CPC013, adding modifier 22 doesn’t guarantee additional payment. You need to justify your use of the modifier. 

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  • How Does Your Bottom Line Compare?  

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    Ever wondered how your practice revenues stack up to your peers in the same specialty? Let TMA Practice Consulting conduct a free and quick review to find out.

    Get the Details  


    IC System specializes in healthcare collections--with over $65 million collected annually.


    About IC System



    TSYS is one of the nation's leading providers of payment processing services. Call for your FREE payment processing analysis today.

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  • How to Increase Your Income by Thousands

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    Various studies have estimated individual physicians can forego tens of thousands of dollars a year by undercoding. Many physicians undercode not only out of fear of penalties for overcoding or unbundling but also because they don’t fully understand how to bill for evaluation and management (E&M) services.

    Find Out What You Can Do