Barely 20,000 clinicians nationwide will get bonuses of 6.6 percent to 19.9 percent per claim in their Medicare Physician Fee Schedule payments this year, according to results of the final 2018 Value-Based Payment Modifier (VM) program.
Novitas Solutions reports receiving 1.7 million requests per year to correct minor errors or omissions of Medicare claim information. If it took an average of only 10 minutes for medical offices to find each error and submit the correction, that’s more than 15 years of wasted office staff time!
Texas physicians could see a flood of new insurance plans — including some to cover themselves and their employees — under President Donald Trump's executive order that directs federal agencies to design lower-cost plans outside the Affordable Care Act.
Many physicians assume that attempting to negotiate a health plan contract is hopeless — but that is a myth. Survey data from TMA show that physicians’ negotiation attempts often are successful. Respondents report winning both payment and term changes in their contracts.
In reference pricing, a payer or employer sets a standard, maximum price that it will pay for a specific service or procedure. Patients are responsible for any costs above the reference price.
TMA’s Hassle Factor Log® helps you resolve insurance-related problems. TMA meets regularly with Medicare, Medicaid, health plans, and large insurers to discuss the specific problems that you bring to our attention.
Protect Physicians from Billing-Situation BurdenDr. James Cullington, Senate Bill 2127, May 15, 2017
Bill Would Address Inaccurate Insurance DirectoriesDr. Ray Callas, House Bill 2760, April 4, 2017
Step Therapy Can Be Dangerous for PatientsDr. Sylvia Jaramillo, Senate Bill 680, March 9, 2017
TMA Supports Bill to Improve Balance-Bill MediationDr. Ray Calls, Senate Bill 507, March 9, 2017
Some Texans receive medical bills they did not anticipate, even though they have health insurance. Their insurance might not cover that care or provide as much benefit as they assumed.
More On Surprise Bills
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