Insurance

  • TMA Reimbursement Review and Resolution Service

    TMA can help resolve issues with your payer network status, prompt-pay, and other reimbursement claims.


    Free Member Service

  • COVID-19: Payers / Insurance

    COVID-19: Payors  

    Get TMA resources and timely information on COVID-19 issues related to commercial insurance, Medicare, Medicaid and workers' comp.

     

    View the COVID-19
    Information on Payers
  • Enrollment for Marketplace Plans Extended by One Month

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    The Biden-Harris administration has announced a 30-day extension of the upcoming open enrollment period for federal marketplace health plans available through HealthCare.gov, to Jan. 15, 2022. It's also expanding assistance for low-income patients wishing to enroll.

    See More Details  
  • How to Reverify Patients’ Medicaid Eligibility When the Public Health Emergency Ends

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    With the federal public health emergency slated to expire at the end of 2021, millions of Medicaid patients across the U.S. are at risk of losing their coverage. Texas physicians should prepare by scheduling services as soon as possible for such patients, and also should expect to reverify patients’ Medicaid eligibility when the PHE expires.

    How to Reverify  
  • Medicare Fee Schedule Cut, Quality Requirements Unsustainable Amid Pandemic, TMA Tells CMS

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    While applauding a Medicare proposal to continue offering telehealth flexibilities, TMA objected to a proposed pay cut for many physicians serving that patient population.

    See TMA's Comments on
    the 2022 Fee Schedule
     
  • Report: Most Private Payers Have Stopped COVID Cost-Sharing Waivers

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    Private health insurance plans have largely stopped waiving patient cost-sharing for COVID-19 treatment, according to a recent report by the Peterson Center on Healthcare and Kaiser Family Foundation (KFF).

    Get More Information  
  • Deal or No Deal: Negotiating Contracts

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    Negotiating a health plan contract is one of the most important business moves an independent physician can make.

    TMA survey data from June 2018 shows that on average, 43% of responding physicians secured changes to contract terms, payments, or both.

    Learn How to Negotiate  
  • What could a TMA membership mean for you, your practice, and your patients?

  • Nationwide Credentialing 

     

     

    Credentialing with the government and health insurance companies continues to be a complex and time-consuming management function for practices of all sizes. At Nationwide Credentialing, we work with you from start to finish on the credentialing process, which allows physicians and their staff to focus on patients and other important aspects of their practice.

    More About Nationwide Credentialing  
  • Help Eliminate Patients’ Insurance Confusion

    Educating patient on insurance  

    Every day, patients pay a hefty price for their health care, and many are quick to blame rising costs and climbing insurance premiums on the first person that comes to mind: usually the “well-paid physician.”

    Don’t let your patients place blame on you unfairly.

    Help Patients Navigate
    Insurance Coverage