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The U.S. Department of Health and Human Services appears poised to extend the COVID-19 public health emergency (PHE) for a 10th time, which is good news for millions of Texans benefiting from continuous Medicaid coverage as a result of the PHE. Nevertheless, these patients remain at risk of losing their coverage when the PHE does end. TMA is urging physicians to prepare now for that looming coverage cliff.
The new TMA-backed state law that allows physicians to earn a "gold card" out of the prior authorization process is proving to be influential across the nation. Medicine's advocates in many other states are pursuing a similar law to curb the burdensome insurer practice.
Within days of TMA's Feb. 23 court victory over federal regulators, the U.S. Department of Health and Human Services says it’s taking steps to comply with the court’s decision on rules for the No Surprises Act. However, the case may not be over yet.
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.
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.
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Billing and Coding Tips, Tools, and Resources
With varying and constantly changing billing and coding requirements, how can you and your staff know what to do? TMA’s reimbursement specialists are here to help. View TMA curated educational resources to help you keep current.
View TMA Quick Tips
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 OnSurprise Bills
The tool compares four RCM vendors identified by TMA’s Practice Consulting department. It shows scalability for practice sizes, specialties, payment model, and unique service offerings – all so that physicians do not waste time researching a vendor that cannot meet their needs.
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