• All Things Medicare

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    Need help with Medicare payment issues or with Medicare coding? Do you need information about Medicare enrollment or about participation options? Or are you looking for information about the future of Medicare – what about the payment update, new provisions in the federal Affordable Care Act, new bonuses or new compliance requirements?

    What You Need to Know About Medicare  
  • Medicare Inquiries

    Do you have questions and need quick answers? Contact Novitas Solutions with questions.

    (855) 252-8782
    Mon.-Fri. (8 am-5 pm)

    Use these Novitas website links for quick information:

    IVR Flow Guide: Easily navigate Novitas' phone system.

    Medical Policy Search: Search by CPT and ICD-9 code or key word.

    CMS Fee Schedule

    You can also contact the TMA Knowledge Center at (800) 880-7955, or read the latest Medicare E-Tip from TMA.

  • Recovery Audit Contrator (RAC) Webinar 

    Avoiding RAC Audits - On-demand webinar
    1 AMA PRA Category 1 Credits™ (Enduring)
    1 ETHICS
    1 TMLT

    Presented by:
    Jonnie Massey, CPC, CPC-P, CPC-I, CPMA in the TMA Education Center

  • Medicare Delays New Bundled Payment Models

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    Medicare won't expand its bundled payment program for orthopedic surgery and won't start several similar programs for cardiac care until Oct. 1 — and maybe later — the Centers for Medicare & Medicaid Services (CMS) announced.

    Learn About the Changes  
  • 2017 Medicare Fee Schedule Includes Less Than 1-Percent Pay Increase

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    The Federal Register published Medicare's 2017 final fee schedule rule on Nov. 15. It updates payment policies and rates for services furnished under the Medicare Physician Fee Schedule on or after Jan. 1, 2017. Although the original proposed rule included an expected fee schedule cut, the final rule increases the fees by a very small amount, less than one-quarter of 1 percent.

    Find Out What Happened  
  • Current Medicare News

    Feds Delay Office-Based Lab Financial ReportingThe Centers for Medicare & Medicaid Services (CMS) has pushed back to May 30 the deadline for physician office-based laboratories to meet new financial reporting requirements.

    Medicare Revalidation: It Begins Again 
    Medicare provider enrollment revalidation has entered phase two. The Centers for Medicare & Medicaid Services (CMS) has completed its initial round of revalidations under the Affordable Care Act (ACA) and will be resuming regular revalidation cycles — for physicians, that generally means revalidation every five years.

    Hospice Certification Form How-to
    Unclear about exactly what information a Medicare hospice certification or recertification form must contain? CMS offers guidance on essential elements the form must have.

    AMA, TMA Tell Feds to Speed Up Release of MACRA Funds
    The federal government needs to kick it in gear and release funds for "the development of quality measures and technical assistance to small practices" authorized by the Medicare Access and CHIP Reauthorization Act (MACRA). That's the gist of an Oct. 7 letter from the AMA to CMS Acting Administrator Andrew Slavitt. TMA signed on to the letter in support of expeditious release of the critical funding. 

  • Replace Harmful Restrictions With Realistic Quality-Based Incentives

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    TMA believes the patient-physician relationship must be preserved regardless of patients’ health conditions, ethnicity, economic circumstances, demographics, or treatment compliance patterns. Unfortunately, many pay-for-performance strategies, commonly referred to as “value-based payment models,” that intend to contain health costs could undermine this relationship.

    Preserve Patient-Physician Relationship  
  • Victory! Congress Finally Repeals Flawed Medicare SGR Formula 

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    Eliminating the constant threat of Medicare payment cuts means that we can focus our energies on improving this new law. We can focus our energies on removing the bureaucratic impediments that get in the way of good patient care. 

    More on This Huge Victory for Medicine  
  • Medicare Member Benefits

  • What could a TMA membership mean for you, your practice, and your patients?