Medicare

  • TMA Says “No” to Federal Scope Expansion Under President’s Medicare Executive Order

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    President Donald Trump’s recent executive order on Medicare includes scope-of-practice language that is raising concerns among Texas physicians – including the president of the Texas Medical Association.

    Read TMA's Concerns  
  • Fix Medicare Now, TMA Tells Feds

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    Unless the federal government increases physicians’ Medicare payments and overhauls Medicare’s hassle-laden Quality Payment Program (QPP), access to health care for millions of American seniors and people with disabilities “is at risk,” the Texas Medical Association told Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma.

    More on This Unsustainable Trend  
  • Get Paid for End-of-Life Care Discussions With Patients

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    Have you talked to your patients about voluntary advance care planning? 
    Did you know that Medicare will pay for those discussions as either a separate Part B medically necessary service or an optional element of a patient’s annual wellness visit? 

    Get the Details  
  • Problem With Medicare’s PECOS Being Resolved, Officials Say

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    A software update to Medicare’s Provider Enrollment, Chain, and Ownership System (PECOS) implemented last month has created problems associated with existing and new group reassignments.
    Because of this, data from PECOS to the Multi-Carrier System for these changes have been delayed for all Medicare Administrative Contractors (MACs).

    Get the Details
  • Medicare Inquiries

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

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

    You can also contact the TMA Knowledge Center at (800) 880-7955.

  • Beyond the Slogan “Medicare for All”

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    Medicare For All is becoming popular among Democratic lawmakers and the public. But, as popular as the concept is, the details are lost in the simple slogan of “Medicare for All.

    What Does "Medicare For All" Really Mean?  
  • Buying Time

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    The chorus was loud, broad, and adamant. And for now, it helped avert disaster. Ellia Ciammaichella, DO, was a member of that chorus when the Medicare proposed dramatic changes to its 2019 physician fee schedule. Medicine howled, flooding Medicare with written objections.

    Read the Economics story in Texas Medicine.

    Medicine's Warnings Prompt Medicare to Delay Coding, Payment Changes  
  • Stop Proposed Medicare Changes, TMA Tells Lawmakers

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    Federal lawmakers must hold hearings immediately to stop proposed changes to Medicare that would cause lasting and serious damage to the program and to health care in the United States, Texas Medical Association President Douglas Curran, MD, told two key Texas congressmen.

    Your Help Is Needed  
  • 75 Ways the Big Medicare Changes Are Very Bad for Physicians and Patients

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    Exactly two months ago, the Centers for Medicare & Medicaid Services unveiled a massive package of proposed new rules for the Medicare program with the promise that it would “increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare.”

    Read TMA's Painstakingly Detailed Comment Letter  
  • Three Things to Know About the New Medicare Cards

     

    New Railroad Retirement Board Medicare cards are in the mail, and new Medicare cards for Texans will “mail soon,” according to the Centers for Medicare & Medicaid Services. Here are three things to know about the new cards and the new Medicare Beneficiary Identifier.

    Learn More
  • Current Medicare News

    The Low-Down on Looking Up Medicare MBIs
    Now that Medicare has begun replacing patients’ Health Insurance Claim Numbers (HICN) with the Medicare Beneficiary Identifier (MBI), you might be wondering how you’ll find those MBIs.

    On Their Way: New Medicare Patient ID Numbers
    The New Medicare Card project is part of the Medicare Access and CHIP Reauthorization Act (MACRA) and requires CMS to remove the Social Security number from Medicare cards out of concerns over identity theft.

    Medicare-Eligible TRS Retirees Move to New Humana Health Plan
    If you were contracted with Humana MA, you will be paid your contracted rates. If you were not contracted with Humana and you elect to see patients covered under the new TRS-Care MA plan, Humana is required to pay you the Medicare-allowed amount.

    Can’t Say It Enough: Document, Document, Document
    When Medicare delves into claims errors, one stands out above the rest: insufficient documentation.

    Medicare Adds Telemedicine Codes
    The newly adopted 2018 Medicare Physician Fee Schedule has added a few new codes to the list of telehealth services Medicare will cover.

    Ten Services You Can Bill Medicare for Separately From a Surgical Procedure
    See which services fall outside “normal,” so you can bill Medicare for them separately from that surgical procedure.

    How to Identify Dual-Eligible Patients
    You must accept as payment in full the Medicare payment and Medicaid payment for services you provide to a patient enrolled in the Qualified Medicare Beneficiary (QMB) program.

    Ways to Avoid a Medicare Appeal
    Novitas Solutions reports receiving 1.7 million requests per year to correct minor errors or omissions of Medicare claim information. 

    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.

  • Medicare Member Benefits

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