• The Truth About Balance Billing

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    Two newly developed TMA resources examine how insurance plans' network designs and payment decisions are leaving many Texans with "surprise bills" for health care services.

    More on Balance Billing  
  • What could a TMA membership mean for you, your practice, and your patients?

  • Insurance Articles

    Pass-Through Billing Generally Not Permitted

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    Pass-through billing occurs when an ordering physician requests a service and bills insurance for it but does not perform the service, nor do those under the physician’s direct employ. Insurance companies generally forbid this practice.

    Read Texas Payer Policies
  • 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.

    More on the 2017 Fee Schedule  
  • TMA's Hassle Factor Log 

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    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.

    Get Help Getting Paid  
  • Medicaid Officials Seek TMA Input on Red-Tape Relief

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    Physicians and patients are tired of the administrative roadblocks that came with the expansion of Medicaid managed care in Texas and the toll they take on access to care. Thanks to advocacy by the Texas Medical Association's Medicaid Congress and cooperation from new Medicaid leadership, relief may be in sight.

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