Billing and Collections

Medicare Critical Care and Initial Hospital Services E and M Slated for Review - 05/17/2019

If you’ve been “probed and educated” twice by Novitas Solutions Inc. for high rate of claims errors regarding certain evaluation and management (E&M) services, you may receive more such review and education this summer.


Guide to Insurance Overpayments and Refund Requests - 04/29/2019

Use this guide to help you and your staff properly assess refund requests from health plans.


Most Valuable Team: Managing Nonphysician Staff Efficiently Can Boost Patient Care and Bottom Line - 04/17/2019

Because state laws and insurer billing requirements governing physician delegation and supervision can be tricky to navigate, practices must stay up to date to avoid potential penalties.


Starting a Practice - 04/16/2019

Setting Up or Closing a Practice


Watch Those Extra Fees For Medicare Patients - 03/04/2019

Watch Those Extra Fees For Medicare Patients


Revenue Cycle Assessment - 02/11/2019

A TMA consultant will conduct a review of your business office operations that focuses on front desk procedures, billing, collections and revenue cycle improvement. We will identify opportunities for improvement of billing processes and procedures.


SB 418: Prompt Pay Final Rules - 01/24/2019

SB 418: Prompt Pay Final Rules


Good-bye Strips, Hello Chips - 01/10/2019

Get your practice ready for changeover this year to new microchip-embedded debit and credit cards, or assume liability for any fraudulent transactions.


TMA Case Study: Coding and Documentation - 10/05/2018

TMA’s certified professional coders and auditors can help protect your revenue by performing an in-depth review of how your practice documents medical records and codes claims. The review helps streamline coding and documentation processes, and decrease the risk of external audits.


What To Do When Employees Steal: Medical Practices Are a Ripe Target for Embezzlement - 09/14/2018

Medical practices are a ripe target for embezzlement.


Humana Physician Portal to Retire in October - 08/27/2018

Humana will shutter its secure provider portal on Oct. 3. To continue or begin working with Humana online, prepare now by registering for the Availity Provider Portal if your practice doesn’t already have an account.


10 Common Ways Your Practice Could Be Leaking Money - 07/12/2018

Think of your revenue cycle like a pipeline that moves from patient scheduling, to billing and collections, and finally to deposits in the bank. Here are five common ways your practice may be losing revenue.


Three Tips to Fix Collections Woes With Credit Cards - 07/12/2018

Let’s talk about credit card payments, shall we? Specifically, let’s discuss ways your practice can improve time-of-service collections and stop chasing your patients for payment after they’ve left the office.


Payer Math Multiplies Recoupments - 07/10/2018

When does $187 equal nearly $13,000? When a payer projects overpayments. A weekly audio tip from the National Alliance of Medical Auditing Specialists cites a case in which illegible signatures forced a practice to refund almost $13,000.


Signature Logs Can Help Speed Up Claims - 06/26/2018

For all the reasons you might have a claim denied or delayed, an illegible signature is one you surely can avoid. A signature log can help speed your claims through payment, and it serves as a risk management tool, too.


If Your Patient Doesn’t Pay and Moves to Minnetonka … - 06/14/2018

Debt collection is a heavily regulated industry, and your practice could run afoul of the law if an agency collecting on your behalf is not licensed in the state where your former patient lives.


Collection Agency Submittal Do’s and Don’ts - 06/12/2018

Your collection agency has a better shot at success in collecting your past-due accounts if you follow these tips for submitting accounts to the agency.


Health Care-Sharing Ministries Pose Potential Payment Problems - 05/03/2018

The Texas Medical Association is telling physicians to be mindful of patients who have entered into an arrangement with health care-sharing ministries, which present themselves essentially as faith-based alternatives to health insurance.


New Laws Require Billing Disclosures by Physicians - 04/27/2018

A raft of new rules took effect Sept. 1 requiring, medical practices to reveal specific billing information to patients.


Billing for H1N1 Vaccine Administration - 04/27/2018

For some payers, you may need to bill a penny for the H1N1 vaccine to be paid for administration.


TMA Payment Advocacy Services - 04/26/2018

TMA Payment Advocacy Services


Why Did I Get That Medical Bill? - 04/26/2018

A new epidemic has hit; call it "insurance illiteracy." Numerous studies (like this national research and this Texas study) show the public's growing lack of understanding of basic health insurance terms, such as "copay," "out-of-pocket expense," and "network." Reasons given for the problem include the addition of large numbers of people newly insured under the Affordable Care Act and the health insurance industry's growing array of confusing new products and cost-containment strategies.


Billing and Collections: A Process, Not a Task - 04/26/2018

Revenue cycle procedures begin with efficient appointment scheduling and end with payment for billed charges. By attending carefully to each step of the revenue cycle process, you can eliminate problems that may cause your practice to lose money.


5010 Deadline Extended; Dual Eligible Problem Not Fixed - 04/17/2018

Acknowledging that many physicians and billing entities still aren't ready, federal officials are giving physicians three more months before it begins enforcing the use of Health Insurance Portability and Accountability (HIPAA) 5010 transaction standards. The new deadline is June 30.


Need Help Getting Paid? - 03/06/2018

The Texas Medical Association is committed to supporting Texas physicians by providing practice management information, education, and services, including help getting you paid properly and efficiently for the care you provide to patients.