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Practice E-Tips on Billing and Collections - 02/26/2021

Practice E-Tips on Billing and Collections


Practice e-Tips on Reimbursement - 02/26/2021

Billing & Fees Claims Coding & Documentation Collections Copayments & Deductibles Medicaid & Medicare Workers' Comp Billing & Fees Are You Missing Out on Your Money?    Billi


Practice e-Tips on Claims - 02/26/2021

Appeals Appealing Claims Can Have Appealing Results   Claim Forms Multiple Place-of-Service Codes on a Single 1500 Claim Form   Fees New Laws Require Billing Di


Verify Which Health Plans Are Exempt From Prompt Pay Laws - 01/04/2021

Use this tool to affirm which health plans are self-funded and thus not subject to state prompt pay laws. ERISA or TDI?


Make Modifiers Work for You - 01/04/2021

Missing or incorrect coding modifiers are a common reason why claims are denied or physicians are paid incorrectly for their services. Follow these steps to make sure your practice uses modifiers correctly.


NPI Entity Type 1/Type 2 and Medicare Provider Numbers - 12/09/2020

If I am an incorporated physician, do I need two National Provider Identifiers (NPIs)?


AMA Reiterates Cannabis Remains a “Serious Public Health Concern” - 11/19/2020

As more states relax marijuana use and possession laws, delegates at the American Medical Association’s Special Meeting voted Tuesday to clarify AMA policy to say that the association “believes that cannabis is a dangerous drug and as such is a serious public health concern.”


AMA Advocates for 24/7 Prior Authorization Processing - 11/19/2020

AMA delegates passed new policy on Tuesday that advocates for insurers and benefit managers who require prior authorization to have staff available to process  those approvals 24 hours a day, year-round, “including holidays and weekends.”


Delegates Support Expanding Telemedicine, Financial Relief Programs - 11/19/2020

As telemedicine expands because of the COVID-19 pandemic, physicians at the American Medical Association’s Special Meeting of the House of Delegates approved a measure on Tuesday that called for telemedicine’s use to continue beyond the national public health emergency.


AMA Policy Calls on Medicine to Oppose Racism, Recognize It as a Public Health Threat - 11/18/2020

At a Special Meeting of the American Medical Association House of Delegates, the nation’s physicians confronted racism nationwide by adopting several policies that recognize racism as a public health threat.


AMA Adopts Standards for “Public Option” - 11/18/2020

Delegates at the virtual Special Meeting of the American Medical Association passed new policy allowing AMA to advocate that any so-called “public option” proposal to expand health insurance coverage to the nation’s uninsured and underinsured must adhere to a set of standards that include protections for patients and physicians.


AMA Pushes to End National Clinical Skills Exams for U.S. Medical Students - 11/18/2020

American Medical Association (AMA) delegates called on AMA to urge the speedy end to the clinical skills part of the United States Medical Licensing Examination (USMLE) Step 2 and Comprehensive Osteopathic Medical Licensing Examination (COMLEX) Level 2 for U.S. medical students.


Physicians’ Hard Work Should Not Be Undone by Politics, AMA President Tells Delegates - 11/16/2020

Physicians nationwide will continue to tackle COVID-19’s unique and unforeseen challenges, American Medical Association President Susan R. Bailey, MD, said in opening remarks to the AMA House of Delegates as the November Special Meeting  kicked off Friday evening.


Texas Residents and Students Win AMA Leadership Posts - 11/10/2020

Several Texas residents and students nabbed American Medical Association leadership positions this past weekend during the AMA’s special interim meeting, which is being held virtually this year because of the COVID-19 pandemic.


Preauthorization Denial: What’s Your Recourse? - 10/16/2020

So a health plan has denied your preauthorization request for a patient’s treatment. What options do you have?


More Resources to Get Paid - 09/24/2020

TMA helps physicians “Get Paid.” In 2016, our Hassle Factor Log helped members recover more than $1.8 million in insurance payments.


Reimbursement Review and Resolution (RRR) Services User Guide - 09/09/2020

Please observe the following Reimbursement Review and Resolution (RRR) form guidelines to help us expedite processing while maintaining the integrity and credibility of RRR Services (previously known as the Hassle Factor Log Program).


CMS-1500 Form: TDI Provides Guidance on Blocks 14 and 15 - 08/12/2020

CMS-1500 Form: TDI Provides Guidance on Blocks 14 and 15


Texans Take New AMA Leadership Spots - 06/08/2020

Although Susan Rudd Bailey, MD’s installation as the new American Medical Association president Sunday earned most of the attention, four other Texas physicians earned leadership positions during the virtual 2020 annual meeting of the AMA House of Delegates.


Sue Bailey, MD, Takes Office as AMA President; “Let Doctors Be Doctors” - 06/08/2020

Susan Rudd Bailey, MD, is American physicians’ new leader in the battles against COVID-19 and outside interference in patient care. The Fort Worth allergist took the oath of office as president of the American Medical Association on Sunday, becoming the sixth Texas physician to lead the organization.


Running Out of Reasons: Low Payments, Hassles Leave Physicians Wondering: Why stay in Medicare? - 06/01/2020

Texas physicians who deal with Medicare’s substandard payments and world-class administrative hassles are feeling underappreciated. The latest report from the committee that advises Congress on Medicare payment policy may exacerbate that feeling. In March, the Medicare Payment Advisory Committee (MedPAC) released its annual report assessing payments to physicians, among other sectors. MedPAC recommended no changes to the 2021 Medicare physician fee schedule, meaning no increase in physician payments.  


John Zerwas, MD, Honored for Service as Texas Lawmaker - 02/12/2020

The American Medical Association on Tuesday awarded former Texas State Rep. John Zerwas, MD, its Dr. Nathan Award for Outstanding Government Service.


CMS to Recoup Chronic Care Management Payments - 12/06/2019

Some Texas physicians and outpatient facilities might have to refund payments they received for chronic care management services performed during 2015 and 2016 under the Medicare Physician Fee Schedule, federal officials said.


AMA House Punts on Texas Plan to Fix QPP - 11/20/2019

A decision on whether the American Medical Association (AMA) will join the Texas Medical Association’s call for major changes to Medicare’s Quality Payment Program (QPP) will have to wait a few more months, the AMA House of Delegates decided at its annual meeting in Chicago last week. The QPP overhaul was just one of 11 resolutions the Texas delegation to the AMA took to the five-day meeting. Most of the other 10 received a very warm welcome.


AMA House Rejects MIPS Plan - 11/20/2019

Led by the Texas delegation, the American Medical Association House of Delegates on Tuesday rejected as inadequate a plan to improve Medicare’s Quality Payment Program (QPP) and its highly-flawed Merit-Based Incentive Payment System (MIPS) track.