Related Stories

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.


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.


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.


Low-Cost Counseling Available for Harvey Victims - 01/23/2019

It’s been almost 18 months since Hurricane Harvey battered the Texas coast, but its effects are still being felt, particularly in the mental health of people affected by the storm. Thanks to a grant from Rebuild Texas Fund, the Texas chapter of the National Association of Social Workers is offering free or low-cost counseling services for storm victims.


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.


Help Your Colleagues Affected By Hurricane Florence Rebuild - 09/27/2018

Many Texas physicians found themselves in desperate financial need last year when flooding from Hurricane Harvey wiped out homes, businesses, and practices along the Gulf Coast. Now it’s Texas physicians’ turn to help their colleagues who have been affected by Hurricane Florence, which has caused severe flooding in parts of North Carolina, South Carolina, and Virginia.


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.


Feds Award More Than $10 Million to Harvey-Affected Health Centers - 09/10/2018

Thirty two Texas community health centers received almost $10.4 million on Thursday to help offset the effects of Hurricane Harvey last year. The U.S. Department of Health and Human Services (HHS) awarded the funds to help health centers nationwide.


How Did the Health Department Do During Harvey? - 09/07/2018

When Hurricane Harvey blew ashore along the Texas coast in August 2017, the Texas Department of State Health Services was on the front line responding to the storm. So how did the state's health agency acquit itself? The DSHS "after-action report" released last week spells out the department's successes and shortcomings.


Hurricane Harvey: The Way Back - 08/27/2018

Lessons learned as practices emerge from Harvey’s wrath.


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.


Deadline to File Harvey Insurance Claims Approaching - 08/16/2018

Harvey made landfall on Aug. 25 last year, causing widespread flooding along the coast. Some insurance claims, including to the Texas Windstorm Insurance Association, must be reported by the one-year anniversary of the date the damage occurred, unless you can show good cause for a delay.


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.


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.


Lessons Learned: TMA Recommends Improvements to Hurricane Response - 04/25/2018

Now that Texas is well past the Hurricane Harvey emergency disaster response and is in the process of recovery and rebuilding, it is critical that state and local governments as well as health care systems assess what Texas did well and what it did not. As the saying goes, hindsight is 20/20. Looking back, it is always easier to see what we would do differently in a crisis. But in so doing, we also ensure Texas’ response to future disasters will be that much better.


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.


TMA Fund Helped 55 Practices Rebuild From Hurricane Harvey - 04/11/2018

TMA's Disaster Relief Fund provided monetary gifts to 55 practices in 18 cities, including Houston, Friendswood, Beaumont, Victoria, Kingwood, Columbus, Port Arthur, and Spring. The practices employ 169 physicians and 1,304 non-physician staff members.


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.