Related Stories

Examine the Billing Cycle “Vitals” for Your Practice - 11/13/2019

The Texas Medical Association’s free webinar, What You Need to Know to Evaluate Your Billing Process, offers a step-by-step process and tools to assess your practice’s financial health and identify key areas for improvement. The webinar will show you how to use practice management reports to evaluate your staff’s productivity, your billing and collections processes, and even payer performance.


You May Need to Refile Some Medicare Claims - 10/25/2019

Be on the lookout for Medicare claims you’ve filed since Oct. 1 in which procedure codes failed to process, causing a rejected claim. You will need to refile these claims.


Delegation of Duties - 10/24/2019

Use these resources to learn more about delegation of duties. 


Medicare Lab Fee Includes Routine Venipuncture - 10/16/2019

If you perform the lab test in your office, you may not bill separately for the “collection of venous blood by venipuncture,” or CPT code 36415, according to the Medicare Claims Processing Manual. However, a significant number of physicians who collect blood and perform lab tests in their office are billing for CPT code 36415 along with the test code, the Center for Medicare & Medicaid Services says.


Here’s What Medicare Pays for Flu Shots This Season - 10/04/2019

The Centers for Medicare & Medicaid Services recently published 2019-20 payment rates for personal flu vaccines and their administration. The effective dates for these rates are Aug. 1, 2019, to July 31, 2020.


Most Valuable Team: Managing Nonphysician Staff Efficiently Can Boost Patient Care and Bottom Line - 08/02/2019

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.


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.


Understanding “Incident to” Billing - 03/20/2019

Can my practice provide anticoagulation monitoring for a Medicare patient in our office as “incident to” a physician’s services? On the other hand, if we refer the patient to an anticoagulation monitoring clinic, can we still bill this service as “incident to”?


Medicare Billing Guidelines for NPs, CNS, and PAs - 03/04/2019

Billing Guidelines for Nurse Practitioners (NP),Clinical Nurse Specialists(CNS),and Physician Assistants (PA)


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.


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.


Advanced Education? TMA Pushes State for Standards in APRN Clinical Training - 10/18/2018

TMA pushes state for standards in APRN clinical training.


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.


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.


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.