Billing and Collections

First Across the Finish Line: Medical Billing Tax Eliminated - 06/07/2021

More than a year of work and collaboration came to fruition with House Bill 1445 by Rep. Tom Oliverson, MD (R-Cypress), which classifies outsourced medical billing as being outside the realm of insurance services. When Gov. Greg Abbott signed the bill on April 30, it nullified a medical billing tax scheduled to take effect Oct. 1.


UHC Expands Access to Digital Claims Portal, Optum Pay Basic - 05/20/2021

Starting this Saturday, May 22, UnitedHealthcare's Optum Pay basic claims portal will begin allowing unlimited users for each account. Practices can use the portal to manage claim payments and other digital administrative paperwork.


Five Ways to Improve Patient Collections - 05/14/2021

If your practice spends too much time chasing down patient overdue balances, maybe you should rethink some of your up-front practice policies related to collections.


Don’t Overlook Credit Card Processing Fees - 05/14/2021

In today’s world of coinsurance and high-deductible health plans, more of a practice’s revenue comes from the patient, and taking credit cards has become a must. But are you paying too much for credit card processing services?


Four Bill-Collecting Tips for New (or Any) Practices - 05/14/2021

Starting a practice can be daunting, and one challenge often overlooked is making sure you get paid. Although only a small number of patients will not pay you, or will pay slowly, they can hurt your bottom line. Writing off thousands of dollars in charges should not be an option.


Starting a Practice - 05/05/2021

Setting Up or Closing a Practice


Medicare as Secondary Payer - 04/08/2021

Medicare as secondary payer: Submit the primary EOB with paper claims but not with electronic claims.


ICD-10 Coding Advice for Hurricane Injuries - 04/08/2021

If you are treating patients for hurricane-related injuries or illnesses, here is some timely ICD-10 coding guidance from the Centers for Disease Control and Prevention.


What's My Taxonomy Code? - 04/07/2021

What's My Line (Taxonomy Code)?


Medicare Claim Errors: The Easy and the Common - 03/31/2021

Filing your Medicare claims correctly the right way every time saves time and money. Fortunately, correcting a simple mistake on a Medicare claim is easy. However you might need to invest in training if you commonly make more significant errors.


COVID-19: Billing and Coding - 03/24/2021

View COVID-19 resources related to billing and coding.


TMA Reimbursement Services - 03/24/2021

TMA Payment Advocacy Services


Need Billing and Coding Help? Visit TMA’s New Educational Quick Tips Website - 03/18/2021

The Texas Medical Association’s reimbursement specialists understand how quickly information changes, and are here to help you stay stay up to date with a new webpage that features educational quick tips on a variety of practice help topics.


Practice E-Tips on Billing and Collections - 03/17/2021

Practice E-Tips on Billing and Collections


Should You Bill This Visit as “Incident to”? - 03/04/2021

A physician hires a nonphysician practitioner and establishes a standing delegation order for a specific course of treatment. … Read the rest of the scenario. Can you answer the billing question correctly?


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

Billing Consulting HIPAA Forms Marketing Office Staff OSHA Patient Service Policies & Procedures Resources Billing Billing Medicare for Locum Tenens Billing Tip


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)?


Persuasion Collects Debts - 12/03/2020

Persuasion Collects Debts


Follow These Five Tips When You Follow Up on Claims - 10/26/2020

Follow These Five Tips When You Follow Up on Claims


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?


TMA: Fair Telemedicine Payments will Ensure Patients’ Care Continues - 09/25/2020

Statement by Texas Medical Association (TMA) President Diana L. Fite, MD, regarding Gov. Greg Abbott’s announcement today that Texas’ state-regulated health plans will continue to pay physicians and health care providers the same rate for patients’ telemedicine care as for in-person care, through the end 2020.


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).