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CMS Ups Seasonal Flu Vaccine Payment - 09/09/2024

On Aug. 1, the Centers for Medicare & Medicaid Services increased payments to physicians for influenza vaccines and updated which codes physicians should use when billing for the service during the 2024-25 flu season.

BCBSTX to Require E/M Codes for Consultation Services - 09/03/2024

Starting Nov. 18, Blue Cross and Blue Shield of Texas will no longer pay physicians for outpatient or inpatient consultations when they report those services with Current Procedural Terminology codes 99242 – 99245 and 99252 – 99255.

New TMA Podcast Spotlights Timely Health Care Issues - 09/02/2024

The Texas Medical Association Council on Health Promotion has launched a podcast series to inform and educate the public on some of TMA’s public health priorities, as well as community outreach programs the council oversees.

Coding with Care: Knowing Billing Codes for Complex Care Can Maximize Revenue, Access to Care - 08/28/2024

Knowing billing codes for complex care can maximize revenue and access to care.

Class Care: School-Based Health Centers Deliver Care to At-Risk Youth - 08/27/2024

School-based health centers in Texas deliver physical and behavioral care to at-risk youth.

Learn How to Beat the Heat with TMA Health Beat - 08/16/2024

Texans are no strangers to extreme temperatures, but underestimating the dangers posed by the heat can have serious consequences.

COVID-19 Cases Up Again; What You Should Know - 08/14/2024

COVID-19 cases are up again, with case numbers in Texas and nearby states leading the way, according to two public health measurements.

Science: Vaccines Do Not Cause Autism; Physicians Fight to Reassure, Immunize - 08/09/2024

Physicians repeat it over and over: Vaccines like the measles-mumps-rubella (MMR) vaccine do not cause autism; they are safe and effective. Yet the decades-old false claim that vaccines do cause autism has convinced millions of parents not to give their children potentially lifesaving shots and could lead more to opt out, according to Texas physicians.

CDC: Drinking Raw Milk Doesn’t Protect Against Avian Flu - 08/07/2024

The spread of the A(H5N1) virus, or avian flu, has forced the Centers for Disease Control and Prevention (CDC) to warn people away from drinking raw milk contaminated with the virus as a way to acquire antibodies against the disease. The unsupported practice significantly increases risk of illness. Read more.

Talk to Patients About: Flu - 07/31/2024

Flu is serious, and the vaccine can prevent or minimize the illness.

Physicians: The Rising Number of Older Patients Requires Expertise on Aging, but Barriers Exist - 07/29/2024

As forecasters predict the number of people aged 65 and older in Texas will more than triple by 2050, doctors say the population will need more specialized physicians to meet the patients’ unique needs.

Maternal Health Problems in Central Texas Underscore Statewide Crisis - 07/22/2024

Central Texas has significant maternal health challenges, including the highest rate of maternal death among black women, in part because of barriers to health care coverage and because resources are underused, according to a report by the nonprofit Texans Care for Children.

TMA Grants to Help Your Practice Improve Local Vaccination Rates - 07/16/2024

Apply for a grant. Vaccines Defend What Matters (formerly Be Wise – Immunize) is TMA’s integrated, multimedia public health education and advocacy effort to overcome vaccine hesitancy and increase vaccination rates in Texas. 

It’s Hot! Stay Hydrated and Remain Vigilant to Avoid Heat Exhaustion or Worse, Doctors Say - 07/01/2024

Texans are no strangers to hot temperatures, but physicians are warning Texans about the dangers of heat exhaustion and heat stroke. “As the temperatures rise and the heat index surges, we see more people in the emergency department suffering from heat-related illnesses,” said Hilary Fairbrother, MD, an emergency medicine physician and chair of the Texas Medical Association’s Committee on Emergency Medical Services and Trauma.

G-Code Payment Frustration Persists With Inconsistent Implementation - 06/25/2024

Deepening ongoing physician concerns over Medicare’s add-on code for complex care, two major payers have either reduced payment for G2211 claims or announced plans to stop paying certain claims associated with the code altogether. Read more.

Leading Through Change: TMA’s Impact on Public Health Evident at State Level - 06/04/2024

Texas Medicine had the opportunity to interview five DSHS commissioners who have served as the top brass in Texas Public Health over the past 30 years, working closely with TMA along the way. At the same time, these leaders have leveraged their roles and expertise to inform and influence medicine in the state.

Starting a Practice - 06/03/2024

Setting Up or Closing a Practice

Physicians Sound Alarm to Curb Rising Congenital Syphilis Rates - 05/16/2024

Texas physicians are raising the alarm as cases of congenital syphilis, a dangerous illness for fetuses and newborn babies, are surging. Texas has the fourth highest congenital syphilis case rate in the nation, with cases skyrocketing 148% from 2017 to 2022, according to Texas Department of State Health Services data.

Delegates Emphasize Women’s, Reproductive Health Ahead of Legislative Session - 05/15/2024

Continuing its mission to improve the health of mothers and babies in Texas, along with addressing ongoing sexual health and opioid crises, TMA passed and strengthened policy to shape the association’s advocacy come legislative session.

The Great Masquerader: Congenital Syphilis Plagues Texas - 05/06/2024

Since beginning her career at the Texas Department of State Health Services (DSHS) in 2017 as the infectious disease medical officer, Jennifer Shuford, MD, has been closely monitoring syphilis.

Drivers Ed: Texas Program Empowers Residents to Address Nonmedical Drivers of Health - 05/06/2024

Spurred by the COVID-19 pandemic, The University of Texas Health Science Center at San Antonio developed a residency training program focused on nonmedical factors, related screening tools, and community resources that can help patients in need.

Cigna to Deny Claims Without Z-Code Documentation - 04/24/2024

Starting July 14, Cigna Healthcare will deny certain claims that are billed with a Z code and without documentation, a move that could add to physicians’ administrative burden.

Medicare May Seek Payment Recoupment for 2023 Claims - 04/09/2024

A new report by the Government Accountability Office shows physicians may face possible recoupments – or additional payment – for claims filed in 2023 as a result of over and underpayments by Medicare, Medicaid, and other federal programs.

An Unfailing Voice for Medicine: TMA Honors Kenneth Mattox, MD - 04/01/2024

TMA honors Houston trauma surgeon Kenneth Mattox, MD, for his dedication to public health.

TMA Vaccination Grants Connect Hard-to-Reach Patients; Apply by May 1 - 03/28/2024

Dozens of patients in the Lubbock area are up to date on their vaccinations thanks to a local impact grant from the Texas Medical Association, which has opened the latest 2024 application cycle for vaccine outreach programs until May 1.