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.


Guide to Insurance Overpayments and Refund Requests - 04/29/2019

Use this guide to help you and your staff properly assess refund requests from health plans.


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.


Starting a Practice - 04/16/2019

Setting Up or Closing a Practice


How to File a Medicare Extended Repayment Plan - 03/04/2019

  Extended repayment plans (ERPs) are an option for returning overpaid money to Medicare. Ideally, you should request an ERP immediately after receiving the initial demand letter. However, you can request an extended payment plan any time while the overpayment is outstanding. 


Watch Those Extra Fees For Medicare Patients - 03/04/2019

Watch Those Extra Fees For Medicare Patients


Texas Clinics Repay Medicare for Improper Claims - 03/04/2019

Several Texas dialysis clinics in El Paso and the Dallas-Fort Worth area have had to repay Medicare for treating people in the country illegally.


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.


Cornered: Proposed Medicare Fee Overhaul Could Box In Doctors - 02/05/2019

Proposed overhaul to Medicare payments for complex patient care visits and same-day office-based procedures could box in Texas physicians.


SB 418: Prompt Pay Final Rules - 01/24/2019

SB 418: Prompt Pay Final Rules


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.


Sharing is Caring? Health Care Sharing Ministries Cause Confusion - 12/07/2018

Confusion surrounding health care sharing ministries puts Texas Medical Association on alert.


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.


New Laws Require Billing Disclosures by Physicians - 04/27/2018

A raft of new rules took effect Sept. 1 requiring, medical practices to reveal specific billing information to patients.


Billing for H1N1 Vaccine Administration - 04/27/2018

For some payers, you may need to bill a penny for the H1N1 vaccine to be paid for administration.


TMA Payment Advocacy Services - 04/26/2018

TMA Payment Advocacy Services