Related Stories

Upgrade Your EHR Before It’s Too Late - 08/28/2019

If you participate in Medicaid and/or Medicare incentive payment programs, time is running out to upgrade to the 2015 certified electronic health record technology (CEHRT).


Beware of Scam Email Sent to TMA Members - 08/21/2019

An unauthorized email that claimed to be from the Texas Medical Association recently was sent to some TMA members stating that the individual member’s dues statement and insurance policy update was included. If you received this email, please know that it did not originate from nor was it authorized by TMA or the TMA Insurance Trust, and you should discard it.


Put Patients Over Paperwork, TMA Tells CMS - 08/19/2019

Allow physicians to use electronic health records how they see fit, eliminate prior authorization requirements, lift the ban on physician-owned hospitals, and allow a real out-of-network option. Those are among the 15 recommendations the Texas Medical Association presented to the Centers for Medicare & Medicaid Services, which is seeking to reduce administrative burdens and red tape in the Medicare program.


Medicare Muzzle? New Rules May Make Physicians Reluctant to Speak Up - 08/02/2019

New Medicare rules on local coverage determinations may make physicians reluctant to speak their minds.


False Impression: Medicine Says Medicare Report Inflates Success of Quality Program - 08/02/2019

High participation, “significant strides,” overwhelming success. That was the picture the Centers for Medicare & Medicaid Services painted in a March report on the first year of the Quality Payment Program. But a closer look by the Texas Medical Association raises serious doubts about CMS’ numbers, transparency, and cheerleading – so much so that TMA and seven other state medical associations are asking the agency to rescind the report.


Get Paid for End-of-Life Care Discussions With Patients - 07/18/2019

Since 2016, the Centers for Medicare & Medicaid Services has used two Current Procedural Terminology (CPT) payment codes for conversations about end-of-life treatment.


Will You Get a Medicare Bonus or Pay Cut Next Year? - 07/11/2019

 If you participated in the 2018 Merit-Based Incentive Payment System (MIPS) under the Quality Payment Program (QPP), it’s now possible to check whether you’ll receive a Medicare payment bonus or cut next year.  Physicians should check their 2018 MIPS performance feedback and 2020 payment adjustment as soon as possible in case the Centers for Medicare & Medicaid Services (CMS) made mistakes when calculating your data, which happened last year. 


Problem With Medicare’s PECOS Being Resolved, Officials Say - 07/11/2019

A software update to Medicare’s Provider Enrollment, Chain, and Ownership System (PECOS) implemented last month has created problems associated with existing and new group reassignments. Because of this, data from PECOS to the Multi-Carrier System for these changes have been delayed for all Medicare Administrative Contractors.


Beware of Phony TMB or DEA Agents - 07/03/2019

The Texas Medical Board (TMB) is warning physicians and pharmacies of a scam involving criminals who sometimes pose as TMB officials. TMB passed along a report from the U.S. Drug Enforcement Administration (DEA) that says physicians registered with the DEA are receiving calls and emails from criminals who identify themselves as DEA personnel or other law enforcement agents.


Scammers Targeting Texas Pulmonologists Seeking $500 - 06/19/2019

The Texas Medical Association is warning pulmonary physicians to be aware of a scam involving a letter from a phony medical board that seeks $500 “for Pulmonary Disease Certification Status Verification.” Two Texas pulmonologists contacted TMA to report a letter from the “American Board of Pulmonary Disease” notifying them of a “very important requirement to continue certification in pulmonary disease at this time. You are on record having failed to previously register, and must comply.”


DocbookMD — a revolutionary communication tool for physicians - 05/30/2019

DocbookMD is a physicians-only iPhone, iPad, and Android app that allows TMA-member physicians to send HIPAA-compliant text messages and photos, assign an urgency setting to outgoing text messages, search a local pharmacy directory, and search a local county medical society directory (including email addresses and photos).


Doctor’s Order A Must For Lab Tests - 05/29/2019

The Centers for Medicare & Medicaid Services is paying attention to claims for these lab services because it has found they were paid in error in 2018 by some $28 million. For routine venipuncture, medical necessity errors accounted for virtually all the improper payments. For urinalysis, it was insufficient documentation.


Use Modifiers to Override Correct Coding Initiative Edits - 05/28/2019

Correct Coding Initiative Edits Now Free on Internet


Code Carefully for Bilateral Procedures - 05/02/2019

Coding for bilateral procedures can be confusing. Many payers accept CPT modifier 50 as an indicator of a bilateral procedure, but they differ in how they apply it to their coding and payment policies.


Make Sure These Medicare Missteps Didn’t Affect Your Claims - 04/16/2019

Because of all of the policies, edits, determinations, rules, and revisions, Medicare’s claims processing sometimes goes awry for certain codes, fees, or other specific claim elements. The Centers for Medicare & Medicaid Services (CMS) reports these errors and their fixes on a regular basis.


Medical Students: Apply For TMLT’s $10,000 Scholarship - 04/10/2019

Are you a Texas medical student about to enter your third or fourth year of school?  Could you use a $10,000 scholarship next year? If you answered yes to both of those questions, you should know that the Texas Medical Liability Trust will award one $10,000 scholarship in August to a Texas medical student. 


Membership FAQs - 04/04/2019

Answers to your questions about Texas Medical Association membership.


Alert: Scammers Demanding Bogus Fines For Drug Purchases - 04/01/2019

The Texas Medical Association and the Texas Medical Liability Trust (TMLT) are warning physicians about scammers posing as a U.S. Drug Enforcement Administration agent trying to defraud doctors into paying a nonexistent federal fine for allegedly intercepting illegal prescription drugs the doctor had sent through the mail.


National Specialty Societies With MACRA Information - 03/27/2019

To help you get the best information possible, TMA has identified direct links to MACRA news, resource centers, education, and advocacy from national specialty societies. Visit your specialty society online for information specific to your specialty, setting, and practice.


Security Risk Analysis for HIPAA — and Medicare/Medicaid? - 03/08/2019

Do you need to conduct a security risk analysis or review of your practice in the next 72 days?


Medicare Enrollment Application Revised - 03/04/2019

A new Medicare enrollment application form for physicians and nonphysician practitioners will go into effect May 1.


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


Use New G Codes for Medicare Therapy Claims - 03/04/2019

Starting with services dated Jan. 1, 2013, physicians have to report new, nonpayable G codes and related modifiers on Medicare claims for outpatient physical, speech, and occupational therapy.


How's Novitas Doing? - 03/04/2019

Medicare wants to know what you think of the job Novitas Solutions is doing administering the Medicare program in Texas.