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Microsoft Windows, Server Systems Vulnerable to Hackers, Feds Warn - 01/17/2020

Texas physicians should look out for a security weakness in Microsoft Windows 10, Server 2016, and Server 2019, the Department of Homeland Security (DHS) said this week.


The Math of Medicare for All - 01/09/2020

With two of the current top Democratic candidates – Sens. Bernie Sanders (I-Vermont) and Elizabeth Warren (D-Massachusetts) – espousing Medicare for All, supporters and detractors alike are asking more in-depth questions about the proposal, particularly how much it will cost.


Use New Medicare IDs to Avoid Rejected Claims - 01/07/2020

Your Medicare patients have ditched their old Medicare ID numbers. It’s high time you do, too, to avoid unpaid claims in the new year. Starting Jan. 1, Medicare beneficiary identifiers (MBIs) replace patients’ old Social Security number-based health insurance claim numbers (HICNs). Novitas Solutions, the Medicare payer for Texas, will reject any claim submitted with a patient’s HICN, with a few exceptions. You will have to refile the claim with the patient’s MBI to get paid.


Medicare Sequestration Cuts, GPCI Floor Continue - 01/07/2020

As we begin 2020, it’s a good time to remember that several Medicare policies that affect physician payment remain in effect. Medicare sequestration, the federal government’s 2% across-the-board payment cut, will continue until further notice. In addition, Medicare’s 1.0 floor for the Geographic Practice Cost Indices (GPCI) has been extended temporarily, once again, to May 23.


Laptop Encryption Helps You Stay HIPAA Compliant - 12/19/2019

If you or your practice store financial or patient information on laptop computers, you could face hefty fines if those devices are lost or stolen. Thankfully, one important step toward protecting patient data, and yourself, is simple thanks to widely available encryption tools.


Physicians Needed for Medicaid Managed Care Advisory Panel - 12/19/2019

The Texas Health and Human Services Commission (HHSC) is accepting applications for its State Medicaid Managed Care Advisory Committee. The panel advises HHSC on Medicaid managed care operations statewide.


Apply by Dec. 31 for MIPS Reporting Exceptions - 12/17/2019

Did your practice face an unusual extreme hardship this year? Do you practice in a rural area with poor internet connectivity? If so, you could qualify for an exception to the Merit-Based Incentive Payment System (MIPS) reporting requirements for the 2019 performance year. The application deadline is Dec. 31.


Help Medicaid Patients Keep Appointments With Free Rides - 12/11/2019

If your Medicaid patient has trouble keeping his or her appointments with your office due to lack of transportation or gas money, be sure the patient knows how to seek help from Medicaid.


TMA to Lawmakers: Stop Proposed Medicare Changes - 12/06/2019

Federal lawmakers must hold hearings immediately to stop proposed changes to Medicare that would cause lasting and serious damage to the program and to health care in the United States, Texas Medical Association President Douglas Curran, MD, told two key Texas congressmen today.


Far-Reaching Implications: The Ripple Effects of Texas' Uninsured Rate - 12/04/2019

Data compiled by the Texas Medical Association and other organizations, as well as physicians’ own anecdotal experiences, show how 5 million uninsured patients in Texas become 5 million dominoes. As they fall, so do countless others representing the health of Texas: The economy and well-being of entire communities. The classmates and friends of uninsured children. And yes, the physicians who deal with the burdens of treating uninsured patients in emergency rooms and providing uncompensated care.


New Help to Get Paid for CCM Services - 12/02/2019

A new initiative aims to raise awareness of the benefits of chronic care management (CCM) services for Medicare patients with multiple chronic conditions and to support physicians in starting CCM programs.


Chronic Care Management’s Five Codes: Know Which to Use - 11/22/2019

Q. If I provide more than 20 minutes of chronic care management (CCM) services to my Medicare patient, can I bill more than one unit or more than one line item of CPT 99490 in the service period to account.


Don't Miss Out! Medicare Pays for Chronic Care Management - 11/22/2019

Do you manage patient referrals and care transitions between and among physicians and health care settings? Do you spend time reconciling medication lists and managing prescription refills for your patients? Do you take calls during and after office hours to address patient care needs? If the answer is yes and you're not billing for these types of services, you're missing out on a new CPT code and practice revenue opportunity from Medicare.


Can We Contract Out Chronic Care Management Services? - 11/22/2019

Under the Medicare Chronic Care Management (CCM) Services program, can my practice subcontract CCM services to a case management company?


Is Medicare’s Chronic Care Management Program for You? - 11/22/2019

Interested in the possibility of getting paid as much as $75,000, or even more, for something you already more or less do? Medicare now pays separately for chronic care management services. To help you decide if this new opportunity is right for your practice, TMA created a new online resource center.


Chronic Care Management: The Patient Agreement - 11/22/2019

Securing a patient’s informed and written consent is an important part of the Medicare Chronic Care Management Services program. Medicare requires it, and you’ll be sure your patients understand how it works.


AMA House Rejects MIPS Plan - 11/20/2019

Led by the Texas delegation, the American Medical Association House of Delegates on Tuesday rejected as inadequate a plan to improve Medicare’s Quality Payment Program (QPP) and its highly-flawed Merit-Based Incentive Payment System (MIPS) track.


“Patient Privacy Must Be Protected,” TMA Says in Response to Ascension-Google Partnership - 11/14/2019

Protecting sensitive patient health information should remain a top priority as technology and health care continue to intersect, Texas Medical Association President David C. Fleeger, MD, said Thursday in response to a partnership between Google and Ascension health system.


The Uninsured in Texas Quick Links - 11/13/2019

The Uninsured in Texas Quick Links


Do Your Security Risk Assessment Before Dec. 31 - 11/13/2019

If you participate in the Medicare Merit-Based Incentive Payment System (MIPS), conducting or updating a risk assessment is a requirement in the Promoting Interoperability category. In order to meet the 2019 performance year requirements, you must complete your security risk assessment by Dec. 31. This is not an optional measure. Thankfully, an upgraded tool from the U.S. Department of Health and Human Services (HHS) might make the assessment easier.


Learn The ABCs of the QPP With Free CME - 11/12/2019

The Texas Medical Association has heard from physicians who are just now tuning in to the 2019 Quality Payment Program (QPP) and don’t know where to begin to avoid the 7% Medicare payment penalty in 2021.


20 Everyday HIPAA Tips to Help You Stay Compliant - 11/11/2019

The goal of HIPAA is to make sure the protected health information you are responsible for or come into contact with remains confidential, secure, and available when you need it. Here are basic steps every practice can take to help make this happen.


20 Everyday HIPAA Tips - 11/11/2019

 The goal of HIPAA is to make sure the protected health information you are responsible for or come into contact with remains confidential, secure, and available when you need it. Here are basic steps every practice can take to help make this happen.  


TMA PracticeEdge ACOs Tops for State, National Medicare Savings - 11/11/2019

Three accountable care organizations formed through TMA PracticeEdge were among state and national leaders in generating Medicare savings during the 2018 Medicare Shared Savings Program performance year.


Looking to Implement Remote Patient Monitoring Technology In Your Practice? - 11/08/2019

How do you successfully implement remote patient monitoring technology in your practice? Answers to that question and many more can be found in the American Medical Association’s (AMA’s) Digital Health Implementation Playbook.