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Practice e-Tips on Medicare - 12/03/2021

Get practice tips on all things Medicare. Learn what Medicare requires for enrollment, participation, billing, claims, coding, documentation, and more.


TMA Ask the Expert: Medicare Physician Fee Schedule - 12/02/2021

The Centers for Medicare & Medicaid Services’ (CMS’) 2022 Medicare Physician Fee Schedule takes effect on Jan. 1 and raises several concerns for physicians treating Medicare patients, including a series of mandated pay cuts totaling nearly 10% and changes to the already complex Quality Payment Program (QPP).


Changing Your Medicare Participation Status for 2022 - 11/30/2021

The Texas Medical Association is still working to convince Congress to stop several cuts for 2022 payments for Medicare physician services that would total nearly 10%. But with those cuts still going into effect as of now, you may wish to modify their Medicare participation status.


Congressional Members Support Halt to Medicare Cuts - 11/28/2021

Two physician members of Congress are echoing the Texas Medical Association’s call for lawmakers to stop pending Medicare physician pay cuts totaling nearly 10%, and their push has the support of hundreds of members of the House of Representatives.


Medicare Cuts An Insult to Patients And Physicians - 11/12/2021

Opinion column by TMA President E. Linda Villarreal, MD, about significant Medicare cuts planned for January, 2022 if Congress does not act to prevent them.


Impending Medicare Pay Cuts Total Nearly 10% - 11/08/2021

Physicians in Medicare are about to get nickel-and-dimed – only it’s more like hundred-and-thousand-ed. And with a pandemic making this moment one of the worst times to financially hit physician practices still reeling from shutdowns last year, the Texas Medical Association, American Medical Association, and others are urging Congress to stop impending payment cuts that could devastate access to care for the nation’s elderly and disabled.


CMS Finalizes Medicare Physician Pay Cut – But Congress Can Still Act - 11/05/2021

Medicare has released its final 2022 physician fee schedule, cementing a series of mandated pay cuts totaling nearly 10% for Medicare-participating physicians, unless Congress votes to reverse them before the end of the year.


Medicare Cuts Would Threaten Patients’ Access to Care - 11/02/2021

Texas Medicare patients could soon struggle to get a physician’s care if planned Medicare payment cuts take place on January 1. According to a new Texas Medical Association (TMA) survey, the nearly 10% Medicare pay cut Congress has scheduled for the new year could devastate physicians who care for the senior citizens and people with disabilities covered by the federal health insurer.


Code Carefully for Bilateral Procedures - 10/27/2021

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.


Survey: Medicare Cuts Could Force Physicians to Drop Care Even Amid Pandemic - 10/19/2021

With physicians facing several Medicare payment cuts totaling nearly 10% at the start of 2022, a new Texas Medical Association member survey quantifies the drastic impact the cuts could have on access to care if Congress doesn’t act to stop the cuts.


Medicare Cuts an Insult to Patients and Physicians - 10/13/2021

What would you do if your employer cut your pay by 10% during one of the most stressful times in recent history? And what if your company did that after not giving you a cost-of-living raise for more than two decades?


20 Everyday HIPAA Tips - 10/13/2021

 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 to Help You Stay Compliant - 10/13/2021

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.


Unfreezing GME: A Boost to Federal Funding for Residencies - 10/02/2021

U.S. lawmakers may be ready to boost federal funding for residencies.


Medicare’s Quality Payment Program Won’t Support Internet Explorer 11 - 09/29/2021

Due to security concerns, Medicare’s Quality Payment Program (QPP) will no longer support the Internet Explorer (IE) 11 browser beginning on Oct. 13, the Centers for Medicare & Medicaid Services (CMS) has announced.


Texas ACOs Produce Millions in Medicare Shared Savings Despite Pandemic - 09/09/2021

After a transition year in 2019,  accountable care organizations (ACOs) enrolled in the Medicare Shared Savings Program (MSSP) faced another daunting challenge: the COVID-19 pandemic.


ESRD Calculator - 08/27/2021

ESRD Calculator


Notice to Patients of Noncovered Services - 08/27/2021

Notice to Patients of Noncovered Services


How Do I Get Started With CCM Services? - 08/19/2021

CCM services are non-face-to-face activities performed by you or your clinical staff to manage and coordinate the care of your patients. To initiate the services, Medicare requires that you first obtain a patient’s informed and written consent* during a face-to-face visit, such as during an initial preventive physician exam, annual wellness visit, or comprehensive evaluation and management visit billed separately.


Feds Declare “Long COVID” a Disability - 08/17/2021

Although the pandemic rages on, there may be some relief in sight for people with lingering effects from COVID 19 infection – or “long COVID” – as well as consequences for the physicians who treat and employ them. The Biden administration in late


Medicaid EHR Incentive Program Deadline Coming Up - 07/28/2021

Participants in the Medicaid Electronic Health Record (EHR) Incentive/Promoting Interoperability (PI) program have one month from today to attest to meeting the program requirements – but don’t wait until the last minute.


New Data Classes Released for Exchanging Electronic Health Information - 07/21/2021

Physicians will be able to electronically share patient information more broadly now that the U.S. Office of the National Coordinator for Health Information Technology has released version 2 of the United States Core Data for Interoperability (USCDI).


Modest Payment Change, New Telehealth Requirements in Proposed Medicare Fee Schedule - 07/21/2021

A proposed change to Medicare’s payment formula under the 2022 physician fee schedule, if implemented, would mean a modest payment cut for some physicians. However, the fee schedule proposal – coming in this year at a crisp 1,747 pages – includes what would be significant changes to telehealth in Medicare, among other provisions.


Medicare Proposal Offers More Flexibility for ACOs - 07/08/2021

A proposed regulation from the Centers for Medicare and Medicaid Services (CMS) would give certain accountable care organizations (ACOs) leeway to move at their own pace in graduating through the different levels of the Medicare Shared Savings Program, and the Texas Medical Association wants to ensure that flexibility sticks.


More Intelligent Care? Physicians Have a Stake in Augmented Intelligence - 07/03/2021

Physicians have a stake in learning how augmented intelligence can enhance care – and making sure their input isn’t excluded.