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Continue to Watch for Coronavirus, Health Officials Say - 02/03/2020

Although no cases of the new coronavirus that originated in China have been confirmed in Texas, physicians are urged to use precaution with patients who have a fever and/or symptoms of lower respiratory illness, U.S. health officials said Friday.


Nine Pediatric Deaths Reported as Flu Season Continues - 01/23/2020

Nine children in Texas have died of flu-related illness since the season started at the end of September, the Department of State Health Services (DSHS) said last week.


CMS to Recoup Chronic Care Management Payments - 12/06/2019

Some Texas physicians and outpatient facilities might have to refund payments they received for chronic care management services performed during 2015 and 2016 under the Medicare Physician Fee Schedule, federal officials said.


Flu Season Continues; CDC Offers Free CME on Vaccines - 11/26/2019

If you’re looking for more ways to help prevent and control the spread of seasonal flu by using vaccines, the Centers for Disease Control and Prevention (CDC) has teamed up with Medscape to offer free CME on the latest vaccine recommendations.


Above-Average Flu Activity Throughout Texas; One Pediatric Death Reported - 11/18/2019

Confirmed and possible cases of flu and flu-like illnesses have risen significantly across Texas in recent weeks, state health officials said, with one death reported – a 5-year-old who lived in the Rio Grande Valley.


Practice e-Tips on Claims - 10/30/2019

Appeals Appealing Claims Can Have Appealing Results   Claim Forms Multiple Place-of-Service Codes on a Single 1500 Claim Form   Fees New Laws Require Billing Di


More Resources to Get Paid - 10/23/2019

TMA helps physicians “Get Paid.” In 2016, our Hassle Factor Log helped members recover more than $1.8 million in insurance payments.


Here’s What Medicare Pays for Flu Shots This Season - 10/04/2019

The Centers for Medicare & Medicaid Services recently published 2019-20 payment rates for personal flu vaccines and their administration. The effective dates for these rates are Aug. 1, 2019, to July 31, 2020.


Help Patients Be Wise About Flu Shots - 09/24/2019

Influenza has been particularly memorable during the past two seasons. The 2018-19 season was the longest in a decade, lasting 21 weeks, while 2017-18 saw a record 186 pediatric flu-related deaths, including 17 in Texas. As we begin another flu season, the Texas Medical Association’s Be Wise – Immunize program offers tools to help you make this one unremarkable.


United Healthcare Cuts Consults - 09/04/2019

United Healthcare is eliminating payment for consults in two phases – one that took effect June 1 for certain services, and their complete elimination starting in October. The change is an effort to align with the Centers for Medicare & Medicaid Services policy that eliminated payment for most consults in 2010, but it’s going to make it more difficult for many specialists to get compensated for the extra time and work those services require.


Guide to Insurance Overpayments and Refund Requests - 08/14/2019

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


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. 


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.


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


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

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


Do You Speak Effectively About Flu Vaccines? - 11/30/2018

You know that your patients should get an influenza vaccine every year. But do you know how to speak to them about why? If you’re shaking your head at this point (or even if you’re not really sure), register now for the upcoming webinar: Communicating the Benefits of Seasonal Influenza in Texas.


New FDA-Approved Flu Drug Has Roots in Texas - 10/25/2018

The science behind what makes a new flu drug work has roots right here in Texas, particularly The University of Texas at Austin (UT).


Last Flu Season Was Even Worse Than We Thought - 10/19/2018

In Texas, more than 11,000 people died from flu and its complications during the 2017-18 flu season, including 16 children, the Texas Department of State Health Services (DSHS) said.    


Lessons From 1918’s Deadly Flu Outbreak - 10/12/2018

Is it possible for the world to experience another catastrophe like the 1918 flu influenza outbreak? That is the question to be explored during a presentation Wednesday at the Department of State Health Services headquarters in Austin.


Doctors Say Vaccinations Key to Preventing a Deadly Flu Season - 10/02/2018

Look out: Here comes flu season. Even though the flu is an annual occurrence, the Centers for Disease Control and Prevention (CDC) branded the 2017-18 flu season as one of the worst in recent years.


Stop Flu — Host a Shot Clinic With TMA’s Help - 08/17/2018

To change the trajectory of the upcoming flu season, the Texas Medical Association invites physicians to host a Be Wise — ImmunizeSM  flu shot clinic in October, and also urge patients to get vaccinated early.


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