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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.


United Healthcare Cuts Consults - 08/02/2019

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.


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


Infectious Diseases and Requirements for Reporting - 04/26/2018

TMA provides resources for physicians on infectious diseases.


State Changes Immunization Policies - 04/26/2018

Children with private insurance that covers vaccines can no longer get routine vaccinations at public health clinics and are now referred to their medical home under new immunization policies the Texas Department of State Health Services implemented Jan. 1.


Get a Flu Shot: Protect Your Patients, Yourself and Family - 04/26/2018

Influenza-related illness can be severe. Between 1976 and 2006, annual deaths associated with the flu ranged from 3,000 to 49,000 people.  As a physician leader, consider the valuable steps you can take to prevent influenza in your community. This includes getting an annual flu shot, which is recognized as the single most effective influenza prevention strategy. You also can encourage your colleagues and staff to get vaccinated.


Educate Your Patients on Flu Vaccination - 04/26/2018

Today is annual Influenza Awareness Day in Texas. The day, designated by the Texas Legislature in 2013, raises public awareness of the health risks associated with influenza and encourages Texans to reduce these risks. One of the safest, most effective ways to reduce transmission of flu is to receive annual flu vaccination, universally recommended for anyone aged 6 months and older.


Vaccinating During 2011-12 Flu Season - 04/26/2018

Vaccination against influenza should begin as soon as physicians receive the flu vaccine in their offices, according to the Centers for Disease Control and Prevention (CDC). And once again, CDC recommends a flu shot for everyone older than 6 months.


Be a Better Vaccination Advocate - 04/26/2018

There’s a lot to learn and to understand about immunizations so if you want to become more involved, sign up for an Immunization Stakeholder Meeting near you in the coming months.


What Stimulus Means to Texas Health Care - 04/24/2018

State health officials have released preliminary information on major health and human services allocations for Texas in the $789 billion economic stimulus bill President Obama signed. The largest portion is $5.45 billion for Medicaid through the first quarter of 2011.


Help Your Patients Choose the Right Flu Vaccine - 04/20/2018

It's Oct. 1, Influenza Awareness Day — a perfect time to talk with your patients about getting their flu vaccination this year. An annual flu shot is recommended for anyone six months of age and up.


Flu Shots Protect More Than Just You - 04/20/2018

A new study says when younger adults get vaccinated, older people suffer fewer cases of flu and its potentially life-threatening complications. Texas Medical Association (TMA) physicians urge Texas adults to get vaccinated now to protect yourself and those around you.