Related Stories

TMA: Thanks for Saving Medicare; More Work Ahead - 01/14/2022

Statement by Texas Medical Association (TMA) President E. Linda Villarreal, MD, in reaction to Congress passing legislation Thursday averting most of a 9.75% Medicare cut to physician payments, which was scheduled to take effect on Jan. 1, 2022.


AMA Updates Estimated Medicare Payment Impacts - 01/12/2022

Following medicine’s fervent advocacy in late 2021 that convinced Congress to stop almost all of a nearly 10% Medicare physician pay cut for 2022, the American Medical Association has released an updated analysis on Medicare payments by specialty for this year.


MIPS 2021 Data Submission Now Open - 01/12/2022

Participants in the 2021 performance year of the Quality Payment Program’s (QPP’s) Merit-Based Incentive Payment System (MIPS) can now submit their data through the QPP website. You can submit and update your MIPS data until 7 pm CT on March 31.


The X{EPSU} Modifiers Further Define Modifier 59 - 12/27/2021

Modifier 59, the distinct procedural service modifier associated with Medicare National Correct Coding Initiative edits, is one you might find confusing (many practices do). Follow these guidelines


Congress Scraps Most of Medicare Cuts, Heeding Medicine’s Warnings - 12/15/2021

The Texas Medical Association and many others in organized medicine bellowed through a collective bullhorn, urging Congress to pull Medicare physician payments back from the brink.


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?


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


Alphabet Soup: A MACRA Glossary and Acronym Guide - 08/19/2021

MACRA, the Medicare Access and CHIP Reauthorization Act of 2015,  introduced a slew of new acronyms and terms for physicians to understand. Here's our glossary.


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


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.