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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?


Congressional Watchdog Echoes TMA Concerns About MIPS - 10/13/2021

The Texas Medical Association has raised concerns about Medicare’s Merit-Based Incentive Payment System (MIPS) for years. Now, the U.S. Government Accountability Office (GAO), often called the congressional watchdog, has done the same.


Medicare Corrects 2020 MIPS Errors, Extends Review Deadline - 10/06/2021

Many physicians who participated in Medicare’s Merit-Based Incentive Payment System (MIPS) in 2020 are seeing their scores rise – a bit – after Medicare acknowledged and corrected a pair of technical errors by the agency that affected scores for 2020 MIPS participants. As a result, Medicare has extended the deadline to Nov. 29 for you to review your MIPS score for accuracy.


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.


Practice e-Tips on Medicare - 09/01/2021

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


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


2020 MIPS Scores, Feedback Now Available - 08/11/2021

Feedback and final scores for the 2020 performance year of Medicare’s Merit-Based Incentive Payment System (MIPS) are finally available online. And if you were one of last year’s MIPS participants, the Texas Medical Association urges you to check your score soon – because if you find an error that could affect your 2022 MIPS payment, you have only until Oct. 1 to request a review.


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.


AMA Report: Medicare Physician Spending Fell Sharply During First Half of 2020; Telehealth Spending Up - 06/17/2021

Thanks to the early shutting down and shutting in prompted by COVID-19, spending on Medicare physician services fell as much as 57% short of expected levels during April 2020, and nearly one-fifth below expected spending over the first six months of that year.


Medicare Recouping COVID-19 Loans - 06/04/2021

The Centers for Medicare & Medicaid Services (CMS) recently began automatic recoupment of advance payments it made to practices during the COVID-19 pandemic, the agency announced.