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Feds Declare “Long COVID” a Disability - 06/10/2022

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


TMA Fighting to Stop Yet Another Medicare Pay Cut – and Looking for System Overhaul - 06/08/2022

After decades of Medicare physician pay cuts – the latest of which is set to take effect on July 1 – the Texas Medical Association and others in organized medicine have set their sights on comprehensive reform.


Medicare Allowing MIPS Relief for “Uncontrollable Circumstances” in 2022 - 06/01/2022

Having some prohibitive trouble reporting your 2022 data for Medicare’s Merit-Based Incentive Payment System (MIPS)? Maybe the COVID-19 pandemic caused it. Maybe it stems from a natural disaster in your region. Maybe your technology vendor has gone out of business or had some other problem.


Hospital Ownership the Focus of New Medicare Report - 05/09/2022

In an effort to analyze the impact of consolidation within the health care system, Medicare for the first time has released data on mergers and acquisitions for enrolled hospitals and nursing homes between 2016 and 2022. The action follows up on the Biden Administration's Executive Order on Promoting Competition.


CMS Debuting Optional Quality Reporting Mechanism, Amid Physician Concerns - 04/25/2022

Despite recent objections from the Texas Medical Association, Medicare’s Merit-Based Incentive Payment System (MIPS) will launch a new, optional reporting framework during the 2023 performance year.


Delay Upcoming Medicare Cut, TMA Tells Congress - 04/08/2022

With just days remaining until the latest Medicare physician pay cut takes effect, the Texas Medical Association has been lobbying for an eleventh-hour act of Congress to stop it.


Medicare Lowers Thresholds to Cover Lung Cancer Screening - 04/05/2022

Medicare has announced expanded coverage for lung cancer screening using low-dose computed tomography, the only recommended screening test for the disease.


TMA Backs Program to Help Small, Rural Practices With Quality Reporting - 04/05/2022

The Texas Medical Association is urging federal lawmakers to extend a technical assistance program for small practices in rural and underserved areas that participate in Medicare’s Quality Payment Program.


MIPS Participation Drops per Preliminary Report - 04/05/2022

Fewer clinicians participated in Medicare’s Quality Payment Program in 2020, and fewer participants earned incentive payments compared with 2019, according to preliminary data recently released by the Centers for Medicare & Medicaid Services.


AMA Updates Estimated Medicare Payment Impacts - 04/05/2022

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 - 04/05/2022

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.


A Long-Overdue Fix: Comprehensive Medicare Reform Could Halt Pay Cuts - 03/31/2022

Physicians say Medicare reform is the only solution to the problem of periodic pay cuts  – and they’re prepared to fight for it.


Congress Scraps Most of Medicare Cuts, Heeding Medicine’s Warnings - 03/08/2022

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.


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.


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


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.