235.004 Third Party Payor Physician Payment Reductions


Third Party Payer Physician Payment Reductions: In addressing the arbitrary increase in reductions to payments made to physicians by HMOs and PPOs through manipulation of CPT codes and modifiers, the Texas Medical Association voted to expand its current activities in investigation of these reductions by HMOs, PPOs and other third party payors (Res. 27H, p 170, I-90; reaffirmed CSE Rep. 5-I-01; reaffirmed CSE Rep. 8-A-11).

Last Updated On

October 07, 2016