“After contacting TMA, we finally began resolving the payment issues we’ve had with more than 350 claims. As a solo practice physician, that makes an immediate positive impact to my bottom line.” - Adam Miner, MD, Family Medicine, Richardson
September 24, 2020
What could a TMA Membership mean for you, your practice, and your patients?
Hassle Factor Log
Arbitrary. Confusing. Frustrating. Never-ending. Maddening. Those are some of the terms we can actually print that describe physicians’ perceptions of insurance companies’ prior authorization requirements and approval processes. Your personal stories of patient harm due to prior authorization request delays or denials can give the Texas Medical Association the ammunition it needs to fight this problem. Please submit your stories via email to the TMA Payment Advocacy Department. Read More
Practice E-Tips on Billing and Collections Read More
So a health plan has denied your preauthorization request for a patient’s treatment. What options do you have? Read More
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Insurance hassles and payment
Medicaid and CHIP
Medicare fees and regulations
Primary care is in simmering trouble. Payments are down; the ranks of Texas’ uninsured and underinsured continue to rise; social disparities and chronic disease persist. And that was before the COVID-19 pandemic exacerbated existing problems while threatening practice viability. The Texas Medical Association and other corners of organized medicine are engaging policymakers to not only help the state’s primary care system survive the pandemic, but also enable it to thrive for the long haul. Plus ... What if Texas lawmakers created a mental health service that physicians asked for but then not many physicians used it? So far, that is what’s happening with the Child Psychiatric Access Network (CPAN), which gives pediatricians and family physicians across Texas free telemedicine-based consultation and training on community psychiatry.
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