Related Stories

An Unfailing Voice for Medicine: TMA Honors Kenneth Mattox, MD - 03/28/2024

TMA honors Houston trauma surgeon Kenneth Mattox, MD, for his dedication to public health.


TMA Vaccination Grants Connect Hard-to-Reach Patients; Apply by May 1 - 03/28/2024

Dozens of patients in the Lubbock area are up to date on their vaccinations thanks to a local impact grant from the Texas Medical Association, which has opened the latest 2024 application cycle for vaccine outreach programs until May 1.


Mumps: Virus Causes Puffy Cheeks and Sometimes, Serious Complications - 03/27/2024

The bottom line: Mumps is a viral contagious disease. People know mumps for patients’ swollen cheeks and jaw, but patients also suffer fever, headache, muscle aches, tiredness, and loss of appetite. Outbreaks occur every year in the United States and Texas. The MMR vaccine protects people against this disease.


Aetna Set to Pay Medicare Advantage G2211 Claims - 03/27/2024

The list of health plans providing payment for Medicare’s new add-on “G” code continues to grow with Aetna as the latest insurer to cover G2211 for Medicare Advantage claims Aetna confirmed with Texas Medical Association coding experts that its Medicare Advantage claims platform was updated in March to allow payment for the code, used to document the coordination of care for patients with complex or serious conditions. For now, the plan’s policy is only accessible through a physician’s Aetna portal.


State to Update Trauma, Emergency System Rules - 03/25/2024

For the first time in 20 years, the Texas Department of State Health Services is updating the state’s emergency medical system and trauma care rules.


Physicians Now May Apply for TMA Disaster Relief Program Aid - 03/23/2024

Any Texas physician whose Harvey-damaged medical practice is located in a federally declared disaster area now may apply for relief funds from the Texas Medical Association (TMA) Disaster Relief Program.


TMA Launches Public Health Podcast Series - 03/20/2024

The Texas Medical Association Council on Health Promotion has launched a podcast series to inform and educate the public on some of TMA’s public health priorities, as well as community outreach programs the council oversees.


TMA Grants to Help Your Practice Improve Local Vaccination Rates - 03/18/2024

Apply for a grant. Vaccines Defend What Matters (formerly Be Wise – Immunize) is TMA’s integrated, multimedia public health education and advocacy effort to overcome vaccine hesitancy and increase vaccination rates in Texas. 


Quality of Life: Pay-for-Quality Programs Increasingly Address Nonmedical Drivers of Health - 03/15/2024

Insurance payers seldom give physicians incentives to address nonmedical drivers of health, especially in traditional fee-for-service payer contracts. Those incentives remain rare even in pay-for-quality programs that emphasize value-based care, but they are gaining traction.


Medicare Sunsets Beleaguered Appropriate Use Criteria Program - 03/14/2024

After longstanding opposition from the Texas Medical Association and others, the Centers for Medicare & Medicaid Services finally nixed the appropriate use criteria program for advanced diagnostic services as part of the 2024 Medicare physician fee schedule.


Physicians May Face Lower Payment as CMS Resumes Lab Data Collection - 03/11/2024

The Centers for Medicare & Medicaid Services will continue to collect data from physician-owned laboratories to inform private payer rates despite pushback from the Texas Medical Association.


Coding Changes in Fee Schedule Promote More Accurate Payment for Complex Visits - 03/05/2024

The 2024 Medicare physician fee schedule allows physicians to list G2211 in addition to codes used in office or outpatient visits for new or established patients (i.e., 99202-99215). Physicians also can use it for telehealth visits.


Novitas Makes Mass Payment Adjustment for Telehealth Claims - 02/27/2024

Thanks to the vigilance of the Texas Medical Association’s payment specialists, Medicare administrative contractor Novitas Solutions updated its system to ensure all claims billed with place of service (POS) code 10 will be paid correctly.


Measles: Updated Information and Resources Available to Fight Rising Cases - 02/21/2024

As measles cases continue to rise in Texas and across the U.S., the Texas Medical Association and Texas Hospital Association have created a document to help physicians and other health care professionals combat the highly contagious respiratory illness. The document provides the latest recommendations for diagnosing and reporting measles, immunizations, infection prevention and control, and post-exposure prophylaxis and exclusion.


College Students: Put Required Vaccination on To-Do List - 02/21/2024

As young adults make final preparations for college, the physicians of the Texas Medical Association remind college-bound students to put the meningitis vaccination on their to-do list.


TMA Grants Will Help Texans Fight Flu - 02/21/2024

As early flu season predictions suggest this one might be rough, people in communities across Texas will be protected from influenza, or flu, thanks to grants from the Texas Medical Association’s (TMA’s) Be Wise – ImmunizeSM program. TMA has awarded more than $30,000 in grants to physicians, TMA Alliance (TMAA) volunteers, and medical student chapters to provide flu shots at no cost to uninsured and underinsured Texans in their hometowns.


Pregnant? Make Sure You’re Vaccinated to Protect Yourself, Baby From Disease - 02/21/2024

Vaccinations before and during pregnancy are important to protect both mother and baby. Three vaccinations are recommended: flu, Tdap (tetanus, diphtheria, and acellular pertussis), and MMR (measles, mumps, and rubella).


Practice e-Tips on Coding - 02/20/2024

Get practice tips on all things coding. Learn about coding methods, correct coding, resources, coding related to Workers' Comp and more.


Practice E-Tips on Billing and Collections - 02/20/2024

Practice E-Tips on Billing and Collections


Surprise! Balance Billing Still a Focus at the Capitol - 02/20/2024

A year after the house of medicine scored big wins on some of the state’s biggest insurance issues, the Texas Legislature is trying to dive further into what is and what isn’t working.


DSHS Introduces Interactive Respiratory Illness Dashboard - 02/08/2024

The Texas Department of State Health Services has developed an interactive dashboard to help physicians across the state combat respiratory illness during its peak season, which typically runs from October through May in Texas.


TMA Honors Houston Surgeon with Public Health Lifetime Achievement Award - 01/31/2024

A highlight of the Texas Medical Association’s Leadership Summit in Austin, TMA awarded its prestigious Laurance N. Nickey MD, Lifetime Achievement Award to Houston trauma surgeon Kenneth Mattox, MD, for his dedication to the medical field since 1964, and notably for his relief efforts during Hurricane Katrina.


Revenue Cycle Assessment - 01/22/2024

A TMA consultant will conduct a review of your business office operations that focuses on front desk procedures, billing, collections and revenue cycle improvement. We will identify opportunities for improvement of billing processes and procedures.


Practice Operations Services - 01/22/2024

With the many challenges that face today's medical practices, business operations remain at the core of a practice's ability to be successful and profitable. Work with a TMA practice management consultant to identify and assess key or problematic areas of your practice.


Financial Management Services - 01/22/2024

Having sound financial policies and processes can help your practice attain a steady cash flow, maintain healthy collection ratios, increase staff efficiencies, and boost your overall bottom line.