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The Secret Handshake: TMA Experts Identify Medical Documentation Missteps - 05/06/2024

TMA experts help identify medical documentation missteps that may lead to payment and prior authorization denials.

Medicare May Seek Payment Recoupment for 2023 Claims - 04/09/2024

A new report by the Government Accountability Office shows physicians may face possible recoupments – or additional payment – for claims filed in 2023 as a result of over and underpayments by Medicare, Medicaid, and other federal programs.

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.

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

Practice E-Tips on Billing and Collections

Staff Recruitment - 01/22/2024

Personalized recruiting of qualified staff for front office, billing, clinical, and management positions. We provide assistance with job descriptions, résumé review and evaluation, reference and background checks, on-site interviews and training.

Revenue Cycle Assessment Training - 01/22/2024

A TMA consultant will provide training to assist the practice in developing policies and procedures for effective billing and collections processes.

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.

On-site Training - 01/22/2024

This service for physicians and staff is customized for your practice’s specific needs. Discover what these hands-on training sessions cover.

Human Resources Services - 01/22/2024

While having sound and consistent hiring practices will help your practice attract candidates, keeping them takes a lot more effort. A TMA practice management consultant can assist with human resource challenges.

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.

Embezzlement Risk Review - 01/22/2024

Medical practices are especially vulnerable to embezzlement because they are typically cash businesses run by a close-knit staff that the physician tends to regard as “family.” You can protect your practice by establishing a formalized system of controls for monitoring money.

Custom Services - 01/22/2024

In today’s complex health care environment, no two practices are exactly alike. Let TMA Practice Consulting customize an innovative solution for you.

Spending Growth Rate for Physician Services Slows - 01/09/2024

Although spending on physician and clinical services increased 2.7% year-over-year to $884.9 billion in 2022, the spending growth rate fell, due in part to a slowdown in the use of such services and in physician prices. In comparison, spending on physicians and clinical services grew 5.3% in 2021.

How to File a Medicare Extended Repayment Plan - 12/06/2023

  Extended repayment plans (ERPs) are an option for returning overpaid money to Medicare. Ideally, you should request an ERP immediately after receiving the initial demand letter. However, you can request an extended payment plan any time while the overpayment is outstanding. 

Checklist for Closing or Selling a Practice - 08/30/2023

Checklist for Closing or Selling a Practice

Three Steps to a Tech Contract You Can Live With - 08/30/2023

When you are shopping for a new technology vendor for your practice, signing a contract is the easy part. The real work starts well in advance and continues as long as the contract is in force.

CMS to Recoup Chronic Care Management Payments - 08/21/2023

Some Texas physicians and outpatient facilities might have to refund payments they received for chronic care management services performed during 2015 and 2016 under the Medicare Physician Fee Schedule, federal officials said.

Preauthorization Denial: What’s Your Recourse? - 07/25/2023

So a health plan has denied your preauthorization request for a patient’s treatment. What options do you have?

5010 Deadline Extended; Dual Eligible Problem Not Fixed - 07/25/2023

Acknowledging that many physicians and billing entities still aren't ready, federal officials are giving physicians three more months before it begins enforcing the use of Health Insurance Portability and Accountability (HIPAA) 5010 transaction standards. The new deadline is June 30.

Practice e-Tips on Claims - 07/20/2023

Appeals Appealing Claims Can Have Appealing Results   Claim Forms Multiple Place-of-Service Codes on a Single 1500 Claim Form   Fees New Laws Require Billing Di

Practice e-Tips on Reimbursement - 07/20/2023

Billing & Fees Claims Coding & Documentation Collections Copayments & Deductibles Medicaid & Medicare Workers' Comp Billing & Fees Are You Missing Out on Your Money?    Billi

You Can Get Paid for Medicaid Emergency Services - 07/20/2023

You Can Get Paid for Medicaid Emergency Services

Recruitment After COVID: Help From TMA’s Practice Management and Consulting Services - 07/10/2023

With help from TMA’s practice management and consulting services, staffing challenges provide an opportunity for practices to grow and become more business savvy.

Congress Weighs Legislation Tying Medicare Physician Payments to Inflation - 04/26/2023

Heeding advocacy by the Texas Medical Association and others in organized medicine, Congress is weighing bipartisan legislation that would index Medicare physician payments to inflation, overriding cuts scheduled to take effect in 2024.

TMA to Congress: Tie Medicare Physician Payment to Inflation - 03/29/2023

As part of a broader push for Medicare payment reform, the Texas Medical Association, along with the American Medical Association and 133 national specialty and state medical associations, recently called on Congress to index Medicare physician payments to inflation.