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New CDC Vaccination Schedule Raises Questions About Legal Risks - 03/04/2026

Updates as of this January show a decrease in recommended child and adult immunizations, which have sparked concerns about changes to informed consent and other potential liability.

More Than $3.3 Million Recovered for TMA Practices in 2025 - 02/13/2026

The Physician Payment Resource Center works for physician members with Medicare, Medicaid, major private payers, and other health plans to help address issues that lead to lost revenue from claim payments.

TMA Grants to Help Your Practice Improve Local Vaccination Rates - 01/28/2026

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. 

Here’s Your 2026 Billing and Coding Checklist - 01/16/2026

TMA’s Physician Payment Resource Center works year-round with member physicians and health plans to resolve certain insurance payment issues. They suggest these practical actions you can take at the start of 2026 to keep your billing and collections on track throughout the year.

Budget Crunch: Uncertainty Besets Texas’ Public Health Infrastructure as Federal Funding Streams Dry Up - 12/24/2025

Federal budget cuts from the One Big Beautiful Bill Act (OBBBA) and other federal actions could hinder public health initiatives in Texas in 2026.

2025 Legislative Wrap-Up: TMA Defeats Concerning Vaccine Bills For Second Session in a Row - 12/08/2025

Two bills that did survive will took effect Sept. 1, one of which imposes a specific informed consent form on physicians.

When Should We Write Off Large Patient Balances? - 11/12/2025

Is there a formula to calculate the net present value for the balance of a patient’s account compared with a small monthly payoff?

Collection Agency Submittal Do’s and Don’ts - 11/11/2025

Your collection agency has a better shot at success in collecting your past-due accounts if you follow tips for submitting accounts to the agency.

Should You Bill This Visit as “Incident to”? - 10/16/2025

A physician hires a nonphysician practitioner and establishes a standing delegation order for a specific course of treatment. … Read the rest of the scenario. Can you answer the billing question correctly?

Four Bill-Collecting Tips for New (or Any) Practices - 09/16/2025

Starting a practice can be daunting, and one challenge often overlooked is making sure you get paid. Although only a small number of patients will not pay you, or will pay slowly, they can hurt your bottom line. Writing off thousands of dollars in charges should not be an option.

Novitas Clarifies Payment Available for ‘Buildup Phase’ of Allergy Treatments - 09/12/2025

The Medicare administrative contractor confirmed their payment policy at a meeting with TMA. Members should contact the association’s Physician Payment Resource Center if claims denials occur.

Talk to Patients About: Vaccines During Pregnancy - 09/11/2025

Protecting moms and babies from certain diseases often starts with pregnant women. Child-bearing women may not realize they pass on disease-fighting antibodies to their babies, protecting them early in life. That protection improves greatly when women get certain vaccines before and during pregnancy. They also may not realize getting vaccinated right after pregnancy can stop the spread of illnesses.  

Cigna Downcoding Policy Threatens Payment; TMA Urges Repeal - 08/18/2025

The payer announced a new plan under which it may adjust certain higher-level evaluation and management codes based on the encounter criteria in a submitted claim.

How to Improve Patient Debt Collection Practices - 08/06/2025

TMA staff remind physicians that securing insurance information from patients before seeing them is a crucial first step in obtaining payment. They also offer advice on involving office staff and accountants in the process.

What’s Better, Immunity From a Shot, or From the Disease? - 07/21/2025

Although suffering through a disease sometimes gives you immunity from catching that same disease later in life, vaccinating against diseases instead is the safest way to protect yourself and your loved ones.

Texas Physicians Explain Herd Immunity Needed to Fight Contagious-Disease Hotspots - 07/21/2025

A community with enough vaccinated people can protect each other from the spread of contagious disease. Herd immunity – also known as community immunity – protects those who are not immune and those who cannot or choose not to get vaccinated.

VA Seeking Refunds from Physicians for Past CHAMPVA Claims - 06/26/2025

Physicians may soon hear from the U.S. Department of Veterans Affairs (VA) seeking refunds for payments it says were made in error. TMA has provided information on what steps physicians may take.

TMA Grants Build Community Connections for Underserved Patients - 06/24/2025

Applications are open through Aug. 22 for Vaccines Defend What Matters local impact grants. The $3,500 grants, funded by the TMA Foundation, can be used to vaccinate underserved and uninsured populations and toward outreach initiatives that address vaccine hesitancy. Read more.

Apply for Local Impact Grants to Provide Free Immunizations in Your Community - 05/15/2025

Applications are open for TMA Foundation grants of up to $3,500 to support vaccine provision and education. The deadline to apply for the current cycle of grants is May 23, and the funds can be put to use in a variety of ways to serve your community.  

Why You Need a Written Payment Policy - 03/19/2025

If your practice is wishy-washy about your payment policy, you essentially are allowing each patient to make his or her own policy. What other business allows its customers to decide when and how they will pay?

Talk to Patients About: Measles - 02/24/2025

Few Americans today remember when measles was deadly. But before the measles vaccine was introduced in 1963, the disease killed about 2.6 million globally each year. By 2016, vaccination programs cut that number to about 89,000.

Don’t Overlook Credit Card Processing Fees - 02/14/2025

In today’s world of coinsurance and high-deductible health plans, more of a practice’s revenue comes from the patient, and taking credit cards has become a must. But are you paying too much for credit card processing services?

Aetna Reverses NPP Payment Reduction Under Incident-To Billing - 02/12/2025

Aetna previously intended to pay nonphysician practitioners (NPPs) 85% of the allowable amount, regardless of whether they billed directly or “incident-to” a physician’s diagnosis and treatment. Meanwhile, the payer upholds a new credentialing requirement.

Your Billing and Collections Checklist for 2025 - 01/10/2025

TMA’s Reimbursement Services staff work year-round with physicians and health plans to help make sure you get paid correctly and on time. They’ve put together a list of practical actions you can take at the start of 2024 to keep your billing and collections on track throughout the year.

TMA’s Top Legislative Priorities: Protect Immunizations to Protect Public Health - 01/06/2025

TMA will work to safeguard immunizations this legislative session.