Related Stories

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.


Service Provider: TMA Practice Resources Educate Physicians on Practice Challenges - 06/23/2025

TMA’s robust practice resources help educate physicians on common billing issues, payer updates, and practice challenges.


HHSC Extends Medicaid Revalidation Another Six Months - 06/12/2025

The state is providing physicians with additional time to take a key step in caring for Medicaid patients. It’s also providing a reentry pathway for physicians disenrolled last year.


Practice e-Tips on Claims - 05/29/2025

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 Coding - 05/29/2025

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


Texas Exceeds Latest Recommendations to Quell Syphilis - 05/29/2025

Texas’ mandated screenings for syphilis during pregnancy align with and surpass recently reaffirmed guidance from the U.S. Preventive Services Task Force. The state’s numbers continue to climb, but at a lower rate. Physicians can earn CME or attend in-person or virtual meetings coordinated by the state to keep apprised.


Texas Medicaid Delays Online Enrolling and Credentialing Integration - 05/22/2025

In April, the Texas Medicaid & Health Partnership had announced physicians could enroll and get credentialed in a one-stop, two-step process. The pause means the status quo remains for now.


Delivering Collaboration: Can Birthing Centers Help Ease Texas’ Maternal Deserts? - 05/05/2025

G. Sealy Massingill, MD, knows well the wildly unpredictable nature of birth. The consultant on TMA’s Committee on Reproductive, Women’s, and Perinatal Health has attended the deliveries of thousands of infants and wouldn’t dare to presume that any apparently healthy patient labors unencumbered by risk.


Medicaid Funding Streams Crucial in State, Federal Advocacy Discussions - 04/17/2025

In the chance the federal government moves forward with proposed cuts that could negatively impact Medicaid, TMA is here to help Texas physicians understand and navigate Medicaid’s funding complexities. Read more.


TMA’s Top Legislative Priorities: Enhance Medicaid Payments and Coverage - 04/17/2025

TMA will work to enhance Medicaid payments and coverage this legislative session


TMA Signs Letter Calling for Congress to Protect Medicaid Funding - 04/17/2025

As the U.S. House of Representatives considers $880 billion in cuts from the committee overseeing Medicaid, TMA and all 50 state medical societies detailed the impacts such a cut would make to patient care and practice viability.


Practice E-Tips on Billing and Collections - 03/19/2025

Practice E-Tips on Billing and Collections


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?


Practice e-Tips on Practice Operations - 03/17/2025

Billing Consulting HIPAA Forms Marketing Office Staff OSHA Patient Service Policies & Procedures Resources Billing Billing Medicare for Locum Tenens Billing Tip


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.


Webinar: Review Medicaid Revalidation Extension, Retroactive Enrollment - 01/30/2025

The state’s Medicaid administrator is hosting a series of informational webinars to provide details for physicians eligible for a deadline extension, as well as for those who may qualify for backdated validation after being disenrolled.


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.


Enhancing Awareness: Physicians Can Help Dispel Myths to Ease the Syphilis Epidemic - 01/08/2025

Physicians can help dispel myths to ease the syphilis epidemic in Texas.


TMA to Represent Texas Physicians’ Coding, Payment Concerns on National Credentialing Organization - 12/17/2024

TMA’s Director of Physician Payment Services has been appointed to the former Academy of Professional Coders’ National Advisory Board, where she will elevate the voices of Texas physicians through collaboration on coding, billing, and compliance issues.


HHSC Extends Medicaid PEMS Revalidation in Response to TMA Letter - 12/06/2024

By demonstrating how the Texas Health and Human Services Commission’s (HHSC’s) Medicaid enrollment and revalidation process is “time-consuming, cumbersome and confusing,” TMA has helped secure an extension for physicians with upcoming revalidation dates. HHSC has also added new reporting requirements.


TMA Letter Calls Out HHSC Over Medicaid Payment Rates - 11/25/2024

TMA responded to the state’s latest proposed Medicaid rates, issuing a letter calling out the lack of an inflationary adjustment, bringing along anesthesiologists and oncologists who will specifically be affected. Read more.


First Steps: TMA Secures Medicaid Physician Rate Increases With Hopes for Momentum - 11/18/2024

TMA helped secure the first Medicaid physician rate increases in decades in hopes it will build momentum for future gains.


May Owen, MD, Outreach Program - 10/04/2024

The May Owen, MD, Outreach Program is a grant program of the TMA Women Physicians Section (TMA WPS) that provides funding to bring female physician oriented programs and activities to small and mid-sized county medical societies.  


Code Carefully for Bilateral Procedures - 10/02/2024

Coding for bilateral procedures can be confusing. See how payers differ in how they apply CPT modifier 50 to their coding and payment policies.