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Pass-Through Billing Generally Not Permitted
Pass-through billing occurs when an ordering physician requests a service and bills insurance for it but does not perform the service, nor does anyone under the physician’s direct employ. Insurance companies generally forbid this practice.
Get the latest billing, coding, and reimbursement information from TMA.
Claim Check Criteria Denial
Services Incorrectly Denied or Reduced
Colorectal Cancer Screening Denial
Subrogation Information Request
Speak directly with TMA's certified coders and staff experts about regulatory compliance, billing and coding, payment, and licensure concerns.
Gather some examples of your challenges, and let’s talk through them in a one-on-one virtual meeting. TMA reimbursement specialists can share with you tips, tricks, and best practices for correct coding, filing clean claims, and collecting patient balances. Request your 30-minute virtual Tell Me About It! meeting today.
TMA’s Reimbursement Review and Resolution Service (formerly known as the Hassle Factor Log) goes to bat for members by helping to resolve issues related to insurance payments.
TMA can help resolve issues with your payer network status, prompt-pay, and other reimbursement claims.
TMA members and their practice staff have exclusive access to affordable, highly-rated practice management services. TMA’s team of consultants, certified coders and auditors, and other experienced professionals can provide the assistance you need from trainings on billing best practices to coding and documentation reviews to refining revenue cycle processes. For assistance, email practice[dot]consulting[at]texmed[dot]org, or call (800) 523-8776.
TMA Knowledge Center staff can find answers to all your questions about practicing medicine in Texas. Call, email, or submit a request to the Knowledge Center.
For quick assistance, email practice.consulting[at]texmed[dot]org, or call.
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Surprise Medical Bills: What Physicians Need to Know
What are the Billing Guidelines for NPPs?
American Medical News
Centers for Medicare & Medicaid Services
Texas Department of Insurance
Texas Medicaid Program
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