Billing, Coding, and Reimbursement

  • TMA's billing, coding, and reimbursement page offers resources for physician practices, from one end of the continuum to the other. Educate yourself with our articles and tools, or get help with more complex questions.
  • Spotlight of the Month

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    Should You Bill This Visit as “Incident to”?
    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?

    Find Out If Your Answer Is Correct  
  • Free Resources and Education

  • Hands On Help

    Free for Members

  • Billing and Coding Hotline

    Speak directly with TMA's certified coders and staff experts about regulatory compliance, billing and coding, payment, and licensure concerns.

    (512) 370-1414

  • Billing and Coding: Tell Me About It!

    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.

    Book a Visit

    Reimbursement Review and Resolution Service

    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.

    Learn More
  • Practice Consulting Services

  • Practice Management Help

    For quick assistance, email practice[dot]consulting[at]texmed[dot]org, or call.

    (800) 523-8776

  • Expert Advice From TMA Consultants

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    Keep your practice at peak performance with these specialized services.

    Coding and Documentation Review
    Our certified professional coders and auditors will perform an in-depth review of medical record documentation and claims coding that identifies deficiencies and areas of risk. This review will help streamline coding and documentation processes and decrease the risk of external audits. 

    Coding and Documentation Training
    Our certified professional coders and auditors can teach you how to audit your own records and provide you with resources and tips for avoiding coding and documentation errors. 

    Coding and Documentation Check-Ups 
    An abbreviated review of claims coding and medical record documentation is performed by a professional coder and auditor to provide a glimpse into a physician’s coding techniques.

    Revenue Cycle Assessment
    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.

    Learn More  
  • TMA membership means free reimbursement review and resolution for your practice.