Clinical Quality and Payment

TMA Quality Improvement Services

TMA Practice Consulting
Get personalized quality improvement services and tailored practice support to help your practice succeed under the Medicare Access and CHIP Reauthorization Act (MACRA).

MACRA Readiness Assessment
Identifies specific clinical processes, electronic health record optimizations, and workflow improvement opportunities to help practices improve MIPS scores. TMA is dedicated to helping practices earn incentive payments, not just avoid penalties. Email practice.consulting[at]texmed[dot]org, or call (800) 523-8776 to learn more.

Apply for the 2018 – 2019 Physician Practice Quality Improvement Award

Physician practices continue to make great strides in providing reliable preventive services and implementing effective care management methods. We think these practices should be recognized for their hard work. The Texas Medical Association, Texas Osteopathic Medical Association and TMF® Health Quality Institute have partnered to offer the Physician Practice Quality Improvement Award program to physician practices in Texas. 
 

Apply today. It’s easy.

Download the program overview (PDF) and criteria (PDF) to learn what your practice needs to do to prepare to complete an online application by Aug. 16, 2019. Award-winning practices will receive commemorative items to display and will be recognized through a media campaign. Announcements will also be made at meetings and in journals by the Texas Medical Association and the Texas Osteopathic Medical Association. Learn more and view the list of previous award recipients.

TMF Quality Innovation Network

The TMF Quality Innovation Network engages physicians and others in learning and action networks focused on various quality improvement initiatives. These free networks serve as information hubs for learning, collaborating, and elevating the voice of the patient.

• Antibiotic Stewardship
• Behavioral Health
• Cardiovascular Health and Million Hearts
• Immunizations
• Health for Life – Everyone with Diabetes Counts
• Medication Safety
• Quality Payment Program
• Quality Improvement Initiative
• Value-Based Improvement and Outcomes
• Readmissions

Join a TMF Network

Be On the Lookout for MIPS Audit Request

 

The Centers for Medicare & Medicaid Services (CMS) is auditing physicians who participated in the 2017 and/or 2018 Merit-Based Incentive Payment System (MIPS) under the Quality Payment Program. Guidehouse, a contracted entity, is conducting MIPS data validation and audits on behalf of CMS. If you’re selected for an audit, you are required to comply with data sharing requests, providing all data as requested.

Learn More  

Will You Get a Medicare Bonus or Pay Cut Next Year?

 

If you participated in the 2018 Quality Payment Program, it’s now possible to check whether you’ll receive a Medicare payment bonus or cut in 2019. TMA recommends that you review your data to inform quality improvement efforts in your practice and to help you select the right quality measures, promoting interoperability measures, and improvement activities for 2019 and future years of the program, as well as to improve your performance on cost measures. For tips on how to improve your score, contact TMA Practice Consulting or TMF Health Quality Institute.

Get the Details  

Care Management

 

Learn about reimbursable care management services from the Centers for Medicare & Medicaid Services.

• Advanced Care Planning
• Behavioral Health Integration
• Chronic Care Management
• Transitional Care Management

Learn About Care Management