PHE Current Information

Follow these links to find the most current 

health plan information.

PHE

Incident-To Billing Got You Confused?

Texas Medical Association (TMA) can help!

“Incident-to” billing – when services delivered by a nonphysician practitioner are billed under a supervising physician’s credentials – can be confusing, and Texas Medical Association staff are routinely fielding questions about those unique arrangements.

To help you avoid any billing blunders, TMA has released an education sheet on incident-to billing (login required), with a basic overview of guidelines and requirements.

The two-page guide addresses incident-to billing for Medicare, Medicaid, and commercial plans, along with helpful links to resources that can help answer your questions and resolve billing snags.

Download the incident-to education sheet – along with other resources on billing, collection, claims, and more – on TMA’s Educational Quick Tips page.

Incident-to

Automate Your Revenue Cycle and Avoiding EFT Fees

ARE YOU PAYING TO GET PAID?

OR

Would you like to lodge a complaint against a health plan?

Frontline Resource for helping low-income, Uninsured Texas Women

From Women’s Health

Reference Sheet Outlines Public Coverage Options for Uninsured Women

The Texas Collaborative for Healthy Mothers and Babies has developed a reference sheet for frontline health care workers to help low-income, uninsured women in Texas potentially find coverage through one of the state’s public health insurance programs.

The two-page reference sheet explains the eligibility requirements for Medicaid for Pregnant Women, the CHIP-Perinatal program, Healthy Texas Women, and the Family Planning Program, and includes a chart showing what services are covered under each. It’s intended “to help close knowledge gaps, encourage greater utilization of available resources, and increase access to health care,” the collaborative says. The sheet is available in English and Spanish.

Healthy Mothers and Babies

July 4th Closure

Emergency Temporary Standards

FINALLY! a flow chart that helps make since of some of this. 

Performance Blues (BCBS)

Has Performance given you the Blues?

I mean the Blue Cross Blues. 

If you end up among the physicians covered in a wide-ranging quality program launched by Blue Cross Blue Shield of Texas (BCBSTX), you’ll get to see your score for the first time next month.
What’s that score going to look like?

BCBS Quality Prorgam

Physician Directory

TRUST ME,
you need to

Having the Physician Directory at your finger tips is always a plus. 

If you would like it in excel, just let POET know. 

We would be delighted to get that for you. 

UHC Newsletter

Sam.gov

You may have noticed Sam.gov has changed. 

POET has been working to find an easy way for you to check for exclusion. 

We haven’t given up just yet.

But for those of you that need a process in order to stay on your monthly schedule, follow the link below.

We understand this is a very redundant process.

However, every person in your employment has to be checked on all 3  government websites monthly.

Office of Inspector General

Office of the Inspector General TX Health and Human Services

Sam.gov