Tag: Texas Medical Association (TMA)
TX Prescription Monitoring Program
TX Prescription Monitoring Program, No Longer a Freebie!!
When Texas started requiring that physicians check the state’s prescription monitoring program (PMP), the state appropriated funds to cover the licensing fee for the first two years. Effective Sept. 1, however, that fee is no longer covered by the state, and Appriss, the state’s PMP vendor, has begun billing physicians for the annual PMP licensing fee.
TMA is exploring options with the governor’s office, Texas State Board of Pharmacy, and Appriss to tap into the opioid settlement funds to defray the cost of the PMP. However, it does not appear that funding will be available prior to Sept. 1, TMA officials say.
The association has reached out to Appriss to understand the pricing structure on the invoice that physicians are receiving. Appriss has indicated the following options for physicians:
- Cost for the basic service – integrated access to the PMP through the physician’s electronic health record– is $50 per prescriber per year. This is access to controlled substance prescription data only.
- Cost for the optional NarxCare graphic interface and Appriss analytics is an additional $250 per prescriber per year.
- Always available at no cost is manual web access to the PMP through the Texas Board of Pharmacy via PMP Aware.
Physician groups may check with Appriss to see if they are eligible for reduced pricing per prescriber.
At TMA’s urging, Appriss is working on additional communications to physicians that more clearly explain the options and associated fees.
If you choose not to renew with Appriss, access to the PMP will no longer be accessible through your EHR within your workflow. It will still be available for free when you log in to the state’s system, PMP Aware, to check a patient’s prescribing history as required by law before prescribing opioids, benzodiazepines, barbiturates, and carisoprodol.
Questions about prescribing and the PMP program may be directed to TMA’s Health Information Technology Department by calling (800) 880-5720 or by email. Also check out TMA’s PMP resource page.
Nonphysician Practitioners and Scope of Practice
TMA Ask the Expert Virtual Event
August 17th at 1 PM
How to Delegate to Nonphysician Practitioners.
Nonphysician Practitioners and Scope of Practice, a TMA Ask the Expert virtual event, will teach participants how to comply with state laws and regulations on delegating and supervising prescriptive authority. Join Carra Benson, TMA manager of practice management and reimbursement services; Dan Finch, TMA vice president of advocacy; and Julian Rivera, health law partner at Husch Blackwell, on Aug. 17 at noon CT.
RRR Form, TMA, 2020
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RRR Check list, TMA, 2020
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Reimbursement Review and Resolution Services RRR User Guide, TMA, 2020
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IF YOUR TREK TO COLLECT
is coming up with more dead-ends and reworks than you have ever had in your life!!!
There is a ray of hope!
Do you remember the old Texas Medical Association (TMA), Hassle Log?
It has a new name.
“Reimbursement Review and Resolution (RRR) services” (because hassle log was too hard, lol).
If you are a TMA member, this is a great resource.
Attached is the paperwork you will need to submit your issue. Just follow the links.
POET has recently reached out to TMA using this resource and so far it has been pretty simple.
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.
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?
PEAQ Performance: Blues Program Shows Little Progress in Addressing Physicians’ Concerns 06/2021
[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2021/06/PEAQ-Performance-Blues-Program-Shows-Little-Progress-in-Addressing-Physicians-Concerns-2021.06.pdf” download=”all” viewer=”google”]
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