Reload document 
Open in new tab 
A pair of big wins capped a successful past week for medicine, as the Texas House of Representatives on Friday afternoon signed off on both curbing the impositions of prior authorization and updating the state’s immunization registry.
Tag: Texas Medical Association (TMA)
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
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
2021 Hurricane Season Predicted to be a busy one.
Forecast for 2021 Atlantic Hurricane Season
Predict 4 Major Hurricanes.
ARE YOU PREPARED?
HOSPITALS ARE REQUIRED!!
As of May 1, hospitals are now REQUIRED to electronically share their admit, discharge, and/or transfer (ADT) notices with the patient’s established primary care physician (pcp), group, or other practitioner identified by the patient.
As part of the same rule, PHYSICIANS ARE REQUIRED to update their digital contact information in the National Plan and Provider Enumeration System so hospitals have the information they need to electronically send the ADT notices.
TMA
UHC Waives Cost Sharing
UnitedHealthcare (UHC) is waiving cost sharing for Medicare Advantage plan members for primary care services through Dec. 31. This applies to in-network and covered out-of-network COVID-19 and non-COVID-19 visits, whether they are conducted in office or via telemedicine.
Need Expert Advice
The Texas Medical Association is launching a new “Ask the Expert” virtual series to bring members direct access to professional experts who can answer questions on legal, practice management, advocacy, and regulatory topics.
Join them each month as a TMA staff expert hosts a virtual meeting to discuss their area of expertise and answer questions from attendees
TMA "Ask the Expert"
House Passes Prior Auth, ImmTrac2 Improvement
Haters of preauthorization burdens – and if you’re reading this, chances are you’re among them – will celebrate the House’s passage of House Bill 3459 by Rep. Greg Bonnen, MD (R-Friendswood). The bill attacks the plague of prior authorization requirements in two major ways.
First, for certain services, if a physician earns insurer approval on 80% of preauthorization requests for the service in one calendar year, the doctor will be exempt from preauthorization for that service in the next calendar year. HB 3459 would allow physicians to gain those exemptions on an every-other-year cycle
Recent Comments