Page 5 - HCMS Member Benefits

Business of Medicine

Harris County Medical Society offers many resources to physicians and staff to
address the challenges associated with managing a practice. All resources can

be found at www.hcms.org.

To learn more, scan the QR codes with your smartphone camera for quick online
access to these resources. No app needed.

Practice Management and MIPS

Since 2000, HCMS assisted members in collecting more than $30,000,000 in
disputed claims, free of charge. The Payment Advocacy and Practice Help Program assists
physicians with additional issues related to payers such as credentialing, pre-authorization,
improper refunds/recoupments, audits, and more.

HCMS offers a range of free support to help our members who actively participate in the
CMS Quality Payment Program (QPP), specifically the Merit-based Incentive Payment
System (MIPS). Each year CMS assesses a pre-set penalty percentage (starting in 2019) to
physician’s Medicare Fee Schedule payments for non-participation in the MIPS program. It is
our goal to work with practices to help them avoid these annual penalties and ideally achieve
participation bonuses to help boost payment rates. The Medicare Quality Reporting Program
resources include MIPS education, readiness assessment, eligibility determination, feedback
review, and more.

Practice Operations Tools & Resources

HCMS offers resources designed to help improve practice operations by developing tools to
reduce administrative burdens. The Tools and Resources page includes various calculators,
grids offering resources to payors, Heath Information Technology, quality, and more.

The Billing and Payors Resources assist with the understanding payor billing policies,
appeals and denials best practices and more.

The Federal No Surprises Act Guide seeks to provide concise information on complying with
the rules and regulations, notice and waiver requirements, as well as other provisions of the Act.

The Telemedicine resources page provide guidance to ensure compliance with the
ever-evolving rules regarding virtual visit scenarios, billing and reimbursement policies,
regulations, etc.