Billing and Payers Information

 

 

BILATERAL BILLING GUIDE – A guide on the bilateral billing requirements of the major Houston market health plans. 

 

EVALUATION AND MANAGEMENT CODING TOOL – Revamped from an AAFP Family Practice Management journal, a coding tool to assist physicians with proper E/M coding and auditing. 


HCMS PAYMENT ASSISTANCE PROGRAM - The Harris County Medical Society offers a payment assistance program at no charge to our members to assist them with payment issues.  

 

INTERPRETATION SERVICES FOR THE HEARING IMPAIRED:

 

LOCUM TENENS - Guidance on locum tenens rules and billing protocols.

 

NDC BILLING GUIDELINES - How to bill for physician administered drugs using National Drug Codes (NDC).  

 

PAYERS  - Information on the various payers in the Houston market.        

 

PHYSICIAN EXTENDERS - Information on billing for physician extenders.  

 

PROMPT PAYMENT DISCOUNTS - for patients

 

RECOUPMENTS - Rules and information regarding recoupments.  

 

TELEMEDICINE/TELEHEALTH - Rules, legislation, and resources.

 

TEXAS PROMPT PAY - (Fully Insured Plans) - On June 17, 2003, Governor Perry signed into law SB 418 also known as Texas Prompt Pay to help physicians receive payment for services promptly. Plans that are regulated by this law will have "TDI" or "DOI" printed on the front or back of the member's insurance card.The Texas Department of Insurance (TDI) provider website has tips and FAQ's on prompt pay laws and online access for providers and consumers to file complaints against payers who violate provisions of SB 418.