Are payors downcoding your claims?

HCMS, along with AMA, several state medical societies, and specialty societies are actively addressing reports of downcoding of evaluation and management (E/M) claims by various payors. If your practice is experiencing automatic downcoding or a high volume of medical records requests that result in downcoded claims, please contact 713-524-4267 or email

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Physicians score third victory in federal No Surprises Act litigation

On Aug 3, 2023 the U.S. States District Court for the Eastern District of Texas again ruled in the TMAs' favor regarding a drastic increase in the IDR administrative fee and the restrictive batching rules.

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2024 Medicare Physician Fee Schedule (PFS) proposed rule released

For 2024, the proposed rule updates the PFS and proposes changes to the QPP and MIPs. The PFS is reduced by 1.25% compared to 2023 with a conversion factor of $32.75, a decrease of $1.14 (3.34%) from 2023.

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September Physician Newsletter now available!

Who are the 2024 HCMS candidates for elected offices? What benefits does HCMS offer? Find the answers to these questions and more in the September issue of the Physician Newsletter.

Available now!        

HCMS Business Expo coming Sept. 23

Physician members and their staff are invited to attend the event free of charge. Physicians can earn ethics CMEs, that focus on risk management, payor issues, contracting and more. It is also an opportunity to meet under one roof with over 50 companies offering products and services designed to meet the professional and personal needs of physicians. 
Register today!       


Event Calendar