Bilateral Billing Guide - A guide on the bilateral billing requirements of the major Houston market health plans.
Coordination of Benefits-Commercial Plans, Coordination of Benefits-Medicare - Information on determining primary or secondary payer status when a patient has multiple coverage.
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. For more information see Mastering E/M Coding.
HCMS Payment Advocacy Program - HCMS offers a payment assistance program at no charge to our members to assist them with payment issues.
Locum Tenens - Guidance on locum tenens rules and billing protocols.
NDC Billing Guidelines- Guidance on billing for physician administered drugs using National Drug Codes (NDC). NDC Billing Units Calculator provides the HCPCS and NDC billing units.
Physician Extenders- Information on billing for physician extenders, along with billing tools, resources and related links; Incident-to Billing Guide.
Prompt Payment Discounts - Prompt payment discounts for patients.
Prompt Pay Penalties - Resources to determine prompt pay penalties and regulations by payer type: Prompt Pay Penalties Fact Sheet, Prompt Pay Penalty Guide, and Underpayment Penalty Calculator.
Recoupments - Rules and information regarding recoupments.
Telemedicine/Telehealth - Rules, legislation, and resources.
Where To File Complaints - Information on where to file complaints against various payers.