With insurance issues identified as a top priority for the coming year, the TMA has created this online Insurance Resource Center (IRC) to provide member physicians with information and tools on dealing with both commercial and government insurance plans. From insurance hassle forms to payment alerts to rating and tiering compliance, this site can be your first resource for questions about insurance and your medical practice.If you have questions, or suggestions for additional resources for the IRC, please e-mail the TMA or call 800-659-1862.
FormsPrompt Pay Enforcement Packet
Insurance Issues and SolutionsThis section is designed to help members answer questions and address needs in their medical practice with regard to various insurance related issues.To File a ComplaintIf you'd like to file a complaint against an insurance company with the Department of Commerce
MedicareFind information on Medicare topics including: Part B Fees, Cahaba, CMS Home Page, Law Guide Topics, ICD-10, E-Prescribing Incentive Program, Forms, Participation Considerations, Modifier Finder Tool, PQRI
Rating and TieringFind information and resources including:
Video: Understanding Episodes of Care,
Brochures from AMA on Rating and Tiering,
Aetna's Aexcel Program vs. AMA's Pay-
For-Performance Principles,
BCBS Transparency Initiative,
Cigna Settlement with the New York Attorney General,
United HealthCare's Premium Designation
Program vs. AMA's Pay-For-Performance Principles.
TennCareFind news and advocacy information on TennCare.
Workers CompensationFind resources and articles including: law guide topics, fee schedule, medical cost containment program, overview, silent PPO,