Insurance Advocacy

TMA's advocacy team works on behalf of members to address systemic insurance issues and help physicians navigate the increasingly complex and cumbersome necessity of doing business with health plans. From network contracting to reimbursement to insurance-related rules and regulations, TMA constantly monitors the payer landscape and works to ensure fair business practices for Tennessee’s doctors and their patients. It's not just about getting claims paid; it's about holding insurance companies accountable, and facilitating relationships between physicians and carriers. 

Member Services

TMA is an advocate for physicians on a number of insurance-related issues:

  • Reimbursement disputes or claims issues 

  • Alleviating administrative hassles 

  • Solving health plan network contracting issues 

  • Developing influential and effective contacts with health plans

Insurance Resources & Guides

Insurance Toolkits

  • ERISA Physician Toolkit: TMA’s new Employment Retirement Income Security Act Toolkit is full of samples for filing appeals, claims and complaints.

  • Medical Audit Toolkit: This toolkit provides practical information and tips to guide physicians in anticipating medical audits, responding to auditor's requests for medical records, and appealing erroneous audit findings. 



Our annual event is designed to help practice managers, coders, billers, auditors and other medical office staff improve productivity and financial performance.

Learn More

E/M Services: Current vs. Future Regulations

This online course aims to clarify changes to E/M services that became effective Jan. 1, 2021.

Register Here

Contact Us


Karen Baird, CPC, CPMA

Director of Insurance Affairs
karen.baird@tnmed.org
615.460.1651


The TMA staff are liaisons between me and insurance companies, helping form meaningful relationships and secure contracts so I can manage my patients in network. I believe in the resources TMA has to offer because its support lead to a successful outcome for me, my practice and my patients.

 

Cynthia Niendorff, MD - Knoxville Pain Management Specialist