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Wednesday, May 30, 2012

STAFF TEAM STOPS MEDICAID PAYMENT MELTDOWN

When the claims clearinghouse Availity inadvertently cut its connection to the Texas Medicaid & Healthcare Partnership (TMHP) last month, more than 30,000 claims totaling $23 million filed by physicians and other healthcare professionals in just four days were in danger of disappearing. And the number of claims was increasing by the hour. But Availity knew whom to call: Genevieve Davis, director of TMA’s Payment Advocacy Department. She notified TMA Director of Government Affairs Helen Kent Davis, who immediately found someone at TMHP who could resolve the issue. Job well done, behind the scenes, for TMA members across the state.

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