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Monday, October 7, 2013

FIRMS OFFER PROMPT PAY ENFORCEMENT HELP

This year is the 10th anniversary of two important Texas health care laws. You’ve heard plenty, of course, about the remembrances surrounding our 2003 medical liability reforms. But don’t forget the prompt pay law that TMA got passed that year as well. Senate Bill 418 requires electronically filed clean claims to be paid within 30 days; clean paper claims must be paid in 45 days. The law also makes slow-paying insurers liable to a physician for a graduated penalty in addition to paying the full contracted rate. TMA provides sample letters for members to use in prying payment out of reluctant carriers. We’ve also met recently with several law firms and collection agencies that offer services to enforce the clean claims law. I urge you to look closely at the firms, their services, and rates before you sign.

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