Legislative

TMGMA works closely with both the MGMA and TMA Government Affairs staff to provide our members with the latest legislative & regulatory information. TMGMA members are encouraged to participate in grassroots activities, anecdotal surveys, and contacting your elected officials on issues of importance to medical practices. For more information on how you can get involved or questions on any legislative issue, contact your TMGMA Legislative Liaison Jon R. Ewing, MBA.

May 2024 Legislative Article:

We were blessed with a very lively presentation from Yarnell Beatty, Senior Vice President and General Counsel with the Tennessee Medical Association at our TMGMA Conference in Franklin this Spring.  One Bill that is near and dear to many of us and our practices is the SB 2328 Bill regarding Recoupment Audits from insurance companies.  Many of us have experienced that audit and an immediate recoupment even before you had a chance to file an appeal.  They were able to look by 18 months and the practice leadership is left helpless.  Due to TMA lobbying efforts this will be altered to help some and to begin in January 2025.

Below are the changes to this Bill as amended.

2024 amendment to TCA 56-7-110, PC 861 (SB 2328):

1. Reduces the lookback period to 15 months;
2. Gives you 30 days’ notice of recoup;
3. Detailed reason for the recoup;
4. You keep the money until appeals are exhausted;
5. They can only recoup the difference
6. Restricts extrapolation use in audits
7. Does not apply to TennCare

Blessings all
Jon R. Ewing, Legislative Liaison TMGMA
jewing@wc-obgyn.net

MGMA Advocacy Resources

When members of MGMA and Tennessee MGMA voice their concerns to legislators at both the state and national level, they are taking one of the most important steps available to individuals and groups to influence the outcome of decisions affecting the medical practice industry, MGMA Government Affairs Department, and the MGMA-MO Legislative Committee are here to support member efforts with helpful tools and suggestions for successful grassroots advocacy.

Grassroots Resources

- Host congressional site visit
- Get ideas, focus and organize advocacy efforts with MGMA's  intinerary of grassroots advocacy actions
- MGMA's Guide for Grassroots Advocacy 

Get in Touch

Take your questions directly to the MGMA Government Affairs team and submit your specific regulatory questions on our website. Submit a question