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Billing

Accurate claims submissions are vital to your practice’s operations. Inaccuracies or inconsistencies can impair your cash flow, strain your relationships with payers, and harm your ability to provide care to your patients. The AMA recommends that practices take steps to continually monitor and improve their claims workflow processes. Access the information below to help streamline your billing process.
Moving toward electronic health care transactions

Adopting current electronic health care transaction technologies can help your practice lower administrative costs, reduce payment errors and save time. The AMA offers multiple toolkits to ease the process of automating your practice through the use of electronic health care transactions, including claims submission, eligibility requests and electronic remittance advices.

Moving to Electronic Transactions Toolkits

Access “Prepare that Claim” for more information on this topic

"Prepare that claim" , "Follow that claim" and "Appeal that claim" were developed to help physicians and their practice staff to review the efficiency of their current internal claims management process as well as understand the payer’s role in the claims process. These resources contain sample forms and policies which can be adapted to fit the specific needs of a physician practice.

Perform an internal billing audit

The AMA, with cooperation from the American Academy of Neurology, developed the educational resource "How to perform a physician practice internal billing audit" to help physician practices understand both the need for an internal billing audit and how to perform an internal billing audit to yield improved claims management processes, cash flow and compliance with applicable laws and regulations.

CPT® Network

The Current Procedural Terminology (CPT®) Network is your resource for CPT® coding answers "straight from the source." This new system provides members and subscribers the tools to quickly research a database of commonly asked questions and clinical examples (vignettes). If the answer to a specific question cannot be found in the database, authorized users will have the capability to submit an electronic inquiry directly to CPT®. Our staff of CPT® coding experts are committed to providing users with timely and accurate solutions to their coding inquiries.

For your convenience, a variety of subscription packages have been designed. When reviewing the package options, please take into consideration the volume of coding inquiries your organization may require and the number of users that will need to access the service. Keeping these factors in mind, you can select the package which best fits your specific needs. AMA Members receive a complimentary full-year subscription to the CPT® Network, including access to the Knowledge Base and six free electronic inquiries.

Once you become a user of CPT® Network, you will be just a click away from accessing the Knowledge Base (KB) or submitting an electronic inquiry (EI).

Sign up for CPT® email notifications – Receive email notifications when changes are posted to the AMA website for Category II codes, Category III codes, Vaccine codes and Errata.

Access the CPT® Network

Select a Practice Management System toolkit

Learn how to select a practice management system that will reduce your time spent on manual administrative tasks that occur throughout the claims revenue cycle and replace them with automated solutions.

Learn more

Practice Management Alerts
Stay current with issues that affect your practice. Register for Practice Management Alerts specific to your location, specialty or payer partners.
Knowledge Center
Get expert advice when you need it. The AMA-PMC team is here to help members and their staff with issues and concerns.
Contact Us
Get expert advice when you need it. The AMA-PMC team is here to help members and their staff with issues and concerns.
LinkedIn Discussion Group
Join discussions in the AMA Practice Efficiency & Management LinkedIn Group.