Wednesday, March 21, 2012
How to match e-payment to remittance advice
A trace number is key to avoiding frustrations with reconciling electronic funds transfer (EFT) payments and electronic remittance advice (ERA).
Under the Health Insurance Portability and Accountability Act, payers are required to use a trace number on each EFT payment and the associated ERA so that physicians can easily confirm which medical claim the payment is for. This trace number should be transferred from the payer and its bank to the physician and his or her bank.
Be sure to discuss with your bank the best way to make sure all the necessary information remains tied to each EFT payment.
Access the AMA's EFT Toolkit for additional information about processing EFT payments and how to work with payers, banks and other entities to make the electronic payment process a smooth one.
Navigate rules of the road for self-referral practices
Although physicians are prohibited from making certain kinds of self-referrals, a new toolkit from the AMA helps physicians identify a wide variety of permissible referral arrangements.
The "Stark Law Rules of the Road" toolkit can help you comply with the complex set of self-referral regulations sometimes referred to as the "Stark law." An easy-to-use interactive tool walks you through six questions to determine how the Stark law might apply to you. The tool also defines key terms and explains a number of exceptions to the law that permit certain self-referrals.
For examples of how to interpret the law, the toolkit also provides a detailed overview document, which outlines some of the law's main requirements and exceptions.