AMA Wire

Wednesday, Nov. 7, 2012

Practice News

Save your practice up to $4,000 a year—learn how

Find out how using electronic eligibility verification to provide point-of-care pricing to your patients can save you $4,000 a year by participating in an AMA webinar at 1:30 p.m. Eastern time Thursday.

The webinar is the first in a three-part series offered this month as part of the AMA's Heal the Claims Process™ campaign, an effort to cut unnecessary administrative costs by bringing transparency, simplicity and consistency to the medical billing and payment system. The webinar series is just one of various resources the AMA is offering in November—observed as Heal that Claim™ month—to help physicians streamline their claims process.

Another of these resources is the eligibility verification toolkit, a newly updated collection to help physicians take advantage of the benefits of electronic patient eligibility verification. Starting Jan. 1, all insurers will be required to provide the patient's co-payment, co-insurance and remaining deductible amounts with each eligibility response. Most major insurers already are providing these details in advance of the compliance deadline.

The webinar series kicks off on the heels of last week's announcement that five national health insurers have pledged support of the campaign. Aetna, Cigna, Humana, Regence and UnitedHealth Group have joined more than 130 other organizations in pledging their support.

Webinar: State laws on recovering overpayments

Learn about state laws that regulate managed care organizations' efforts to recover overpayments made to physicians by participating in an AMA webinar at 1 p.m. Eastern time Nov. 13.

Part of a series on managed care contracting, this webinar will examine state laws that protect physicians from instances in which managed care organizations—or the third parties they hire—seek refunds of physician payments made years earlier. Physicians often have no idea that an overpayment has occurred, and many refund requests provide minimal identifying information, such as the patient's name, dates of service or payment amounts.

An experienced health law attorney will discuss state laws that contain various provisions, such as restrictions on the "look back" period, requirements that refund requests must satisfy and limits on the circumstances under which a managed care organization may pursue an alleged overpayment.