Wednesday, April 24, 2013
Claim denials? AMA tool can help fight for due pay
A newly updated online tool from the AMA can help physicians secure accurate payment from health insurers when their claims have been inappropriately denied.
The AMA's Claims Workflow Assistant lets physicians quickly look up the reasons insurers report for denying claims on electronic remittance advice. The tool then offers steps physicians can take to efficiently address those claim denials and $0 payments.
For AMA members, the tool provides template appeal letters they can easily modify and use to appeal their claims. If you're not an AMA member, join today to take advantage of this resource.
Boost value with innovations in delivery, payment
Newly archived webinars in an ongoing AMA series shed light on ways to increase the value of care by adopting innovations in how care is delivered and paid for.
In the first four webinars, physician presenters take a look at such innovations in care delivery as providing team-based care to optimize practice workflow and increase value, improving care coordination without moving to an employment model, and boosting value by benchmarking.
The fifth webinar explores new payment models that can sustain the delivery reforms discussed in the other webinars over the long term. Physician innovators who implemented payment reforms that work describe a variety of payment models, relate the pros and cons of each model, and speak to how accountability for cost and quality can be shared among stakeholders.
Future webinars will delve deeper into the mechanics of new payment models and how to customize a model to fit the physician's practice.
Physicians can earn continuing medical education credit in the form of AMA PRA Category 1 Credit™ by viewing these webinars by Dec. 31. Registration is free for AMA members; nonmembers can sign up for $30. If you're not an AMA member, join today.