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Wednesday, Aug. 14, 2013

Practice News

AMA tool captures cost of reworking medical claims

A new reporting tool from the AMA can help physicians identify which health insurers cause the most expense for processing claims.

The AMA's Administrative Burden Index, unveiled in June as part of the AMA's sixth annual National Health Insurer Report Card, provides scores on claims-processing measures for seven of the nation's largest commercial health insurers. The index reports unnecessary inefficiencies tied to delayed responses, inaccuracy of payment expectations, prior authorization, payer-specific claims edits, undisclosed claim edits and claim denials.

The overall score shows that administrative tasks associated with avoidable errors, inefficiency and waste resulted in an average cost per claim of $2.36 for physicians and insurers, with the cost to rework these claims ranging from $1.25 to $3.32 per claim.

Read more in a recent blog post by AMA President Ardis Dee Hoven, MD.

CMS seeking to improve service from contractors

A new tool from the Centers for Medicare & Medicaid Services (CMS) will allow physicians to register their satisfaction levels with Medicare claims administration.

The new Medicare Satisfaction Indicator will help the agency and the Medicare Administrative Contractors measure physician satisfaction and improve the level of service they are given. CMS will randomly select a sample of physicians to provide feedback each year. Participants will come from a pool of physicians who have indicated their interest in providing feedback.

Complete a brief online form to sign up as a potential participant.