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Wednesday, Aug. 28, 2013

Practice News

Group discusses solutions for practice automation

A new AMA LinkedIn group offers a forum in which physicians and others can discuss the latest issues in automating the physician practice and share advice for making the claims revenue cycle run smoothly.

Group members can pose questions, comment on discussions and learn from the experiences of their peers around the country. Topics include:

  • Best practices in administrative simplification.
  • Step-by-step tips on incorporating electronic remittance advice, electronic funds transfer and other electronic transactions into the claims revenue cycle.
  • Solutions to real-life challenges in practice automation.

The group, which launched earlier this year, is open to physicians, practice staff, consultants and other health care partners. If you're not one of the 200 million people already on LinkedIn, you can create a free account to get started.

AMA tool captures cost of reworking medical claims

A new reporting tool from the AMA can help physicians identify the cost of processing claims with seven of the nation's largest commercial health insurers.

The AMA's Administrative Burden Index, unveiled in June, provides scores on claims-processing measures for the commercial health insurers included in the AMA's sixth annual National Health Insurer Report Card. 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.