AMA Wire

Wednesday, Feb. 27, 2013

Practice News

Overpayment recovery audits: Is your practice ready?

A newly updated AMA resource can help physicians prepare their practices for potential audits by health insurers searching for possible overpayments.

Such payment recovery tactics have become increasingly common in recent years as insurers and others look for ways to keep costs down. Make sure your practice is ready in the event of an audit by reading the resource “How to prepare for a health insurer retrospective audit” (AMA member login required).

Created by the AMA in cooperation with the American Academy of Neurology, this resource guides physicians through each step of the audit process—from receiving the initial notification from the insurer to contesting the audit’s findings.

Additional educational materials on this topic are available on an AMA Web page providing key information physicians need to know about audits.

If you're not already an AMA member, join today to gain access to this and other members-only resources.

Credit card payments: how they impact your practice

An AMA resource answers frequently asked questions about accepting credit card payments from patients and health insurers.

The resource explains what physicians and practice staff need to know about processing these payments, fees the practice will be charged for accepting credit card payments and what to look for in a credit card merchant agreement. The resource also identifies factors physicians should evaluate when deciding whether to accept credit card payments.

AMA members who choose not to accept corporate credit card payments from health insurers can download a sample letter (AMA login required). The letter can be customized and used to notify the insurer of this intention.

If an insurer is requiring a physician to accept a payment method that was not previously agreed upon, the physician should consider filing a complaint.