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2 Min Read

AMA responds to HHS announcement on Medicare reimbursements

The HHS aligned with the AMA's commitment to reform care delivery to promote quality care for seniors on Medicare and reduce regulatory burdens on physicians.

Press Releases
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2 Min Read

Complete PQRS with alternate reporting option

Physicians will face a 2 percent payment penalty in 2017 if they do not successfully report for Medicare’s Physician Quality Reporting System (PQRS) this year. You can take advantage of a reporting option that can help improve patient outcomes while simultaneously lessening your chances of incurring penalties.

Payment & Delivery Models
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2 Min Read

Top tips for providing point-of-care pricing

Make the most of the information that is available through electronic eligibility verification, including determining what your patients owe and receiving payment from patients at the time of service. Get a free point-of-care pricing toolkit.

Claims Processing
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3 Min Read

AMA supports private enforcement of Medicaid’s equal-access mandate

Medicaid patient access at stake in U.S. Supreme Court case

Press Releases
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3 Min Read

Supreme Court considers Medicaid payment rate adequacy

The U.S. Supreme Court is weighing in on whether states must comply with the federal Medicaid Act’s “equal access” provision that is intended to make sure physicians and other health care providers receive sufficient payment to provide care to low-income and disabled patients.

Medicare & Medicaid
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3 Min Read

Payment recovery audit program needs overhaul: Doctors to CMS

A “bounty-hunter” Medicare program that takes back payments from physicians must be overhauled, physicians told the Centers for Medicare & Medicaid Services (CMS) in a letter, pointing to a two-year backlog of appeals and prohibitive expenses that result from excessive audits.

Medicare & Medicaid
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2 Min Read

3 things you must know about overpayment recovery

Learn what you need to know about the overpayment recovery process with these three tips and additional assistance from a free online overpayment recovery toolkit from the AMA.

Claims Processing
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3 Min Read

As payment reform advances, we need physicians at forefront

Physicians are accustomed to reviewing and embracing new scientific and medical breakthroughs, but innovations on the payment side can come much more slowly.

Sustainability
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2 Min Read

Momentum grows for Medicare reform, but time almost out

Only days remain until Congress concludes its “lame duck” session. That’s not much time for lawmakers to address a long agenda—but support is building in the nation’s capital to eliminate Medicare’s sustainable growth rate (SGR) formula this year.

Medicare & Medicaid