Clear Search
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2 Min Read

Physicians need cost, outcomes data, not Medicare claims data

It’s been about a month since the Centers for Medicare & Medicaid Services (CMS) released its raw physician Medicare claims data, drawing a great deal of attention from the press and leaving physicians to provide context about the data to patients. 

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Leadership
Leadership Viewpoints
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2 Min Read

Where you need to go for Medicare claims data release assistance

As reporting about the Centers for Medicare & Medicaid Services’ (CMS) recent release of physician Medicare claims data continues to cycle through the media, a new resource page from the AMA offers the essential information you need to know about the data release.

Medicare & Medicaid
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3 Min Read

No more secrets: Insurer claim edits come into the light

Expensive claim denials and unexpected payment adjustments that stem from the hundreds of proprietary claim edits individual health insurers create behind closed doors could become a thing of the past in a few short years, thanks to an initiative underway in Colorado.

Claims Processing
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3 Min Read

What physicians need for practice transformation: Doctors to CMS

Assisting physicians in adopting new models of care and payment that will enhance quality and lower costs is the aim of a recent request for information from the Centers for Medicare & Medicaid Services (CMS).

Payment & Delivery Models
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2 Min Read

Physician groups should register now to avoid PQRS penalty

Physicians who practice in a group can register for the 2014 Physician Quality Reporting System (PQRS) Group Practice Reporting Option (GPRO) now through Sept. 30. Physicians who do not participate in PQRS this year will be hit with a 2 percent payment penalty in 2016. 

Payment & Delivery Models
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4 Min Read

What makes a successful hospital-physician relationship

Health care delivery models—and relationships between hospitals and physicians—are changing rapidly, but until more systems implement new models, the traditional structure isn’t going away, according to discussions from an industry conference highlighted in an April 18 Health Affairs blog post.

Payment & Delivery Models
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3 Min Read

Physicians explain how to divvy payments in new models of care

Adopting care delivery reforms in your practice can help you achieve better physician-led, patient-centered care and increase your professional satisfaction. New resources from the AMA can help guide you through an appropriate payment system for new models of care.

Payment & Delivery Models
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4 Min Read

What you won't see in the raw Medicare claims data

The public is getting its first glimpse of physicians’ Medicare claims data following a widely publicized data release Wednesday by the Centers for Medicare & Medicaid Services (CMS).

Medicare & Medicaid
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2 Min Read

3 things you need to know about Medicare's claims data release

Physicians’ Medicare claims data—including billed charges and total payments—was released Wednesday to the public by the Centers for Medicare & Medicaid Services (CMS). It’s already generating considerable attention.

Medicare & Medicaid