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2 Min Read

Multi-hospital systems may now have one integrated medical staff

A multi-hospital system can now have a single integrated medical staff, rather than requiring a separate medical staff at each hospital, under a final rule (AMA login required) issued last week by the Centers for Medicare & Medicaid Services (CMS).

Payment & Delivery Models
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3 Min Read

3 things physicians can do to avoid high virtual credit card fees

If your practice accepts virtual credit card payments from health plans, you may be losing a significant amount of your contractual payments to high interchange fees. Fortunately, there are three steps you can take to make sure you aren’t paying unnecessary charges.

Claims Processing
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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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3 Min Read

Improve EHRs before expanding meaningful use, AMA tells ONC

The Office of the National Coordinator for Health Information Technology issued a proposed rule containing voluntary certification criteria for EHR systems in 2015 to be used by physicians participating in the meaningful use program. The rule was to give vendors flexibility in upgrading their systems and offer a look at the 2017 edition. The AMA submitted comments on the proposed rule.

Medicare & Medicaid
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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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5 Min Read

Team-based care advances across the states

Achieving the “triple aim”—providing the highest quality of care at the lowest cost possible while improving patient outcomes—is becoming more and more difficult as the patient population ages, chronic conditions become more prevalent and newly-insured patients flood the health care system.

Scope of Practice
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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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4 Min Read

How med schools are preparing students for team-based care

Medical residents today must demonstrate that they can successfully participate as contributing members of interprofessional teams, so medical schools are working through barriers to incorporate interprofessional education (IPE) into their curricula to give students a firm grounding when they begin providing care.

ChangeMedEd Initiative
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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