Doctors tell court: Medicare must seek comment before rule changes
Without feedback, government rules become unclear, burdensome and costly, the AMA Litigation Center tells the U.S. Supreme Court in an amicus brief.
Medicare waste, fraud & abuse
Discover what the AMA is doing with the Centers for Medicare & Medicaid Services (CMS) to forge a fair and accurate medical billing system for physicians.
Medical student documentation myth
Find out how to debunk the myth that a teaching physician is required to re-document a medical student’s entries in a patient’s electronic medical record.
Medicare audits could take less punitive approach in 2018
Physicians advocate for more targeted approach to Medicare audits with less focus on penalties and more emphasis on education to avoid errors.
Judgment on life expectancy at issue in Medicare fraud case
The case concerns qualifying a patient’s care under the Medicare hospice benefit. At issue is a physicians’ ability to exercise their clinical judgment in certifying a patient’s life expectancy is less than six months.
Reports show 2017 Medicare payment adjustments
Two new reports with information on 2015 cost and quality data indicate which physicians or practices will see related Medicare payment adjustments in 2017.
Supreme Court rules against delayed lawsuits, damages
Physicians who provide services under Medicare and other federal health care programs won’t face the possibility of civil lawsuits being brought against them for an unlimited period, thanks to a recent decision by the Supreme Court of the United States.
AMA still concerned about value-based modifier program
The AMA is concerned by CMS' announcement that a third of large physician groups will face a penalty under the Value-based Modifier program (VBM) in 2015.
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. ...
Don't proceed with eRx and PQRS audits, AMA tells CMS
Following a Centers for Medicare & Medicaid Services announcement of a proposal to conduct audits of physicians and other eligible professionals who received incentive payments under the Medicare Physician Quality Reporting System and ePrescribing programs, the AMA called on the agency to abandon its plans because of numerous implementation problems.