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3 Min Read

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.

Medicare & Medicaid
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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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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

Making EHR meaningful use less burdensome

About 20 percent of eligible professionals—mostly physicians—have dropped out of the Centers for Medicare & Medicaid Services’ (CMS) meaningful use electronic health record (EHR) incentive program, according to an AMA analysis of data from the agency.

Digital
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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
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4 Min Read

9 ways CMS' claim data release could mislead patients, reporters

In advance of the Centers for Medicare & Medicaid Services’ (CMS) public release of physician Medicare data—which could happen as soon as Wednesday—the AMA is working to prevent misinterpretation of what could be confusing billing and payment information for reporters and patients.

Medicare & Medicaid