Tools for overpayment recovery & claims appeals
Discover resources to secure correct claims payment from health plans, navigate the overpayment recovery process and appeal incorrect payments.
Physicians oppose California price-fixing bill
The measure would hurt access to care by prompting early physician retirements and creating an unattractive environment for recruiting new doctors to the Golden State.
AMA, Anthem try new tack: Working together to improve health care
They are pursuing an alternative approach to address health care costs, cut administrative burdens and develop new delivery models for high-quality care.
A win for doctors: Anthem rescinds pay cut for same-day services
Health insurer drops policy after face-to-face meetings with the AMA and other medical and national specialty societies.
Mega-mergers blocked, averting pay cuts of at least $500 million
The AMA took a leading role in the year-plus fight against two health insurance mega-mergers. The effort paid off with courtroom victories in 2017.
EHRs to MOC: Physicians tackle practice issues in new policy
Policymaking at the 2016 AMA Annual Meeting covered a range of topics that affect a physician’s practice. Among them were maintenance of certification concerns, improving patient safety of electronic health records and coverage of telemedicine services.
National Managed Care Contract Database
The AMA's National Managed Care Contract database will provide information and assistance about the complexities and workings of managed care contracts.
Evaluating & negotiating payment options
Physicians thinking about transitioning from fee-for-service payment to risk-based reimbursement can evaluate options to make an educated choice.
Stay informed using the AMA's resources to help regulate appropriate state laws related to managed care contracting.
New Jersey Supreme Court case could expose physicians to large fines
The Supreme Court of New Jersey is reviewing a case about insurance fraud and a physician’s referral of patients to health care facilities where they have financial relationships. At issue is if fraud is based on what the medical group or practice should have known, as opposed to what they actually knew.