Clear Search
·
4 MIN READ

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.

Annual Meeting
2 MIN READ

Fair contracting

Stay informed using the AMA's resources to help regulate appropriate state laws related to managed care contracting.

Claims Processing
6 MIN READ

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.

Claims Processing
Exterior of court building.
·
3 MIN READ

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.

Claims Processing
Physician hand coming from computer screen for patient
·
4 MIN READ

Why one health insurer is embracing telemedicine

One health insurer discusses why telemedicine complements physical exams by a physician, rather than replacing office visits. Physicians must lead further development to make sure telemedicine works with medical practices.

Digital
·
4 MIN READ

Court decides whether insurers can be sued for underpaid claims

A U.S. court of appeal ruled physicians who are assigned insurance policy benefits have the right to bring lawsuits against insurers who underpay for medically necessary services provided to covered patients.

Claims Processing
·
4 MIN READ

Supreme Court to weigh insurer payment transparency

Health insurers are fighting a state law that would create transparency for physicians and patients when it comes to health insurance payments. A case before the Supreme Court of the United States will determine whether a technicality will stand in the way of reform efforts and keep the insurance payment process cloaked in mystery.

Claims Processing
·
2 MIN READ

Ruling could give insurers more leeway to terminate physicians

The outcome of a recent case could have implications for other physicians and their patients as a federal court decided it was permissible for a large health insurer to terminate two physicians from its network following a dispute over the necessity of medical services they provided.

Claims Processing
·
2 MIN READ

Court to weigh physicians' right to payments, recourse

Should physicians be left holding the bag when a private insurer retroactively denies a medical claim or recoups a payment? A federal appeals court is considering a case that could determine whether physicians have recourse to ensure that their practices remain financially stable so they can continue caring for their patients.

Claims Processing