AMA
Continuing Medical Education: AMA webpage
External link will open in a new window.Contracting: AMA - 15 Questions to Ask Before Signing a Managed Care Contract
Right click, "Save as.." to download file.Health Information Technology: AMA webpage
External link will open in a new window.Health System Reform: AMA webpage
External link will open in a new window.ICD-10: AMA webpage
External link will open in a new window.Medical practice checklist for 2014 ACA exchange implementation
External link will open in a new window.Next Generation Physician Payment and Delivery Models: AMA webpage
External link will open in a new window.Prescription for a healthier practice: Protect your practice from inappropriate discounts
External link will open in a new window.Prescription for a healthier practice: Automate prior authorization
External link will open in a new window.Take advantage of automated solutions for prior authorization to reduce the time your practice spends on these processes. Visit the AMA’s payer policies webpage for links to many of the major payers’ prior authorization automated solutions.
Prescription for a healthier practice: Claims revenue cycle
External link will open in a new window.Use this tool to evaluate your practice's capability to submit claims efficiently and accurately; analyze health insurer payments for accuracy; and effectively address delays, denials and reductions in payment.
Prescription for a healthier practice: Contract with confidence
External link will open in a new window.The AMA's managed care contracting webinar series will help you understand new provisions that managed care organizations are adding to physician contracts as those organizations implement new physician payment models. The series will empower your practice to conduct business in a way that preserves your rights and maximizes your ability to reach your short- and long-term goals.
Prescription for a healthier practice: Eliminate manual workers’ comp and auto claims processing
External link will open in a new window.Switch from a manual claims process to electronic billing or “eBilling” for workers’ compensation and auto claims, which will help your practice reduce administrative costs, receive timely acknowledgement of your claims’ status and reduce the time it takes to submit bills. By doing so, physicians get paid faster and eliminate most of the hassles involved with paper billing. The AMA has developed tools to help your practice automate medical billing for workers’ compensation and auto injury. Start with the AMA’s Property and Casualty (workers' compensation and auto injury) Toolkit.
Prescription for a healthier practice: Empower your practice with the National Managed Care Contract
External link will open in a new window.Take advantage of this comprehensive managed care contracting resource, which is based on the most physician-favorable managed care laws and regulations from all 50 states and the District of Columbia. This advocacy resource and its accompanying supplements address many of the issues that arise in the managed care contracting process and in the subsequent business relationship between physicians and managed care organizations. Developed by the AMA and state medical association attorneys with expertise in managed care contracting issues and regulations, the National Managed Care Contract includes more than 70 pages of model provisions based on state law and is supported by hundreds of legal citations.
Prescription for a healthier practice: Fight for accurate payment by decoding payer ERAs
External link will open in a new window.The AMA has developed a tool to help address the hassle of decoding electronic remittance advices (ERAs) to determine if a billed claim was properly paid. If your practice performs property and casualty (workers’ compensation and auto injury) e-billing and receives ERAs, the AMA’s Claims Workflow Assistant tool can help you understand and address payment adjustments from payers. You can look up the reason or remark codes that payers place on the ERA to find associated workflows that can assist you in addressing claim denials or non-payments. And, you can look up the reason and remark codes payers place on the remittance advice to explain how the claim was processed and determine what those codes mean. Then, you can follow the steps provided to ensure accurate payment. The Claims Workflow Assistant also provides template appeal letters that physicians can easily modify to use in their practices.
Prescription for a healthier practice: Get paid what you deserve for out-of-network services
External link will open in a new window.The AMA has developed the educational resource “Out-of-network payment challenges for the physician practice” to provide your practice with resources to understand a third-party payer’s obligation for payment to out-of-network providers. The resource explains some of the payment challenges that arise when a physician who is considered out of network requests payment from a patient and/or health insurer.