Payment Reform

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2011 Electronic Prescribing Incentive Program information
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2011 Electronic Prescribing Incentive Program information from the Centers for Medicare and Medicaid Services
Advanced Beneficiary Notice Form (Revised 2011)
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Advanced Beneficiary Notice Instructions
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AMA Claims Workflow Assistant
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This free online tool from the AMA helps your practice secure accurate payment from health insurers for inappropriately denied claims, including those for workers’ compensation. Your practice can look up the reasons health insurers reported for denying claims on the electronic remittance advices (ERAs) your practice receives. After look-up, you can determine the best steps for your practice to address claim denials or non-payments. The tool also provides template appeal letters that AMA members can modify to use in their practices.


AMA Health Plan Complaint Form
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AMA Managed Care Contracting Webinar Series
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To help physicians meet the challenges of contracting activities in an environment where payment and delivery models are rapidly changing, the American Medical Association presents a webinar series on all aspects of managed care contracting—from contracting strategies, to billing and payment, to making the most of administrative automation. View the archived webinars and access related issue briefs through this link.


AMA Payment and Delivery Reform Webinars
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CMS ePrescribing Incentive Fact Sheet
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Colorado Division of Insurance
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Contracting: AMA - 15 Questions to Ask Before Signing a Managed Care Contract
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Contracting: FAQ on Colorado’s Fair and Transparent Contracting Law
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Contracting: Managed Care Contract Compliance Worksheet
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Coordination of Benefits (COB) - Tips for Reducing Payment Delays
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CRS 10-16-704 - Network Adequacy
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CRS 10-16-705 - Requirements for carriers and participating providers
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