Tuesday, July 21, 2009

Physicians not getting contracted fees

The American Medical Association has just posted its insurer report card, with detailed data on how the payers are treating physicians. It lists only a handful of national payers, plus Medicare.
(The AMA's efforts dovetail with Physicians Practice's own PayerView report with more payers.)
Read more
Of particular interest in the AMA report: The contracted fee schedule match rate -- how often did actual payment match the what the physician is supposed to get contractually? -- ranged from a high of 98% to a low of 72%.
Make sure your posters don't just accept remitted fees. Use systems that check to make sure you get what you deserve.

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