In this episode, we'll discuss the administrative issues that private practices deal with on a regular basis, including revenue cycle concerns, payor audits, and prior authorization.  

Claim CME credit for this episode here: https://bit.ly/3UNmNAe  

Resources:  

Prior Authorization and Utilization Management Reform Principles - https://bit.ly/3URIoas  

Fix Prior Auth - https://fixpriorauth.org/  

Prior Auth practice resources - https://bit.ly/3Ad2bYt  

Prior authorization model legislation – issue brief (https://bit.ly/3KTKVwe) and model bill (https://bit.ly/41IlNPU)  

Payor Audit checklist - https://bit.ly/3mPVEjC  

Trends in Payor Audits - https://bit.ly/3LbiMlY and https://bit.ly/3MWIQCx  

CPT® - https://bit.ly/3LaH67s  

Electronic transaction toolkits for administrative simplification - https://bit.ly/3Lb7Vsc  

AMA STEPS Forward® module: Revenue Cycle Management - https://bit.ly/3MYL6cE  

🩺 The AMA is your powerful ally, focused on addressing the issues important to you, so you can focus on what matters most — patients. We will meet this challenge together. Join us: https://ama-assn.co/JoinRenew

🥼 Go to https://ama-assn.co/FightingForDocs to learn more about our AMA advocacy priorities, including:
▹ Reforming Medicare payment
▹ Fighting scope creep
▹ Fixing prior authorization
▹ Reducing physician burnout
▹ Making technology work for physicians

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Disclaimer

The AMA STEPS Forward® Podcast is for informational purposes only. The content is believed to be accurate as of the date of publication. Mention of a third-party organization, product, or service in the Podcast does not imply and is not intended as a promotion or endorsement by the American Medical Association (AMA). This content is not intended as medical, legal, or consulting advice, or as a substitute for the advice of a physician, attorney, or other professional. The views, opinions, and positions expressed by the speakers are theirs alone, and do not necessarily reflect the views, opinions, or positions of the AMA, the individual’s employer, or any affiliated organization. The AMA makes no warranty regarding the accuracy or completeness of any information provided in this Podcast. The materials and information contained herein are provided as-is. No part of this Podcast may be reproduced, stored, transmitted, or distributed in any form or by any means, without the prior written permission of the AMA.