The Academy encourages members to prepare for the AMA's "Heal that Claim"™ in November. Members can participate by performing a claims process check-up in an effort to reduce waste from the claims process and decrease the physician cost to submit claims.
The AMA's Practice Management Center (PMC) has developed resources and tools to help physicians and their practice staff improve the efficiency of their practices. The check-up process will help you assess the financial health of your practices, learn ways to streamline internal claims process, and find out how to hold payers accountable for making claims processing more cost-effective and transparent.
Physician practices often experience an increase in underpayments and denials during the last quarter of the year, so November is an ideal time to appeal inappropriately underpaid or denied claims. Instead of accepting increased claims underpayments and denials, physician practices can appeal these claims and collect their appropriate payment in January and February. Payments from payers are reduced those two months as many patients meet their out-of-pocket deductibles.
AAN members can access resources that will help streamline their internal claims process in the "Heal the Claims Process"™ toolkit and pledge their support of the campaign.