- Standardized Payer Contract
This document details what should be included in any contract between a physician and payer. Available to ACP members and requires a login.
- AMA's Physician Contracting Toolkit
An educational guide on best practices in creating a contract between physicians and preferred provider networks.
- Credentialing, Facility Reviews and Med Records Reviews
What Internists need to know about payer credentialing, facility review, and medical records reviews. Available to ACP Members and requires a login.
- Referral Tracking Guide
One way to ensure a competitive advantage for your practice is to track your referrals and document effective management of your patient population.This guide will help you achieve those goals. Available only to ACP members and requires a login.
- Health Insurance Plan Referral Chart
Internists who participate with private insurance plans as primary care physicians (PCPs) often participate with more than one. In making referrals, it can be confusing to keep track of which colleagues belong to which plan.This charg will help you better manage that information. Available only to ACP members and requires a login.
- Negotiating with Payers to Retain Office Lab Testing
Sample letters and negotiating tactics to ensure you are successful in negotiating with payers to retain lab testing in your office. Available only to ACP members and requires a login.
- Aetna and United Healthcare Policies Regarding Coding Consultations
Aetna and United Healthcare provide guidance on how to properly code for consultation visits for your Medicare patients.
- Electronic Funds Transfer (EFT) Tool
Providers can now enroll in electronic funds transfer (EFT) with multiple payers simultaneously through this single, secure, online, FREE, process available from CAQH.
- Commercial Payer Notices
Notices and updates from various commercial payers regarding coverage policies.
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