Learn how to navigate potential payment hurdles when dealing with Medicaid, Medicare and private payer insurance companies.
Physician Practice Information SurveyThe American Medical Association (AMA) has contracted with Mathematica, to conduct a national study to collect representative data on physician practice expenses and hours spent in direct patient care. The Physician Practice Information (PPI) Survey will collect data at the specialty level and will be shared with CMS to update the Medicare Economic Index (MEI) and the Resource Based Relative Value Scale (RBRVS). The survey will be administered from July 2023 until April 2024. To learn more about the sample size, timeline, and reporting/use of data, visit the AMA PPI Survey page.
Resources to ensure you are paid appropriately, including web-based educational tools and how to bill for an annual wellness visit. Also find information pertaining to the Quality Payment Program, including deadlines.
Learn more about the Medicaid and CHIP programs, both at the federal level and in your own state.
Private Payers Insurance
Materials to help you navigate a variety of issues specific to private payer insurance plans, including details in a standard payer contract and advice on how to retain lab testing when your payer is refusing coverage.
Alternative Delivery and Payment Models
A broad array of resources covering Patient-Centered Medical Home, Accountable Care Organizations, other care models,the CMS Innovation Grant process, and how to evaluate payment contracts.