AMA: One in Five Claims Processed Inefficiently by Insurers

[This article posted on June 15, 2010. It is posted within the following categories: Corporate, via Michael Douglas, MD, MBA.]

If you can’t beat ‘em, join ‘em? The AMA just released its annual report card on insurers this week, and in the organization’s sights this time is the lack of accuracy in claims processing. Over $200B is spent annually on this mechanism, and the AMA says that 80% of the time, insurers matched payments to providers.

But can this benchmark be increased with greater physician input and cooperation? According to the AHIP, it must. The insurance lobby says the path to complete compliance in this area could go a long way in reducing overhead for Insurance, collectively. They contend that providers and insurers must share in the innovation invested on both sides to make this happen. | LINK

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