The AMA (1) opposes denial of a physician’s right to perform specific services or to be compensated for such services solely on the basis of his specialty designation; (2) supports balanced third party coverage of alternative services and settings, and opposes reimbursement policies that discourage provision of care in the most cost-effective setting; (3) opposes attempts by private third party payers to deny payment for services, otherwise meeting that third party’s requirements for reimbursement, solely on the basis that the services billed were provided using equipment not approved by placement review.

Policy Timeline

CMS Rep. C, A-83 Reaffirmed: CLRPD Rep. 1, I-93 Reaffirmed: CMS Rep. 7, A-05 Reaffirmed: CMS Rep. 1, A-15