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AMA Policies

Find all American Medical Association House of Delegates policies and Council on Ethical and Judicial Affairs ethical opinions applicable to managed care contracting and the relationship between contracted physicians and health insurers and other payers.

To search for an exact phrase, you should enclose the entire phrase in quotation marks. For example, "patient care".
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Ama Policy

Prior Authorization-Patient Autonomy D-478.958

09/02/2022
U.R. Criteria
Ama Policy

Hospital Employed/Contracted Physicians Reimbursement H-225.964

09/02/2022
Risk—Physicians Taking
Ama Policy

Medicare Advantage Step Therapy D-320.984

09/02/2022
Step Therapy Override
Ama Policy

Excessive Telephone Wait Times for Physician Appeals of Managed Care Decisions on Patient Care D-285.977

10/15/2019
State Medical Necessity Appeals-Deadlines
Ama Policy

Processing Prior Authorization Decisions D-320.979

08/30/2022
U.R. Criteria
Ama Policy

Improper Use of AMA-CPT by Carriers/Software Programs H-70.954

01/03/2022
Fee Schedules, Payment Edits
Ama Policy

Physician Payment Reform H-400.972

01/03/2022
Fee Schedules
Ama Policy

Health System Reform Legislation H-165.838

08/30/2022
Risk—Physicians Taking
Ama Policy

11.1.2 Physician Stewardship of Health Care Resources

01/03/2022
Risk—Physicians Taking
Ama Policy

Reimbursement for Allied Health Personnel H-35.992

12/30/2021
Fee Schedules