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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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Payment Issues

Network Issues

Contract Changes / Disputes

Coverage / Utilization Review

Claims Processing

Ama Policy

Step Therapy H-320.937

08/30/2022

Step Therapy

Step Therapy Override
Ama Policy

Improving Risk Adjustment in Alternative Payment Models H-385.907

08/30/2022
Risk—Physicians Taking
Ama Policy

CPT Modifiers D-70.959

10/18/2019
Payment Edits
Ama Policy

Postoperative Care of Surgical Patients D-70.955

10/18/2019
Fee Schedules, Payment Edits
Ama Policy

Fixed Reimbursement to Physicians for Laboratory Services D-70.957

10/18/2019
Payment Edits
Ama Policy

Discriminatory Payment Polices D-70.969

10/18/2019
Fee Schedules
Ama Policy

Blended Payments D-70.958

10/18/2019
Fee Schedules
Ama Policy

Insurers Excessive Documentation Requirements and Claims Submission D-70.991

03/05/2021
Claims Filing Deadlines
Ama Policy

Preservation of Five Levels of Evaluation and Management Services D-70.979

10/18/2019
Fee Schedules
Ama Policy

Appropriate Reimbursements and Carve-Outs for Vaccines D-70.975

10/18/2019
Fee Schedules