2 Tools Anesthesiologists Can Use to Evaluate Third Party Payer Performance
blog post, CEO Tony Mira, discusses two tools that anesthesiologists and pain management specialists who contract with private payers can use to evaluate the performance of third party payers.
In the post, Mr. Mira notes that The American Medical Association and the Medical Group Management Association offer tools and information that anesthesiologists can use to find potential problem areas and to negotiate for specific performance standards and remedies for non-compliance.
Mr. Mira identifies and discusses two tools that anesthesiologists can use. These are:
1. The AMA's National Health Insurer Report Card, which contains metrics on the timeliness, transparency and accuracy of claims processing by the payers being analyzed. 2. An MGMA survey that assesses member satisfaction with major national health plans.
Anesthesiologists must remain on top of their payer relationships, according to Mr. Mira.
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