The ACR is committed to advocating for appropriate coverage and payment policies. The volunteer members of the Insurance Subcommittee (ISC) lead this effort by representing the ACR and its membership to the insurance industry. The ISC engages payers to ensure their policies are clinically appropriate and promote patient access to high-quality care and treatment. The…
Opinion: Insurance Companies Use Medically and Fiscally Irresponsible Formularies
Receipt of an unsolicited communication that a sweepstakes award has been won may con some people (especially, but not limited to, those underprivileged or undereducated as to legalities), but can’t fool all of the people all of the time. The names of the organizations and products involved are often marketing tool inventions, which imply special…
What the Healthcare System Can Learn from the World of Bees
Bees’ natural instinct to promote health of whole colony could inspire healthcare professionals to work together toward common good
Are Insurance Companies’ Medication Directives Fiscally, Medically Questionable?
A reader questions whether insurers’ practice of promoting medications has undermined physicians’ ability to provide quality patient care
Healthcare Market Payment Shift Makes Patient Co-Pays More Important
Physicians will need to enforce stricter policies, procedures to collect patient co-payments, deductibles
Affordable Care Act Latest in Half-Century of Healthcare Reform
Highlights in 50-year timeline of national healthcare legislation, proposals, and policies since the Social Security Act was adopted in 1965
Role of the Physician and Healthcare Professional in Helping a Patient Obtain Disability Benefits
A review of the two most common disability insurance programs for people who can no longer work, and the healthcare worker’s role in assisting patients with their disability claims.
The American College of Rheumatology (ACR) can Help Combat Insurance Frustrations
When it comes to dealing with insurance companies, the rules seem to change frequently and always in an arbitrary and capricious way. The ACR is trying its best to protect rheumatologists, but we need your help!
Dos and Don’ts of Verifying Insurance Benefits
Not verifying insurance benefits prior to rendering service can result in nonpayment, which affects your bottom line. Because this is a costly mistake that can be avoided, make it routine to verify eligibility prior to every patient visit.
Coding Corner Question: Eligibility Quiz for Front Office Staff
January’s Coding Challenge
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