ACR Convergence 2023| ANCA-Associated Vasculitis| Psoriatic Arthritis

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Billing/Coding

We Want You: Your Role in the CPT Valuation Process

Carina Stanton  |  October 23, 2023

Accurate reimbursement for rheumatology services ensures rheumatologists can run successful practices and provide needed care, but only if they speak up through survey input to explain how much that care costs. Here’s how to participate in the process when rheumatology CPT codes come up for review.

Updates from the ACR Insurance Subcommittee Chair

Rebecca Shepherd, MD, MBA, FACR, FACP  |  September 25, 2023

The Insurance Subcommittee is working to address coverage and reimbursement challenges facing rheumatology practices. Recent activities include efforts to avoid increased administrative burden associated with specialty medications, support payer coverage of musculoskeletal ultrasounds and protect patient access to biologics.

Ethics Forum: Thoughts on Managing Electronic Communication with Patients

James Topilow, MD, & Yvonne M. Golightly, PT, MS, PhD  |  August 14, 2023

Recent proposals in the U.S. to bill for electronic communication with our patients could be seen as a refreshing but contested attempt to battle burnout rates in the present era. A fee for electronic communications between patients and clinicians also acknowledges the value of the clinician’s time and expertise. But is this ethical? Discussion Burnout…

The ACR Opposes New AI-Based Decision-Making Platform

From the College  |  July 25, 2023

On July 1, Blue Cross Blue Shield of North Carolina introduced a machine-learning technology platform to make decisions about patients’ care and treatment. The ACR opposes its use on grounds that it may harm patients’ access to treatment and undermine the doctor-patient relationship.

Copay Accumulator & Maximizer Programs Threaten Access to Treatment

From the College  |  July 6, 2023

As health insurance companies and third-party benefit managers continue to use copay accumulators and maximizers to shift the cost of specialty drugs to patients, the ACR continues to advocate against programs that limit copay assistance.

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