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Search results for: health insurance

The Personal Side of COVID-19: Q&A with Philip A. Waller, MD

Susan Bernstein  |  April 3, 2020

The outbreak of the SARS-CoV-2 virus is disrupting rheumatology clinics and practices all over the world. In the U.S., many providers are turning to telemedicine to care for their patients, but struggles remain. Philip A. Waller, MD, who practices at Accurate Clinical Research, Houston, spoke with The Rheumatologist about how the pandemic is affecting his…

Filed under:Uncategorized Tagged with:CareercoronavirusCOVID-19Practice Managementrheumatologists

ACR Urges Commercial Payers to Provide Relief from Prior Authorizations, Practice Disruptions

From the College  |  March 23, 2020

The ACR is urging insurance companies to expand access to telehealth services and provide relief from administrative burdens to help providers focus on patient care at this critical time.

Filed under:InsuranceLegislation & Advocacy Tagged with:ACR Insurance Subcommittee (ISC)AdvocacyCOVID-19Health Insuranceprior authorizationtelehealthUnitedHealthCare (UHC)

Enemy at the Gates: The Emerging Threat of COVID-19

Philip Seo, MD, MHS  |  March 23, 2020

On Dec. 30, 2019, an ophthalmologist named Li Wenliang notified his colleagues about an illness that was reminiscent of severe acute respiratory syndrome (SARS) in a city in the Hubei province of China called Wuhan. As an ophthalmologist, this was not directly relevant to his practice; he merely wanted to warn colleagues that they might…

Filed under:ConditionsOpinionProfessional TopicsRheuminationsSpeak Out Rheum Tagged with:COVID-19Philip SeoRheuminationsSeo

Physicians Identify Professional Dissonance as a Cause of Burnout

Lara C. Pullen, PhD  |  March 9, 2020

Recent research into burnout in primary care providers has found many providers experience professional dissonance and cite increasing paperwork and undervaluation as contributors to burnout. The study also outlined solutions that may improve professional fulfillment…

Filed under:Career DevelopmentProfessional Topics Tagged with:burnoutphysician burnoutprimary carePrimary Care Physicianwork-life balance

Timothy Laing, MD, Reappointed to AMA’s Relative Value System Update Committee

Kelly Tyrrell  |  March 5, 2020

Timothy Laing, MD, will continue to represent the ACR in his third stint on the AMA’s Relative Value System Update Committee, helping determine the relative value of clinical services.

Filed under:Billing/CodingLegislation & Advocacy Tagged with:AMA Relative Value Update Committee (RUC)MDRelative valueTimothy Laing

Don’t Miss 2020 E/M Coding Workshop in New Orleans

From the College  |  February 13, 2020

Access to good training and education on practice management and coding issues has proved beneficial to physician success. Getting up-to-date information on compliance, insurance reimbursement, office efficiency, coding and billing is crucial for effective and efficient practice management. The ACR’s Committee on Rheumatologic Care (CORC) has created the premier one-day E/M Documentation Trends and Best…

Filed under:Billing/CodingFrom the CollegePractice Support Tagged with:E/M Coding

felipe caparros / shutterstock.com

Copay Accumulator Programs Can Derail Rheumatologic Treatment Plans

Wendy Ramey, BSPharm, RPh, CSP  |  February 13, 2020

As the medications for rheumatology become more expensive, the need for patient financial assistance becomes paramount. Unfortunately, commercially insured patients are finding it difficult to afford the exorbitant copays required by their plans, and the latest strategy of pharmacy benefit managers (PBMs) threatens to derail rheumatologic treatment goals. High deductible plans combined with copay accumulator…

Filed under:Drug UpdatesLegislation & AdvocacyPractice Support Tagged with:copay accumulatorscopay maximizerspharmacy benefit managers (PBMs)prior authorization

Tips for Smoothing the Time-Consuming Prior Authorization Process

Susan Bernstein  |  January 17, 2020

ATLANTA—Obtaining prior authorization to ensure services or prescription drugs are covered by a patient’s health plan consumes staff time, and delays or denials may cause patients to abandon treatment, according to speakers at the 2019 ACR/ARP Annual Meeting. In a session on Nov. 10, the experts shared tips to smooth the process. Train Staff on…

Filed under:Practice SupportWorkforce Tagged with:2019 ACR/ARP Annual Meetingpharmacy benefit managers (PBMs)prior authorizationstep therapy

Tele-Rheumatology Offers Lots of Benefits

Thomas R. Collins  |  January 17, 2020

ATLANTA—With growing demand for access to rheumatologists in rural areas, a shortage in the number of rheumatologists and the ability to use technology as a bridge to patients in remote areas, telemedicine seems like a smart option. And it certainly can be, experts said at a 2019 ACR/ARP Annual Meeting session in November. But a…

Filed under:Practice SupportTechnology Tagged with:2019 ACR/ARP Annual Meetingtelemedicine

New ACR/ARP Committee Members Are Ready to Work

Kimberly J. Retzlaff  |  January 16, 2020

Volunteering is a great way to give back and can be truly meaningful. Myriad worthwhile causes exist, so it can be hard to choose among them, but donating time to ACR and ARP committees helps promote rheumatology practice and brings awareness to rheumatic diseases. The College relies on volunteers to help achieve strategic priorities, promote…

Filed under:Professional Topics Tagged with:Association of Rheumatology Professionals (ARP)LeadershipVolunteering

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