AMA CPT® Assistant - 2007 Issue 4 (April)

MDL Settlements (April 2007)

April 2007 pages 1-2 MDL Settlements The American Medical Association (AMA) wants you to know that Aetna, Inc, CIGNA Corporation, Health Net, Inc, Humana, Inc, and WellPoint, Inc (Anthem) have settled their Multi-District Litigation (MDL) lawsuits. As a result of these settlements, brought about by state and county medical societies and the nation's physicians, certain health plan practices are prohibited. Each settlement provides for prospective relief such as greater transparency in the health plans' claims processing and payment practices that include: Automatic downcoding Disclosure of fee schedules Disclosure of claim coding and payment policies Prompt payment Retrospective refund request...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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