decisionhealth Newsletters, Part B News - 2011 Issue 7 (July)
Benchmark of the Week: Payer performance statistics, 2010-2011
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Article Overview
This article reviews payer performance statistics drawn from the AMA’s 2011 National Health Insurer Report Card. It compares private payers and Medicare using broad measures of remittance consistency and turnaround time, and explains why these metrics matter to practices evaluating payer relationships and administrative burden.
Why This Topic Matters
It helps billing and revenue cycle professionals understand how payer performance can affect payment predictability, claim follow-up, and overall administrative workload when comparing insurers.
What You Will Learn
- How the article benchmarks payer performance using AMA report card data
- What general measures are used to compare payment consistency and claim turnaround
- Why payer transparency and administrative workload are discussed as part of the comparison
- How the article frames differences between Medicare and private payers at a high level
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle managers
- Practice administrators
- Physician office staff
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