D-385.980 Provision of Payment Schedules and Methodology of Payment as Part of the Contracting Process  

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D-385.980 Provision of Payment Schedules and Methodology of Payment as Part of the Contracting Process

D-385.980 Provision of Payment Schedules and Methodology of Payment as Part of the Contracting Process

 

State medical associations that wish to pursue a ruling for their individual members similar to that used by the Medical Association of Georgia in obtaining relief from payment contract practices which do not disclose the full term of reimbursement should contact the Litigation Center for support. Our AMA, within its resources, should continue to assist physicians and medical associations that pursue well grounded legal actions to secure disclosure from MCOs of their fee schedules and payment methodologies. (BOT Rep. 13, A-03; Reaffirmation A-08)