Advocacy in action
AOA works to reduce administrative burden and protect patient care
The AOA advocates with private payers to decrease administrative burden for physicians, streamline payment of claims and improve outcomes for patients. Working on behalf of the nation’s 168,701 DOs and medical students, the AOA physician services team engages with health care payers when policies delay or deny patient care, create added administrative work or otherwise hinder efficient health care delivery.
If you have questions or need assistance, please contact Physician Services or call (312) 202-8194. If your AOA membership is not current and you wish to take advantage of this and all other AOA member benefits, you may join or renew your membership online.
Insurer Policies that may impact DOs
Insurers continue to target claims involving modifier 25 with policies that trigger automatic audits, some may be based on the diagnosis and time between claims, others are based strictly on the use of the modifier. Other denials may be for prepayment clinical validation for a range of modifiers. AOA works closely with members experiencing increased denials or payment delays.