Florida Medical Association

FMA Magazine - Q2 2013

Magazine of the Florida Medical Association

Issue link: http://flmedical.uberflip.com/i/136766

Contents of this Issue


Page 3 of 36

Building Bridges The FMA's first Insurance Summit helped to close the gap between physician practices and insurers on payment issues. By Monte Stevens With physicians across Florida and around the country facing an ever-changing landscape of payment models and reimbursement formulas, the relationship between payers and medical professionals has never been more important. To facilitate that relationship and assist physicians and their staff members in managing their billing systems, the FMA brought together several of the largest private payers and Medicare and Medicaid representatives for the first FMA Insurance Summit, which was held on June 16 at Disney's Coronado Springs Resort in Orlando. 5 of the state's largest insurance companies participated "I think the Summit was wonderful. I really appreciated all of the information." The event was completely sold out with over 150 attendees. The one-day Summit, which was extremely well-received by members, featured panel discussions and presentations by major insurance companies such as event sponsor Florida Blue, United Healthcare and Sunshine State Health Plan. It also gave physicians and members of their office staffs the opportunity to resolve particular billing problems by speaking directly with representatives from individual payers. The variety of formats allowed participants to learn about a wide range of issues that affect the business side of their medical practices. The Summit began with a Medicaid panel discussion about what physicians can expect as Florida begins the statewide rollout of the Medicaid Managed Care Program. Panelists representing the FMA, the Florida Association of Health Plans (FAHP), United Healthcare and Sunshine State Health Plan discussed a myriad of topics including procedural changes with billing and network adequacy. Audience members said that the discussion will help them avoid confusion when the managed care program is expanded later this year. Participants later heard individual presentations from United Healthcare, Sunshine State Health Plan and First Coast Service Options, which is the billing agent for Medicare in Florida. Each presenter covered key topics such as making sure claims are filed appropriately, avoiding billing mistakes and methods to appeal denied claims.

Articles in this issue

Archives of this issue

view archives of Florida Medical Association - FMA Magazine - Q2 2013