INSURANCE - CODING
(READOPTED 12-51; RESOLUTION 02-24) RESOLVED, that the ISMA continue to confront unilateral code-collapsing and recoding practices by insurers; and be it further, RESOLVED, that the ISMA request that Anthem no longer require physicians to sign a contract that permits Anthem to reassign and rebundle CPT codes. (RESOLUTION 11-39) RESOLVED, that the AMA work to establish a unique billing code (G code) for completion of the Face-to-Face Encounter form and reimbursement for the code; and be it further RESOLVED, that the AMA investigate the possibility of incorporating the questions required for the Face-to-Face Encounter into a new modified form 485 for the sake of simplicity and efficiency. This new modified form should also have a higher level of reimbursement than the current form 485; and be it further RESOLVED, that if this resolution (11-39) is approved by the ISMA House of Delegates, it will be sent to the AMA for discussion and consideration. (RESOLUTION 10-54; AMENDED EXISTING POLICY 00-59) RESOLVED, that the ISMA support the correctuse of AMA CPT guidelines for coding and payment by payers. (READOPTED 09-40, HOD; READOPTED 99, HOD; RESOLUTION 89-4) RESOLVED, that the ISMA and the AMA combat severe sanctions and harsh and unreasonable penalties that are leveled against physicians because of errors in the coding process. (RESOLUTION 08-17A) RESOLVED, that the ISMA direct the AMA Delegation from Indiana to present a resolution at the AMA requesting a new CPT code be created to describe the time and resources needed by physicians for concurrent care and coordination of care of patients in the hospital and seek reimbursement for the same.