New AMA guidebook takes the mystery out of insurer-provided profiles
March 15, 2012
The American Medical Association (AMA) has introduced a new teaching guide to help physicians review insurer-provided practice data and use the information for practice improvement. Take Charge of Your Data is designed to help physicians understand and verify the accuracy of complex profile reports provided by public and private health insurers and based on collected claims data. Using practical information and instructions, the guide will simplify the process of reviewing profile reports and help physicians better use the data to provide patients with the highest quality of care.
"It is increasingly important that physicians be able to confirm the accuracy of the practice data collected by insurers since this information is used to drive public reporting, pay-for-performance, physician tiering and narrow network programs," said AMA President Peter W. Carmel, MD. "Practice data must be accurate in order to be actionable, and the AMA's new guide will help physicians ensure that only reliable information is the basis of any profile report."
Take Charge of Your Data was created to be used in tandem with a Standardized Physicians Data Report created by the AMA to encourage insurers to adopt a uniform format for physician data reports. The standardized report serves as a model reference for the AMA's new guidebook. When used together, the two resources will teach physicians how to extract information and patterns from their own data reports provided by insurers.
The new AMA guidebook and the supplementary standard report are available free to all physicians. For other innovative AMA resources that promote the accuracy and transparency of physician profiling activities, please visit the AMA's newly updated Practice Management Center website.