The Trump administration is now scrutinizing the American Medical Association over the “influence” its medical billing codes have on healthcare nationwide.
Current Procedural Terminology (CPT) codes are meant to “provide a uniform nomenclature for coding medical procedures and services,” according to the AMA. However, some Republicans have raised concerns about whether the AMA currently holds too much sway over the medical care coding system, which could potentially stifle competition and drive up health costs.
The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule on July 16 that includes a request for public comment “on a number of areas regarding the influence of the CPT coding system and AMA process on physician payment policy as part of the Secretarial priority to Make America Healthy Again.”
“What, if any, evidence is there for CMS to consider regarding the harms or challenges associated with AMA’s monopoly over CPT-4 licenses for health care entities?” the proposed rule asks.
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