{"id":9067,"date":"2026-08-14T04:35:38","date_gmt":"2026-08-14T04:35:38","guid":{"rendered":"https:\/\/movinginsiderusa.com\/?p=9067"},"modified":"2026-08-14T04:35:38","modified_gmt":"2026-08-14T04:35:38","slug":"group-sues-ama-seeking-transparency-over-medicare-billing-codes","status":"publish","type":"post","link":"https:\/\/movinginsiderusa.com\/?p=9067","title":{"rendered":"Group sues AMA seeking transparency over Medicare billing codes"},"content":{"rendered":"<figure>\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" alt=\"\" class=\"wp-image-9065\" height=\"683\" src=\"https:\/\/movinginsiderusa.com\/wp-content\/uploads\/2026\/08\/9825128988150b4978c9411ea4640a27-1024x683.jpg\" width=\"1024\" srcset=\"https:\/\/movinginsiderusa.com\/wp-content\/uploads\/2026\/08\/9825128988150b4978c9411ea4640a27-1024x683.jpg 1024w, https:\/\/movinginsiderusa.com\/wp-content\/uploads\/2026\/08\/9825128988150b4978c9411ea4640a27-300x200.jpg 300w, https:\/\/movinginsiderusa.com\/wp-content\/uploads\/2026\/08\/9825128988150b4978c9411ea4640a27-768x512.jpg 768w, https:\/\/movinginsiderusa.com\/wp-content\/uploads\/2026\/08\/9825128988150b4978c9411ea4640a27-1536x1024.jpg 1536w, https:\/\/movinginsiderusa.com\/wp-content\/uploads\/2026\/08\/9825128988150b4978c9411ea4640a27-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n<figcaption>The AMA\u2019s billing codes are used across the U.S. health care system to determine reimbursement for specific medical procedures. (Minerva Studio\/iStock)<\/figcaption>\n<\/figure>\n<p>A health care advocacy group on Thursday <a href=\"https:\/\/movinginsiderusa.com\/wp-content\/uploads\/2026\/08\/dcfb3afe4c1e4e362a4f9d8fe06f7534.pdf\" rel=\"noreferrer\" target=\"_blank\" title=\"https:\/\/www.washingtonpost.com\/documents\/cb7104c6-8526-4026-91e2-8fb9412ab877.pdf\">sued<\/a> the American Medical Association in an effort to get more transparency over the association\u2019s billing codes, which guide billions of dollars in health care payments.<\/p><p>Read more <a href=\"https:\/\/movinginsiderusa.com\/?p=9063\">U.S. military has lost roughly 25% of its Reaper drones as Iran war depletes arsenal<\/a><\/p>\n<p>PatientRightsAdvocate.org hopes to republish the codes online and allow the public to search them free.<\/p>\n<p>The group, which has <a href=\"https:\/\/www.washingtonpost.com\/health\/2021\/07\/16\/hospital-cost-transparency\/\" rel=\"noreferrer\" target=\"_blank\" title=\"https:\/\/www.washingtonpost.com\/health\/2021\/07\/16\/hospital-cost-transparency\/\">pushed<\/a> for health care transparency, is challenging the AMA\u2019s copyright over its billing-code system, known as the Current Procedural Terminology or CPT. The codes are used by Medicare and states to determine how much reimbursement physicians and other health care practitioners receive for services.<\/p>\n<p>The AMA, the nation\u2019s largest physician lobbying organization, charges licensing fees for use of its CPT codes.<\/p>\n<p>\u201cWhat we are seeking to do is allow them to be freely available, publishable and usable across the health care system,\u201d Cynthia Fisher, the founder of PatientRightsAdvocate.org, said in an interview.<\/p><p>Read more <a href=\"https:\/\/movinginsiderusa.com\/?p=9059\">In turnabout, Blanche lauds DOJ career staff in first speech as attorney general<\/a><\/p>\n<p>She also criticized the fees that the AMA charges for the use of its codes, which generate more than $300 million per year in royalties for the AMA, based on recent data. \u201cThese fees are adding to the costs of care and coverage,\u201d Fisher said.<\/p>\n<p>Advocates, medical groups and lawmakers have long questioned the AMA\u2019s role setting health care payments, and the Trump administration <a href=\"https:\/\/www.washingtonpost.com\/politics\/2026\/07\/14\/trump-officials-seek-public-input-overhaul-medicare-payment-system\/\" rel=\"\" target=\"_blank\" title=\"https:\/\/www.washingtonpost.com\/politics\/2026\/07\/14\/trump-officials-seek-public-input-overhaul-medicare-payment-system\/\">is seeking public input<\/a> on whether it should stop using the AMA\u2019s codes. Sen. Bill Cassidy (R-Louisiana), the chairman of the Senate\u2019s Health, Education, Labor and Pensions Committee, has also been investigating the AMA\u2019s codes and whether the organization is wrongly profiting from them.<\/p>\n<p><i>Catch up quickly every weekday morning with a rundown of the 7 most important and interesting stories. <\/i><a href=\"https:\/\/www.washingtonpost.com\/newsletters\/the-7\/?method=SURL&amp;location=ART&amp;initiative=LIVE\" rel=\"\" target=\"_self\" title=\"https:\/\/www.washingtonpost.com\/newsletters\/the-7\/?method=SURL&amp;location=ART&amp;initiative=LIVE\"><i>Sign up for The 7 newsletter<\/i><\/a><i>.<\/i><\/p><p>Read more <a href=\"https:\/\/movinginsiderusa.com\/?p=9056\">Graham Platner to speak at Maine rally in return to public eye<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>PatientRightsAdvocate.org says it wants to republish the proprietary billing codes that guide billions of dollars in health care payments.<\/p>\n","protected":false},"author":1,"featured_media":9064,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9067","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-interesting"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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