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    CMS expands accelerated payment program to help physicians with COVID-19 cash flow challenges

    March 28, 2020
    CMS on Saturday announced an expansion of its accelerated and advance payment program for participating Medicare provid...

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    DHCS allows expedited physician enrollment during the COVID-19 emergency

    March 27, 2020
    The DHCS is suspending certain provider enrollment requirements to increase access to health care services for Medi-Cal...

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    WHO creates new ICD-10-CM code for COVID-19

    March 02, 2020
    A new ICD-10 emergency code (U07.1, 2019-nCoV acute respiratory disease) has been established by the World Health Organ...

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    Blue Shield of California announces fee schedule changes for some services

    February 20, 2020
    Blue Shield of California has announced upcoming changes to its physician fee schedule that will take effect on April 1...

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    Noridian begins reprocessing CMS geographic payment errors

    February 12, 2020
    Noridian, the California Medicare contractor, has recently advised that it will begin reprocessing claims impacted by...

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    TRICARE now covers 3-D mammography

    February 12, 2020
    As of January 1, 2020, TRICARE now covers annual 3-D mammography screenings through its provisional coverage program.  ...

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    Providers can now choose to receive Anthem Blue Cross medical records requests electronically

    February 05, 2020
    Beginning February 10, 2020, Anthem Blue Cross will begin using Availity’s medical attachment functionality to request ...

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    Coding Corner: Apply official ICD-10 guidance for vaping encounters

    January 29, 2020
    Thousands of cases of e-cigarette, or vaping, product use associated lung injury (EVALI) have been reported from across...

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    Reminder: Covered California open enrollment for 2020 ends January 31

    January 22, 2020
    Physicians are reminded that the open enrollment period for Covered California ends on January 31, with coverage effect...

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    Coding Corner: Three areas to consider when reporting a PA as an assistant surgeon

    December 10, 2019
    Medicare and other payors may provide extra payment when a procedure requires an assistant surgeon. But any time addit...

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    CMS releases final 2020 Medicare physician fee schedule

    November 12, 2019
    The Centers for Medicare and Medicaid Services (CMS) recently released its final rule updating the Medicare physician f...

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    Webinar: Are you getting your Prop 56 supplemental Medi-Cal payments?

    November 11, 2019
    To learn more about the supplemental payments, including how to ensure you’re getting your fair share, CMA is hosting a...

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    Coding Corner: Prepare for CPT® 2020 online E/M changes

    November 08, 2019
    The American Medical Association has released the CPT ® 2020 code set, which will be effective Jan. 1, 2020. Among the...

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    Physician experience highlights unintended consequences of CA's surprise billing laws

    November 05, 2019
    A new survey of California physicians illustrates serious unintended consequences from California’s surprise billing ...

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    CMA urges CMS to apply E/M increases to global surgery packages

    October 16, 2019
    CMA strongly opposes CMS’ proposal to not incorporate the adjusted values for the revised E/M codes into the 10- and 90...

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    Anthem Blue Cross terminates Medicare Advantage contract with Hill Physicians

    October 10, 2019
    The California Medical Association (CMA) has learned that Anthem Blue Cross has terminated its contract with Hill Physi...

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    Updated payor profiles for 2019 now available

    October 08, 2019
    The California Medical Association’s (CMA) Center for Economic Services is publishing updated profiles on each of the m...

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    Coding Corner: Important differences between ICD-10 Excludes1 and Excludes2 notes

    October 08, 2019
    On Sept. 1, 2019, Anthem Blue Cross posted news about a claim editing update to remove conflicts between Excludes1 and ...

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    CMA to host webinar on supplemental Medi-Cal payments for FY 19-20 and beyond

    September 16, 2019
    CMA is hosting a one-hour webinar—Proposition 56 funds: What’s new for FY 19-20 and beyond—on Wednesday, December 4 at ...

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    Anthem Blue Cross issues Medicare Advantage contract amendment

    September 12, 2019
    Anthem Blue Cross recently issued a notice to physicians with an amendment to its Prudent Buyer Plan Participating Phys...

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    UHC to require prior authorization for additional outpatient surgical procedures

    September 12, 2019
    As indicated in its September 2019 Network Bulletin , United Healthcare (UHC) will expand the list of surgical proce...

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    Coding Corner: ICD-10 2020 code set and official guidelines available now

    September 10, 2019
    CPR’s “Coding Corner” focuses on coding, compliance, and documentation issues relating specifically to physician billin...

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    Health Net implements additional claims review for certain ER visits

    September 09, 2019
    Health Net recently notified physicians that effective July 1, 2019, it was implementing an additional claims review pr...

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    Proposition 56 funds: What’s new for FY 19-20 and beyond

    September 09, 2019
    On June 27, 2019, Governor Newsom signed his first state budget, which included significant new funding for health care...

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    Cigna is next payor to discontinue payment of consultation services

    September 09, 2019
    Cigna is the latest payor to announce that it will no longer reimburse consultation services, effective for claims pr...

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    Reminder: Several Anthem Blue Cross changes effective Oct. 1

    September 06, 2019
    Physicians are reminded that October 1, 2019, marks the effective date of several important Anthem Blue Cross policy ch...

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    Reminder: Report unfair payment patterns to the regulator

    September 06, 2019
    CMA urges practices to closely monitor their accounts receivables to ensure that they have been paid properly and to re...

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