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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, October 16 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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    Have you received your FY 18-19 Prop 56 supplemental payments?

    September 05, 2019
    The California Health Care, Research and Prevention Tobacco Tax Act of 2016 (Prop 56) created new revenues dedicated to...

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    CMS adopts many AMA recommendations for new E/M payment system

    September 03, 2019
    The Centers for Medicare and Medicaid Services (CMS) recently released a 1700-page proposed rule for the 2020 Medicare ...

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    Noridian hosting Medicare provider enrollment conference

    August 20, 2019
    California’s Medicare contractor is hosting a two-day provider enrollment conference in Anaheim on September 18-19, 201...

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    Coding Corner: Medicare now allows modifier 59 on CCI column 1 or column 2 code

    August 15, 2019
    This is a change from the previous rule requiring placement of those modifiers on the column 2 code.

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    UnitedHealthcare to allow update of approved prior authorizations

    August 14, 2019
    UHC will now allow physicians to update or modify an existing, approved prior authorization after the date of service. ...

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    CMA to host webinar on Medicare changes for 2020

    August 14, 2019
    The California Medical Association is hosting a webinar with California’s Medicare contractor, Noridian Healthcare So...

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    Tell Congress to back the Protecting People from Surprise Bills Act

    August 05, 2019
    CMA is urging physicians to contact their members of Congress during the August recess about the surprise medical billi...

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    CMA urges Congress to follow New York’s successful surprise billing model

    July 22, 2019
    While CMA is committed to working towards a solution that protects patients from surprise medical bills, we continue to...

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    Coding Corner: July 2019 HCPCS code updates for drugs and biologicals

    July 16, 2019
    On July 1, 2019, several new HCPCS codes became available for reporting drugs and other agents.

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    State budget includes $250M for Medi-Cal Value-Based Payments Program

    July 11, 2019
    The value-based payments will apply to services provided starting July 1, 2019.

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    Final MIPS scores for 2020 Medicare payments now available

    July 08, 2019
    The payment adjustment you will receive in 2020 is based on this final score.

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    CMA continues advocacy on recent Anthem modifier 25 policy

    June 24, 2019
    CMA along with other state and specialty societies continue to voice concerns with the recent implementation of the Ant...

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    UHC to rollout site of service reviews for arthroscopic and foot surgeries

    June 21, 2019
    Effective September 3, 2019, UnitedHealthcare (UHC) will require prior authorization for certain musculoskeletal surgic...

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    Golden Shore Medical Group assigns assets for liquidation

    June 12, 2019
    Golden Shore closed its doors on January 31, 2019, after Molina Healthcare terminated its contract with the delegated e...

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    Reminder: Anthem fee schedule changes effective July 1

    June 07, 2019
    Physicians are reminded that the changes to the Anthem Blue Cross Prudent Buyer Participating Physician Agreement and f...

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