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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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    Reminder: UnitedHealthcare to stop paying consultation services June 1

    May 30, 2019
    As previously reported , UnitedHealthcare’s (UHC) will begin phasing out reimburse consultation services for commercia...

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    CMA continues to challenge Anthem modifier 25 policy

    May 14, 2019
    CMA is very concerned with the adverse impacts of this new policy upon our physician members and has been in continued ...

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    New law requires regulator to review physician complaints of unfair payment patterns

    May 14, 2019
    Effective July 1, 2019, DMHC will be required to annually review complaints filed by providers who believe a plan is en...

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    Some physician groups may be required to obtain a Knox Keene license

    May 13, 2019
    DMHC recently adopted a regulation that requires entities that assume any amount of global risk to either obtain a lice...

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    HHS announces new primary care delivery and payment models

    May 13, 2019
    The HHS recently unveiled five new voluntary Medicare primary care payment models.

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    DHCS releases Prop 56 payments to Medi-Cal managed care plans

    May 09, 2019
    DHCS has received federal approval of its plan to increase Medi-Cal managed care physician payments for the 2018-2019 f...

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    Congressional committee approves Medicare Advantage prior authorization reforms

    May 09, 2019
    These reforms would scale-back Medicare Advantage plan prior authorization and some prescription drug step therapy

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    Coding Corner: The global period – post-op pain management and more

    May 07, 2019
    This month’s tip comes from G. John Verhovshek, the managing editor for AAPC, a training and credentialing association ...

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    Coding Corner: How to report a consult service when your payor doesn’t accept consult codes

    April 02, 2019
    It’s been nearly a decade since Medicare has accepted claims for either outpatient (99241-99245) or inpatient (99251-99...

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    Noridian continues to deactivate providers for not responding to Medicare revalidation notices

    March 29, 2019
    Physicians are reminded that their Medicare billing privileges will be deactivated if they fail to respond to Medicare ...

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    CMA urges Congress to adopt New York surprise coverage law

    March 18, 2019
    A bipartisan group of United States Senators are working to draft legislation to protect patients from unanticipated me...

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    Anthem Blue Cross to deny certain E&M services billed with modifier 25

    March 13, 2019
    Modifier 25 allows separate payment for a significant, separately identifiable E&M service provided on the same day as a...

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    Coding Corner: How to appropriately apply modifiers LT, RT and 50

    March 06, 2019
     Confusion about when to append CPT® modifier 50 Bilateral procedure, versus HCPCS Level II modifiers LT Left side and ...

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    UnitedHealthcare to discontinue payment of consultation services

    March 05, 2019
    UnitedHealthcare (UHC) has announced that it will no longer reimburse consultation services for commercial product li...

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