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    Blue Shield announces temporary increases to professional fee schedule

    August 11, 2020
    In an August 5, 2020, notice to providers, Blue Shield announced it would be temporarily increasing reimbursement rates...

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    Cigna implements outpatient advanced radiology policy

    August 04, 2020
    Cigna implemented a new policy restricting outpatient advanced radiologic imaging procedures in the hospital setting....

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    Ask the expert: How long does a payor have to approve or deny a request for a prior authorization?

    August 03, 2020
    Decisions to approve, modify or deny a standard request for a prior authorization must be made in a timely fashion appr...

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    DHCS publishes video tour of new Medi-Cal website

    June 30, 2020
    On June 15, 2020, the California Department of Health Care Services (DHCS) launched a new Medi-Cal website. The initial...

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    CMS announces payment parity for audio-only telephone visits

    April 30, 2020
    CMS announced on Thursday a significant expansion of telehealth services so physicians and other providers can deliver ...

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    CMS to collect COVID-19 clinical trial data through QPP

    April 24, 2020
    The Centers for Medicare and Medicaid Services (CMS) on Monday announced it is encouraging physicians who participate...

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    Medicare QPP deadline approaching; reporting optional during COVID-19

    April 23, 2020
    Physicians who plan to report on 2019 measures for the Medicare Quality Reporting Program (QPP) must do so by April 3...

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    Physicians can apply NOW for $200 million in financial support from Blue Shield of CA

    April 21, 2020
    Blue Shield of California recently announced it would be providing $200 million in direct support to physician practice...

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    UnitedHealthcare delays rollout of ED professional coding policy

    April 17, 2020
    Due to the COVID-19 public health emergency, the implementation date for UnitedHealthcare’s new Medicare Advantage Emer...

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    HHS opens attestation portal for providers who received initial $30 billion in CARES grants

    April 16, 2020
    The U.S. Department of Health and Human Services (HHS) has opened the CARES Act Provider Relief Fund Payment Attestatio...

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    HHS clarifies terms and conditions for $30 billion payments to physicians

    April 15, 2020
    On April 10, 2020, the U.S. Department of Health and Human Services (HHS) began sending FFS Medicare-enrolled physician...

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    Medicare 2% payment increase to take effect on May 1

    April 15, 2020
    The Coronavirus Aid, Relief, and Economic Security (CARES) Act temporarily suspends the 2% sequestration payment adjust...

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    AMA announces new CPT codes for COVID-19 antibody tests

    April 10, 2020
    AMA today announced two new CPT codes to report when patients receive blood tests that detect COVID-19 antibodies.

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    HHS made $30 billion in direct deposits to physician practices today

    April 10, 2020
    This morning, HHS announced that Medicare-enrolled providers would receive a direct deposit disbursements today totalin...

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    Noridian hosts webinars for physicians on Medicare advance payment requests

    April 09, 2020
    Noridian has scheduled a number of webinars to help providers with the process.

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    DMHC issues new guidance on billing for telehealth services

    April 08, 2020
    On April 7, 2020, DMHC issued a follow-up All Plan Letter (APL) and an FAQ that provides specific guidance on billing f...

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    CMS issues sweeping new Medicare regulatory changes, including broad telehealth coverage

    March 31, 2020
    CMS on Monday took a number of steps to equip the health care system with maximum flexibility to respond to the COVID-1...

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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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