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    Anthem provides clarification on scope of CVS specialty medication policy

    November 19, 2020
    In September 2020, Anthem Blue Cross sent notices to affected physicians and hospitals advising that it would begin req...

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    CMA joins coalition urging payors to reimburse for new CPT code 99072

    November 17, 2020
    CMA signed onto several coalition letters, spearheaded by AMA, urging payors across the nation to immediately adopt and...

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    Reminder: HHS funds available to cover COVID-19 treatment for uninsured patients

    November 17, 2020
    In April, HHS announced a process for allocating approximately $10 billion of the $100 billion Public Health and Emerge...

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    UHC to conduct site-of-service reviews for screening colonoscopies

    October 20, 2020
    Effective January 1, 2021, UnitedHealthcare (UHC) will implement a new policy restricting screening coloscopy procedu...

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    Ask the Expert: Is telehealth payment parity ending soon?

    October 20, 2020
    Over the past few months, CMA has received a number of inquiries from physician practices concerned that the requiremen...

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    Anthem Blue Cross introduces new narrow network for 2021

    October 20, 2020
    Anthem Blue Cross has begun marketing a new, narrow “high performance” network for 2021. The Anthem High Performance/Bl...

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    UnitedHealthcare further delays rollout of ED professional coding policy

    October 08, 2020
    UnitedHealthcare (UHC) announced in its October 2020 Network Bulletin that it will further delay the implementation dat...

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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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