August 19, 2019 The worksheet has been updated to help physicians determine if they have been paid correctly based on the FY 18-19 sup...
August 15, 2019 This is a change from the previous rule requiring placement of those modifiers on the column 2 code.
August 15, 2019 The pre-payment modifier review will focus on claims billed with modifiers 25, 59, 57, LT/RT
August 14, 2019 UHC will now allow physicians to update or modify an existing, approved prior authorization after the date of service. ...
August 14, 2019 The California Medical Association is hosting a webinar with California’s Medicare contractor, Noridian Healthcare So...
August 08, 2019 Scam artists posing as U.S. Drug Enforcement Administration (DEA) agents are calling California physicians and consumer...
August 05, 2019 All claims submitted on or after October 1, 2019, will be subject to the new 90 day filing requirement.
August 05, 2019 CMS recently published 2017 performance information from the Medicare QPP on the “Physician Compare” website.
July 31, 2019 The Symphony Provider Directory streamlines the way plans and providers exchange and reconcile provider information.
July 16, 2019 On July 1, 2019, several new HCPCS codes became available for reporting drugs and other agents.
July 12, 2019 Under California’s unfair payment practices law, payors are required to establish a fast, fair and cost-effective dispu...
July 08, 2019 The payment adjustment you will receive in 2020 is based on this final score.
July 01, 2019 On June 13, 2019, the California Department of Health Care Services issued instructions for Medi-Cal managed care plan ...
June 24, 2019 CMA along with other state and specialty societies continue to voice concerns with the recent implementation of the Ant...
June 21, 2019 Effective September 3, 2019, UnitedHealthcare (UHC) will require prior authorization for certain musculoskeletal surgic...
June 12, 2019 Golden Shore closed its doors on January 31, 2019, after Molina Healthcare terminated its contract with the delegated e...
June 07, 2019 The program is funded with $180 million in Proposition 56 funds, estimated at $360 million in total funds annually with...
June 07, 2019 Physicians are reminded that the changes to the Anthem Blue Cross Prudent Buyer Participating Physician Agreement and f...
June 05, 2019 Episode 3 of this podcast highlights the “ CMS Innovation Center: Where we are, How Models are Developed and the Next S...
June 05, 2019 New legislation would reduce health care bureaucracy and delays for patients.
May 31, 2019 Health Net Federal Services recently notified providers about an email phishing scam targeting TRICARE West Region prov...
May 30, 2019 As previously reported , UnitedHealthcare’s (UHC) will begin phasing out reimburse consultation services for commercia...
May 24, 2019 California law allows physicians to charge patients 25 cents per page for copying their medical records or 50 cents per...
May 14, 2019 CMA is very concerned with the adverse impacts of this new policy upon our physician members and has been in continued ...
May 14, 2019 Effective July 1, 2019, DMHC will be required to annually review complaints filed by providers who believe a plan is en...
May 13, 2019 DMHC recently adopted a regulation that requires entities that assume any amount of global risk to either obtain a lice...
May 09, 2019 Effective May 13, 2019, Health Net Federal Services (HNFS) will assume management duties for the TRICARE West mental ...
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