X

CMA Practice Resources

  • image

    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...

  • image

    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...

  • image

    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 ...

  • image

    New Medi-Cal fiscal intermediary took over Oct. 1

    October 01, 2019
    The California Department of Health Care Services’ (DHCS) transition of all fiscal intermediary duties from Conduent to...

  • image

    Webinar: Are you getting your share of the Prop 56 supplemental Medi-Cal payments?

    September 30, 2019
    To learn more about the supplemental payments, including how to ensure you’re getting your fair share, CMA is hosting a...

  • image

    Reminder: Switch to new Medi-Cal fiscal intermediary takes effect Oct. 1

    September 24, 2019
    The California Department of Health Care Services (DHCS) has contracted with DXC Technology who will assume all fiscal ...

  • image

    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 ...

  • image

    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...

  • image

    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...

  • image

    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...

  • image

    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...

  • image

    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...

  • image

    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...

  • image

    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...

  • image

    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...

  • image

    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...

  • image

    CMS now accepting hardship exceptions for 2019 reporting year

    August 22, 2019
    Physicians and groups that qualify for MIPS can submit a hardship exception application for one of three reasons.

  • image

    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...

  • image

    CMA updates Prop 56 Payment Monitoring Worksheet

    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...

  • image

    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.

  • image

    Anthem to begin pre-payment modifier audit process

    August 15, 2019
    The pre-payment modifier review will focus on claims billed with modifiers 25, 59, 57, LT/RT

  • image

    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. ...

  • image

    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...

  • image

    Fake DEA extortion scam resurfaces in California

    August 08, 2019
    Scam artists posing as U.S. Drug Enforcement Administration (DEA) agents are calling California physicians and consumer...

  • image

    Anthem Blue Cross to reduce timely filing requirement to 90 days

    August 05, 2019
    All claims submitted on or after October 1, 2019, will be subject to the new 90 day filing requirement.

  • image

    CMS publishes 2017 performance data on Physician Compare website

    August 05, 2019
    CMS recently published 2017 performance information from the Medicare QPP on the “Physician Compare” website.  

  • image

    Symphony Provider Directory streamlines provider information reporting

    July 31, 2019
    The Symphony Provider Directory streamlines the way plans and providers exchange and reconcile provider information.

Stay Informed

Opt in to receive updates on the latest health care news, legislation, and more.