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CMA Practice Resources

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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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    OptumRx policy requiring e-prescribing for controlled substances will now take full effect March 1

    February 11, 2020
    Beginning March 1, 2020, the OptumRx home delivery pharmacy will no longer fill prescriptions received by hard copy, fa...

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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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    The MIPS 2019 data submission period is now open

    January 29, 2020
    CMS has opened the data submission period for MIPS eligible clinicians who participated in the 2019 performance period ...

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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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    New Medi-Cal incentive payments took effect January 1

    January 17, 2020
    California’s 2019-2020 fiscal year budget contained significant new funding for new programs including the value-based ...

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    Anthem requires National Drug Code for outpatient claims effective January 1, 2020

    January 06, 2020
    Effective January 1, 2020, Anthem Blue Cross has imposed a new billing requirement on providers for all drug related cl...

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    DHCS now accepting 2019 meaningful use attestations

    January 02, 2020
    DHCS) is now accepting 2019 attestations for the Medi-Cal EHR Incentive Program.

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    Medicare transitions to MBI Jan. 1

    January 01, 2020
    Beginning January 1, 2020, providers must use only the new MBI number for Medicare transactions regardless of the date ...

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    CMS implements new rebuttal process for Medicare providers who have been deactivated

    December 16, 2019
    CMS has developed a new rebuttal process for providers whose Medicare enrollments have been deactivated.

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    DHCS issues final telehealth policy

    December 11, 2019
    In August 2019, the Department of Health Care Services (DHCS) issued its final telehealth policy.

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    UnitedHealthcare to launch dual special needs plans in several counties

    December 11, 2019
    UnitedHealthcare Community Plan of California recently announced the launch of its new Medicare Advantage plan, UnitedH...

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    OptumRx home delivery pharmacy to require e-prescribing for controlled substances effective January 1, 2020

    December 11, 2019
    OptumRx, the pharmacy benefit provider for UnitedHealthcare,

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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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    Preparing for 2020: Verify your patients’ eligibility and benefits

    December 06, 2019
    As the current year ends, physicians are urged verify patients' eligibility and benefits for 2020 to ensure they will b...

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    Reminder: Two important Medicare deadlines coming December 31 

    December 06, 2019
    December 31, 2019, is the last day to make changes to their Medicare participation status for 2020 as well as to finali...

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    CMA publishes guide to help physicians prepare for Covered CA changes in 2020

    December 06, 2019
    CMA has  published a new tip sheet, “Surviving Covered California: Preparing for changes in 2020.”

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    On Demand Webinar: Proposition 56 Funds—What's New for FY 19-20 and Beyond

    December 06, 2019
    CMA recently hosted a webinar examining the supplemental Medi-Cal payments made possible by the Proposition 56 tobacco ...

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    New health laws 2020: Are you ready?

    November 19, 2019
    The California Medical Association has published a summary of the most significant new health laws of interest to physi...

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    Last day to change your Medicare participation status for 2020 is December 31

    November 12, 2019
    Once again, it’s time for physicians to decide if they want to make changes to their Medicare participation status . P...

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

    November 11, 2019
    To learn more about the supplemental payments, including how to ensure you’re getting your fair share, CMA is hosting a...

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    CMA updates guide for patients impacted by wildfires

    November 08, 2019
    Governor Gavin Newsom has declared state of emergencies in response to the wildfires across California that have destro...

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    Coding Corner: Prepare for CPT® 2020 online E/M changes

    November 08, 2019
    The American Medical Association has released the CPT ® 2020 code set, which will be effective Jan. 1, 2020. Among the...

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    California Department of Public Health updates list of reportable diseases and conditions

    November 05, 2019
    The California Department of Public Health (CDPH) recently updated the list of diseases and conditions that must be rep...

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    Physician experience highlights unintended consequences of CA's surprise billing laws

    November 05, 2019
    A new survey of California physicians illustrates serious unintended consequences from California’s surprise billing ...

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