February 01, 2021
The California Division of Workers’ Compensation (DWC) has posted its 2020 Independent Bill Review (IBR) Report, summar...
Covered California has announced that it will establish a new special-enrollment period beginning February 1, 2021, t...
January 04, 2021
DHCS says claims will not be processed until additional system changes are made, which isn’t expected until late Janu...
December 22, 2020
Physicians who are participating in the Merit-Based Incentive Payment System (MIPS) should take note of these important...
CMA's Center for Economic Services has published updated profiles on each of the major payors in California.
CMA has learned that the contract between Hill Physicians Medical Group and Anthem Blue Cross will be terminated for th...
December 17, 2020
The U.S. Department of Health and Human Services (HHS) has reviewed applications for phase 3 of the Provider Relief Fun...
Once again, it’s time for physicians to decide if they want to make changes to their Medicare participation status. Due...
On December 11, the California Department of Managed Health Care (DMHC) issued an all plan letter (APL) and an FAQ inst...
December 10, 2020
With modifications to the outpatient evaluation and management (E/M) coding guidelines set to take effect on January 1,...
December 04, 2020
In 2020, Covered California, California's health benefit exchange, enrolled approximately 1.53 million individuals in q...
December 03, 2020
A 2018 survey showed that some health plans still regularly engage in unfair payment practices, with two-thirds of phys...
The Anthem Blue Cross High Performance/Blue High Performance Network (Blue HPN ® ) will become effective January 1, 202...
December 01, 2020
MIPS eligible clinicians in federally-designated disasters areas in 2020 will be automatically identified and receive a...
November 19, 2020
In September 2020, Anthem Blue Cross sent notices to affected physicians and hospitals advising that it would begin req...
November 17, 2020
In an effort to ensure a smooth transition amid the ongoing COVID-19 pandemic, DHCS announced its decision to delay the...
CMA signed onto several coalition letters, spearheaded by AMA, urging payors across the nation to immediately adopt and...
November 10, 2020
AMA published an update to the CPT code set that includes new vaccine-specific codes to report immunizations for the no...
October 20, 2020
Effective January 1, 2021, UnitedHealthcare (UHC) will implement a new policy restricting screening coloscopy procedu...
Over the past few months, CMA has received a number of inquiries from physician practices concerned that the requiremen...
Anthem Blue Cross has begun marketing a new, narrow “high performance” network for 2021. The Anthem High Performance/Bl...
October 08, 2020
UnitedHealthcare (UHC) announced in its October 2020 Network Bulletin that it will further delay the implementation dat...
September 25, 2020
If you participated in MIPS in 2019, your performance feedback and final MIPS score are now available for review on the...
September 18, 2020
Under law enacted in 2018, plans and insurers operating in counties affected by an official state of emergency must wit...
AMA has added two new CPT codes to meet the needs of the health care industry as medical advancements expand the fight ...
UHC will transition the communication of initial claim denials to a consolidated Explanation of Denial statement that o...
UHC will stop mailing claim acknowledgement letters and instead post them online in its Document Vault. Per UHC, acknow...
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