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...
September 17, 2020
CMA is working to address the unique challenges experienced by providers who provide care to patients with self-funded ...
September 15, 2020
Anthem Blue Cross recently notified physicians that effective December 2, 2020, it will expand its specialty medication...
August 12, 2020
UnitedHealthcare recently updated its Medical and Drug Policies and Coverage Determination Guidelines for UnitedHealthc...
August 11, 2020
In an August 5, 2020, notice to providers, Blue Shield announced it would be temporarily increasing reimbursement rates...
UnitedHealthcare is in the process of discontinuing physician payments via paper checks and will instead require both c...
August 05, 2020
The U.S. Department of Health and Human Services (HHS) has extended the deadline for physicians to apply for the
August 04, 2020
Cigna implemented a new policy restricting outpatient advanced radiologic imaging procedures in the hospital setting....
August 03, 2020
Decisions to approve, modify or deny a standard request for a prior authorization must be made in a timely fashion appr...
July 23, 2020
Health Net Federal Services (HNFS) recently published updated guidance for physicians billing for telemedicine servic...
July 16, 2020
Anthem Blue Cross has said it will not delay implementation of its new policy requiring specialty pharmacy medications ...
July 08, 2020
The Physicians Foundation—a national, not-for-profit seeking to advance the work of practicing physicians and facilitat...
July 07, 2020
On Wednesday, June 10, 2020, HHS opened a new “Medicaid Targeted Distribution” portal through which Medicaid-dependen...
In an effort to ensure California physicians can continue to provide care to patients during the COVID-19 outbreak, the...
June 30, 2020
Starting July 1, 2020, Medi-Cal providers must take a certified training and self-attest to having completed the traini...
On June 15, 2020, the California Department of Health Care Services (DHCS) launched a new Medi-Cal website. The initial...
CMA and a number of specialty medical associations have asked Anthem Blue Cross to delay implementation of a new policy...
June 25, 2020
CMS announced that physicians will have the option to opt out completely or partially from Medicare’s 2020 Merit-Based ...
June 23, 2020
Anthem notified physicians that it will soon require that specialty pharmacy medications administered in the office or ...
June 19, 2020
OptumRx—the pharmacy benefit provider for UnitedHealthcare—will reinstate its mandatory e-prescribing policy for contro...
June 03, 2020
As medical practices begin the process of reopening after the COVID-19 shut down, one of the more difficult parts of th...
May 29, 2020
DHCS is currently working on a plan to transition all pharmacy services to Medi-Cal Rx and has selected Magellan as the...
April 17, 2020
OptumRx—the pharmacy benefit provider for UnitedHealthcare—has temporarily suspended its mandatory e-prescribing policy...
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