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 ...
May 09, 2019 The contract with the current fiscal intermediary will continue to run parallel with DXC until September 30, 2019.
May 09, 2019 DHCS has received federal approval of its plan to increase Medi-Cal managed care physician payments for the 2018-2019 f...
May 08, 2019 Anthem will be increasing payment for the more commonly billed Evaluation and Management (E/M) services.
May 07, 2019 This month’s tip comes from G. John Verhovshek, the managing editor for AAPC, a training and credentialing association ...
April 10, 2019 Per the new policy, Anthem will deny an E&M service with a modifier 25 billed on the day of a related procedure when th...
April 10, 2019 According to a notice issued to approximately half of its PPO network, the plan will be increasing payment for the more...
April 02, 2019 It’s been nearly a decade since Medicare has accepted claims for either outpatient (99241-99245) or inpatient (99251-99...
April 01, 2019 April 9, 2019, marks the beginning of Health Care Decisions Week, which culminates on April 16 with National Health Car...
March 29, 2019 Physicians are reminded that their Medicare billing privileges will be deactivated if they fail to respond to Medicare ...
March 06, 2019 Confusion about when to append CPT® modifier 50 Bilateral procedure, versus HCPCS Level II modifiers LT Left side and ...
March 05, 2019 UnitedHealthcare (UHC) has announced that it will no longer reimburse consultation services for commercial product li...
March 04, 2019 Implementation of the new state law that requires security prescription forms to have a uniquely serialized number law ...
February 27, 2019 The first episode—and Management Coding discusses the rationale for 2019 Physician Fee Schedule policy changes affectin...
February 20, 2019 The California Medical Association will provide updates as more information becomes available.
February 15, 2019 More than one-quarter of physicians (28 percent) report the prior authorization process required by health insurers for...
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