Below is content from the CMA Practice Resources (CPR) newsletter, which keeps you up-to-date on critical payor and health care industry changes.
July 19, 2024
As a direct result of California Medical Association (CMA) advocacy, Aetna has excluded California from a recent update...
July 16, 2024
CMA is urging Aetna to immediately rescind a recent update to its Claim and Code Review Program for emergency services ...
July 12, 2024
Beginning August 1, 2024, all California dispensers of controlled substances will be required to report dispensations t...
July 11, 2024
Practices that have still not received retroactive payments for COVID-19 services as required under SB 510 should submi...
July 09, 2024
Physicians who have not received incentive payments for participating in an Advanced Alternative Payment Model for the ...
The ballot measure sponsored by CMA and the Protect Our Health Care Coalition has been assigned a proposition number fo...
July 03, 2024
On January 1, 2024, the first phase of Medi-Cal provider rate increases took effect as a result of the 2023-24 budget...
July 01, 2024
CMS has opened the Final Score Preview period for MIPS. Clinicians and authorized representatives of practices, virtual...
June 24, 2024
CDC issued a health advisory warning about potential disrupted access to care for individuals taking prescription stimu...
June 17, 2024
Citing the impact the Change cyberattack has had on health care operations across the country, the Centers for Medicare...
June 10, 2024
DHCS recently announced the details of its annual “checkwrite” delay. DHCS will delay certain payments for two week...
June 07, 2024
TriWest has started reaching out to physicians currently contracted with the TriWest network or who have already submit...
June 06, 2024
Blue Shield has rescinded its recently announced policy that would have significantly reduced reimbursement for evalu...
June 05, 2024
The CMA-led initiative to expand access to and improve health care for all Californians took another significant step f...
The U.S. Department of Health and Human Services’ Office of Civil Rights clarified that providers can delegate the resp...
May 24, 2024
CMA said the new modifier 25 payment cuts are duplicative and unjustified, urging the payor to rescind the recently ann...
May 23, 2024
The California Department of Health Care Services recently announced it has updated the reimbursement rates for ventral...
May 15, 2024
The Division of Workers’ Compensation (DWC) has announced plans to reduce e-filing practices that result in repeated ...
May 14, 2024
After losing at the trial court level, the California Association of Health Plans (CAHP) has dropped its appeal in a la...
April 15, 2024
The California California Division of Workers’ Compensation recently published a notice that updates the Official Med...
On Feb. 21, 2024, Change Healthcare, a subsidiary of the UnitedHealth Group Optum unit, experienced a cyber-attack caus...
On April 1, 2024, Blue Shield of California Promise Health Plan announced that new mailing addresses are now in effect ...
April 12, 2024
AMA has released informal survey findings showing the ongoing, devastating impact of the Change Healthcare cyberattac...
The health care sector faces significant cybersecurity risks, exemplified by incidents like the Change Healthcare cyber...
April 02, 2024
DHCS recently announced it is implementing claim utilization management edits for Reject Code 80 for beneficiaries 22 y...
March 31, 2024
Noridian has received several batches of paper claims that are unable to be processed due to critical errors with how t...
March 25, 2024
DHCS today announced it would be requiring stronger password criteria for access to the Medi-Cal Rx Secured Provider ...
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