Below is content from the CMA Practice Resources (CPR) newsletter, which keeps you up-to-date on critical payor and health care industry changes.
October 09, 2024
DHCS recently announced that it will be deactivating Medi-Cal Rx override code “55555” effective October 18, 2024. This...
October 08, 2024
On Tuesday, October 15, CMA President Tanya W. Spirtos, M.D., and CMA CEO Dustin Corcoran are hosting a special webinar...
October 02, 2024
In August 2024, CMA was notified by a physician practice that Blue Shield of California was mistakenly denying claims f...
September 24, 2024
CMS is accepting 2023 MIPS exception applications through Oct. 11 due to the Change Healthcare cyberattack. However, 20...
Aetna is experiencing problems with electronic eligibility verification transactions for Aetna Passport to Healthcare P...
September 12, 2024
UnitedHealthcare recently announced the CPT codes that are eligible for its new Gold Card Program, which launches on Oc...
August 16, 2024
Physicians who have not received incentive payments for participating in an Advanced APM for the 2024 payment year shou...
August 06, 2024
AMA has assigned provisional CPT code for vaccines to protect patients against the H5N8 strain of avian influenza (bird...
CMS recently released the proposed 2025 Medicare Physician Fee Schedule, which includes a 2.8% physician payment cut. C...
Prop 35 has launched a new online Action Center to activate supporters.
July 29, 2024
Manifest Medex is hosting a free webinar on August 22 for practices that want to learn more about California's Data Exc...
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...
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