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CMA Practice Resources

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    Last day to change your Medicare participation status for 2020 is December 31

    November 12, 2019
    Once again, it’s time for physicians to decide if they want to make changes to their Medicare participation status . P...

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    Webinar: Are you getting your Prop 56 supplemental Medi-Cal payments?

    November 11, 2019
    To learn more about the supplemental payments, including how to ensure you’re getting your fair share, CMA is hosting a...

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    CMA updates guide for patients impacted by wildfires

    November 08, 2019
    Governor Gavin Newsom has declared state of emergencies in response to the wildfires across California that have destro...

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    Coding Corner: Prepare for CPT® 2020 online E/M changes

    November 08, 2019
    The American Medical Association has released the CPT ® 2020 code set, which will be effective Jan. 1, 2020. Among the...

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    California Department of Public Health updates list of reportable diseases and conditions

    November 05, 2019
    The California Department of Public Health (CDPH) recently updated the list of diseases and conditions that must be rep...

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    Physician experience highlights unintended consequences of CA's surprise billing laws

    November 05, 2019
    A new survey of California physicians illustrates serious unintended consequences from California’s surprise billing ...

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    Medicare publishes 2019-2020 influenza vaccine pricing

    November 01, 2019
    The Center for Medicare and Medicaid Services (CMS) recently published Medicare’s influenza vaccine payment allowance...

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    All Medicare physicians must be using the new MBI number by Dec. 31

    October 30, 2019
    Physicians are reminded that the transition period to the new Medicare Beneficiary Identification (MBI) numbers will en...

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    Anthem Blue Cross terminates Medicare Advantage contract with Hill Physicians

    October 10, 2019
    The California Medical Association (CMA) has learned that Anthem Blue Cross has terminated its contract with Hill Physi...

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    Updated payor profiles for 2019 now available

    October 08, 2019
    The California Medical Association’s (CMA) Center for Economic Services is publishing updated profiles on each of the m...

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    Coding Corner: Important differences between ICD-10 Excludes1 and Excludes2 notes

    October 08, 2019
    On Sept. 1, 2019, Anthem Blue Cross posted news about a claim editing update to remove conflicts between Excludes1 and ...

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    New Medi-Cal fiscal intermediary took over Oct. 1

    October 01, 2019
    The California Department of Health Care Services’ (DHCS) transition of all fiscal intermediary duties from Conduent to...

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    Reminder: Switch to new Medi-Cal fiscal intermediary takes effect Oct. 1

    September 24, 2019
    The California Department of Health Care Services (DHCS) has contracted with DXC Technology who will assume all fiscal ...

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    CMA to host webinar on supplemental Medi-Cal payments for FY 19-20 and beyond

    September 16, 2019
    CMA is hosting a one-hour webinar—Proposition 56 funds: What’s new for FY 19-20 and beyond—on Wednesday, December 4 at ...

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    Anthem Blue Cross issues Medicare Advantage contract amendment

    September 12, 2019
    Anthem Blue Cross recently issued a notice to physicians with an amendment to its Prudent Buyer Plan Participating Phys...

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    UHC to require prior authorization for additional outpatient surgical procedures

    September 12, 2019
    As indicated in its September 2019 Network Bulletin , United Healthcare (UHC) will expand the list of surgical proce...

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    Coding Corner: ICD-10 2020 code set and official guidelines available now

    September 10, 2019
    CPR’s “Coding Corner” focuses on coding, compliance, and documentation issues relating specifically to physician billin...

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    Health Net implements additional claims review for certain ER visits

    September 09, 2019
    Health Net recently notified physicians that effective July 1, 2019, it was implementing an additional claims review pr...

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    Proposition 56 funds: What’s new for FY 19-20 and beyond

    September 09, 2019
    On June 27, 2019, Governor Newsom signed his first state budget, which included significant new funding for health care...

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    Cigna is next payor to discontinue payment of consultation services

    September 09, 2019
    Cigna is the latest payor to announce that it will no longer reimburse consultation services, effective for claims pr...

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    Reminder: Several Anthem Blue Cross changes effective Oct. 1

    September 06, 2019
    Physicians are reminded that October 1, 2019, marks the effective date of several important Anthem Blue Cross policy ch...

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    Reminder: Report unfair payment patterns to the regulator

    September 06, 2019
    CMA urges practices to closely monitor their accounts receivables to ensure that they have been paid properly and to re...

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    Have you received your FY 18-19 Prop 56 supplemental payments?

    September 05, 2019
    The California Health Care, Research and Prevention Tobacco Tax Act of 2016 (Prop 56) created new revenues dedicated to...

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    CMS now accepting hardship exceptions for 2019 reporting year

    August 22, 2019
    Physicians and groups that qualify for MIPS can submit a hardship exception application for one of three reasons.

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    Noridian hosting Medicare provider enrollment conference

    August 20, 2019
    California’s Medicare contractor is hosting a two-day provider enrollment conference in Anaheim on September 18-19, 201...

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    CMA updates Prop 56 Payment Monitoring Worksheet

    August 19, 2019
    The worksheet has been updated to help physicians determine if they have been paid correctly based on the FY 18-19 sup...

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    Coding Corner: Medicare now allows modifier 59 on CCI column 1 or column 2 code

    August 15, 2019
    This is a change from the previous rule requiring placement of those modifiers on the column 2 code.

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