The California Legislature on Friday approved a CMA-sponsored bill to increase patient access through telehealth. The bill (AB 744, Aguiar-Curry) will require health insurers to cover services provided via telehealth in the same way they would an in-person encounter. The bill now heads to Governor Newsom for his signature
On September 9, 2019, Governor Newsom signed Senate Bill 276 into law, which will prevent fake medical exemptions and require state oversight of medical exemptions for vaccines required to attend public schools, private schools and day care centers.
CMA is hosting a one-hour webinar—Proposition 56 funds: What’s new for FY 19-20 and beyond—on Wednesday, October 16 at 12:15 p.m. to discuss the services eligible for FY 19-20 supplemental payments, payment amounts, tips on ensuring your practice receives the full amount of eligible funds and the distribution timelines of the FY 18-19 funds.
Anthem Blue Cross recently issued a notice to physicians with an amendment to its Prudent Buyer Plan Participating Physician Agreement that automatically opts physicians into its Medicare Advantage network effective October 31, 2019.
As indicated in its September 2019 Network Bulletin , United Healthcare (UHC) will expand the list of surgical procedures that will require prior authorization when done in the hospital outpatient setting effective December 1, 2019.
The results of this survey will be crucial in helping CMA and our partners effectively advocate for a fair and balanced process for physicians to resolve contracting and payment disputes with payors.
CPR’s “Coding Corner” focuses on coding, compliance, and documentation issues relating specifically to physician billing.
Health Net recently notified physicians that effective July 1, 2019, it was implementing an additional claims review process for some emergency department facility and professional claims.
On June 27, 2019, Governor Newsom signed his first state budget, which included significant new funding for health care programs. The funding – made possible by the Proposition 56 tobacco tax – continues the increased payment on 23 CPT codes, including 10 preventive codes, in both the fee-for-service and Medi-Cal managed care delivery systems.
Cigna is the latest payor to announce that it will no longer reimburse consultation services, effective for claims processed on or after October 19, 2019.