Promoting the science and art of medicine, care and well-being of patients, protection of the public health, and betterment of the medical profession.
Tue, 23 Nov 2021
Congress is considering bipartisan legislation that will provide critical relief to physicians who are currently scheduled to see their Medicare payment cut by up to 9% next year.
Mon, 22 Nov 2021
Shortly after federal approval of the COVID-19 vaccine for children age 5-11, the California Medical Association (CMA) began receiving reports that clearinghouse Office Ally was rejecting the claims for 5-11 year olds with a message code stating the CPT codes were invalid.
CMA encourages physicians—particularly those who currently prescribe medications for Medi-Cal patients—to register for the secure Medi-Cal Rx Provider Portal as soon as possible and ensure you are prepared for the upcoming transition to avoid any disruptions in patient care.
Fri, 19 Nov 2021
Providers who fail to meet this reporting deadline will be required to return their PRF payments by December 30, 2021, and will be subject to further enforcement actions such as exclusion from future PRF payments.
Physicians are urged to verify patients' eligibility and benefits for 2022 to ensure they will be paid for services rendered. The beginning of a new year also means that both calendar year deductibles and visit frequency limitations reset.
Wed, 17 Nov 2021
In late November, CMS will issue a third letter in the Special Edition Comparative Billing Report series on Part B claims for critical care E/M services
Tue, 16 Nov 2021
CMS recently announced that it will again this year be granting automatic exceptions from reporting requirements for clinicians and providers participating in Medicare quality reporting programs due to the ongoing disruptions the COVID-19 public health emergency is having on physician practices.
UnitedHealthcare has said it will reprocess claims for COVID-19 vaccine administration after federal investigators found the insurer had underpaid “millions” of providers—paying 40% less than the Medicare rate for administering the COVID-19 vaccine.
Join us on Tuesday, December 7, 2021, for the 18th installment of our monthly Virtual Grand Rounds — COVID-19 and the Holidays - Where do we stand and Updates on Testing and Outpatient Treatment.
AMA has published a summary of the 2022 Medicare Physician Fee Schedule (Pfinal rule released by CMS on November 3, 2021.
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