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CMA News

Bipartisan legislation introduced to stop Medicare physician payment cuts

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.

Clearinghouse corrects problem causing rejection of COVID-19 vaccine claims for children

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.

Have you registered for the Medi-Cal Rx portal yet?

Mon, 22 Nov 2021

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.

60-day Provider Relief Fund grace period ends November 30

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.

Preparing for 2022: Verify your patients’ eligibility, benefits and deductibles

Fri, 19 Nov 2021

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. 

CMS issues third Critical Care E/M Comparative Billing Reports

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

CMS to hold physicians harmless from 2023 MIPS penalties amid COVID-19 pandemic

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.

UnitedHealth will repay providers underpaid for COVID-19 vaccine administration

Tue, 16 Nov 2021

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. 

Next Virtual Grand Rounds to focus on COVID-19 and the holidays

Tue, 16 Nov 2021

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 publishes detailed summary of 2022 Medicare physician payment rule

Tue, 16 Nov 2021

AMA has published a summary of the 2022 Medicare Physician Fee Schedule (Pfinal rule released by CMS on November 3, 2021.