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San Francisco Marin Medical Society Blog

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Blue Shield Announces Fee Schedule Changes Effective December 1

Blue Shield announced changes to its physician fee schedule that will take effect December 1, 2013. In a notice to physicians, the insurer said that it would be increasing payment for evaluation and management services for preventive care. Additionally, Blue Shield notes payment increases for the more commonly billed office visit codes 99204, 99205, 99213, and 99214.

Covered California Enrollment Launch

Beginning October 1, 2013, Californians have the opportunity to purchase health coverage through the state’s new health insurance exchange, Covered California. People without employer or government health coverage will have access to a wide range of health plan options and may qualify for financial support to help to purchase coverage.

Medi-Cal PCP Rate Increase

The California Department of Health Care Services (DHCS) will soon be implementing rate increases for primary care physicians who treat Medicaid patients, as authorized under the Affordable Care Act. In order to see the bump in pay, providers must first attest to their eligibility. According to DHCS, less than half of eligible providers have completed the brief self-attestation process as of September 24.

SFDPH Health Advisory: Meningococcal Disease

Two cases of invasive meningococcal disease (IMD) have been diagnosed in San Francisco, with onset of symptoms on 9/14/13 and 9/16/13. SFDPH has issued a health advisory on September 20, 2013 and ask all clinicians to report suspected cases of meningococcal disease.

Noridian/Medicare Transition Update

September 16, 2013, marked the transition to the new Medicare Administrative Contractor, Noridian. In the first few days, SFMS heard about only minor problems with technology, including unstable phone system connectivity, a few issues with the online provider service tool and problems with printing of PDF files from the Noridian website. Most issues have been resolved.

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