Ask the SFMS: Can I Bill a Medicare Advantage Patient When He/She Chooses to Seek Treatment Outside of the Network? So, what happens if your practice sees a longtime Medicare patient who has, unbeknownst to you, switched to a Medicare Advantage plan for which your physician is not contracted? Can you bill the patient? Based on information from Centers for Medicare & Medicaid Services (CMS), the answer is yes, but with limits. August 8, 2012 Payment, Physician Resource Ask the SFMS, Medicare Advantage 0 0 Comment Read More »
Safety-Net Hospitals Face Funding Cuts on Two Federal Fronts Representatives of California’s safety-net hospitals say the devil is in the details concerning the federal government’s plans to reduce funding for hospitals caring for a disproportionate share of low-income patients. The Affordable Care Act will reduce by at least half the amount of Medicaid money set aside to help safety-net hospitals provide uncompensated care for patients with no insurance and no cash. August 7, 2012 Medicaid, News, San Francisco General CAPH, Medicaid cut 0 0 Comment Read More »
Anthem Blue Cross Announces New Reimbursement Policies Changes This week, Anthem Blue Cross sent physicians a notice advising of upcoming changes to the insurer’s reimbursement policies and claims editing software called ClaimsXten. Most changes will go into effect on December 8, 2012, with a few exceptions that go live on January 1, 2013. August 6, 2012 Payment Anthem Blue Cross, payment policy 0 0 Comment Read More »
Summary of Provisions from Physician Fee Schedule Proposed Rule for 2013 Summary of Provisions from Physician Fee Schedule Proposed Rule for 2013 August 2, 2012 Payment, Physician Resource eRx Incentive Program, PQRS, VBM, 2013 Physician Fee Schedule Proposed Rule, SGR 0 0 Comment Read More »
Toni Brayer, MD: SFMS August 2012 Member of the Month SFMS is excited to announce Toni Brayer, MD as our August 2012 Member of the Month. Dr. Brayer is an internist and Chief Medical Officer for Sutter Health West Bay Region. A SFMS member since 1987, Dr. Brayer has served as President, CMA delegate, Editor of San Francisco Medicine, and on numerous committees over the years. August 1, 2012 SFMS Member SFMS Member of the Month, Toni Brayer 0 0 Comment Read More »
