5010 Format Required for Electronic Claims Beginning July 1 The deadline for transitioning electronic transactions to the updated 5010 version of the Health Insurance Portability and Accountability Act (HIPAA) transactions standards is July 1, 2012. You will be required to conduct electronic transactions such as claims submissions, eligibility verification, claims status, remittance advice and referral authorizations using the updated transaction standards. June 12, 2012 HIPAA, Medicare, Payment, Physician Resource, Technology 5010, health information technology, HIPAA 0 0 Comment Read More »
Aetna Fee Schedule Changes In April, Aetna made changes to its fee schedule for its commercial lines of business. Although Aetna initially stated that the change would only affect Northern California physicians, SFMS has recently learned that the changes were applied statewide. June 11, 2012 News, Payment fee schedule change, Aetna 0 0 Comment Read More »
Environmental Chemicals: Large Effects from Low Doses As research has expanded into the effects of endocrine-disrupting chemicals (EDCs), it has been shown that they follow the same rules that hormones follow. Unfortunately, this runs counter to the core assumption that forms the basis for all toxicological testing done to establish regulatory standards: High-dose testing will be informative about low-dose impacts. June 11, 2012 Public Health, San Francisco Medicine EDCs, endocrine-disrupting chemicals, J.P. Myers, Lisa Vandenberg, Thomas Zoeller, EDC 0 0 Comment Read More »
Reducing Cancer Risks: Dr. Margaret Kripke on the Environment and Cancer Dr. Margaret Kripke of the University of Texas MD Anderson Cancer Center discusses environment and cancer, and her experience on the President's Cancer Panel and the panel report "Reducing Environmental Cancer Risks: What We Can Do Now." June 8, 2012 San Francisco Medicine Margaret Kripke, cancer prevention, President's Cancer Panel 0 0 Comment Read More »
Urge Your Legislators to Stop Forcing Medicare/Medi-Cal Dual Eligibles Into Managed Care Plans Due to advocacy on the part of the SFMS, CMA, and other stakeholders, the plan to shift Medicare/Medi-Cal “dual eligibles” into a managed care plan has been delayed. In his 2012 budget, Governor Jerry Brown proposed expanding the four county pilot project statewide. SFMS/CMA need your help to stop this expansion. June 7, 2012 Advocacy, CMA, Medi Cal, Medicare, News Medi-Cal, regulatory advocacy, dual eligible, Medicare 0 0 Comment Read More »
