2014 Medicare Fee Schedule Released With the release of its 2014 physician fee schedule, Medicare is one step closer to paying physicians for non-face-to-face care management for beneficiaries with two or more significant chronic conditions. December 2, 2013 Medicare, News ACP, American College of Physicians, Centers for Medicare and Medicaid Services, CMS, Medicare, Physician Quality Reporting System, PQRS, SGR 0 0 Comment Read More »
Reminder for Large Practices (100+ Physicians): 10/18 Deadline to Avoid Medicare Payment Cut Several hundred large group practices are in danger of having all Medicare payments cut by 1% in 2015 unless they act now to sign up for group participation in PQRS. CMS has extended the deadline to register in Administrative Claims from 10/15 to 10/18. AMA and organized medicine are continuing to advocate for a longer extension, but it may not happen due to the government shutdown. October 11, 2013 Medicare CMS, Medicare, reminder, VBM 0 0 Comment Read More »
Anthem Blue Cross Notifies Physicians of Intent to Terminate Medicare Advantage PPO Contracts On July 25, Anthem Blue Cross notified 973 practices advising of its intent to terminate the practices’ Medicare Advantage PPO contract. August 2, 2013 Medicare, Payment Medicare, Medicare Advantage, Anthem Blue Cross 0 0 Comment Read More »
HPSA Bonus Overpayment Refund Requests SFMS/CMA has learned that the zip code files provided to the Medicare contractors for the calendar year 2012 contained errors that incorrectly identified some zip codes as eligible for the HPSA bonus. Physicians are now receiving Overpayment Refund Request letters from Palmetto asking for the monies to be returned within 30 days. July 15, 2013 Medicare, News, Payment HPSA, Health Professional Shortage Area, Medicare 0 0 Comment Read More »
Updated Payor Profiles Now Available on CMANET.ORG CMA’s Center for Economic Services has published updated profiles on each of the major payors in California including Aetna, Anthem Blue Cross, Blue Shield of California, CIGNA, Health Net, United Healthcare, Medicare/Palmetto and Medi-Cal. Each profile includes key information on health plan market penetration, a description of the plan’s dispute resolution process and the name and contact numbers for medical directors, provider relations and other key contacts. July 12, 2013 CMA, Physician Resource Anthem Blue Cross, Blue Shield, CIGNA, Health Net, Medi-Cal, Medicare, payor profile, United Healthcare, Aetna 0 0 Comment Read More »
