Anthem Blue Cross Rescinds Termination of Medicare Advantage Agreement with Brown & Toland Anthem Blue Cross has reached an agreement to extend its Medicare Advantage contract with Brown & Toland Physicians. September 12, 2017 Managed Care, Medicare Anthem Blue Cross, Brown & Toland, Medicare Advantage 0 0 Comment Read More »
Seamless Conversion to Medicare Advantage Some questions have been raised about recent press coverage on plans enrolling new Medicare beneficiaries in Medicare Advantage without the beneficiary’s knowledge. The American Medical Association (AMA) raised concerns and a number of questions with senior officials at the Centers for Medicare and Medicaid Services (CMS). Included in this blog posting are CMS’ answers. August 23, 2016 AMA, Covered California, Managed Care, Medi Cal, Medicaid, Medicare AMA, CMS, Dual-Eligibles, Medicare, Medicare Advantage 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 »
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 »