February 02, 2024
UnitedHealthcare recently announced that new member ID cards will be issued for some commercial plan members on or af...
January 03, 2024
Physicians are reminded that California’s new Medi-Cal managed care contracts took effect on January 1, 2024. As a re...
December 12, 2023
Starting January 1, 2024, the largest Medi-Cal provider rate increase in California history will begin to go into effec...
November 08, 2023
Congress has decided to include any year-end Medicare payment issues in its must-pass bill to keep the federal governme...
July 24, 2023
Physicians often contact CMA because a payor has requested a refund of monies allegedly overpaid on a claim.
July 21, 2022
DHCS has elected to postpone implementation of Medi-Cal Rx Reject Code 80, despite recently announcing it would be incl...
July 05, 2022
A new federal law took effect in January 2022 that now requires health plans/insurers to verify the accuracy of their c...
June 28, 2022
DHCS recently announced that it would soon begin reinstating pharmacy claim edits and prior authorization requirement...
June 27, 2022
CMA is urging Cigna to rescind its recently announced policy that would require the submission of medical records with ...
June 13, 2022
The California Department of Insurance is warning health insurers that refusing to cover necessary treatments and limit...
June 07, 2022
Learn how practices are thriving in Aledade ACOs. ACO deadline for 2023 is almost here!
June 06, 2022
In late May, Cigna announced that it will begin requiring the submission of medical records with all E/M claims with ...
June 01, 2022
Deeply alarmed about the growing financial instability of the Medicare physician payment system, CMA is one of 120 orga...
May 23, 2022
Physicians are reminded that Medi-Cal provides an electronic method to resolve a claim denial or incorrect payment fo...
May 17, 2022
A CMA-sponsored law that took effect on January 1, 2022, requires health plans and insurers to cover COVID-19 testing a...
May 02, 2022
HHS released a report on Thursday that found every year Medicare managed care organizations inappropriately deny medica...
February 08, 2022
On January 1, 2022, DHCS transitioned all Medi-Cal pharmacy services from managed care to fee-for-service. The Medi-Cal...
July 15, 2021
Blue Shield of California has identified a system issue that caused COVID-19 vaccine administration
April 14, 2021
CMA has learned that the contract between Dignity Health California and Anthem Blue Cross is set to terminate for its c...
UnitedHealthcare (UHC) is now requiring physicians to bill eligible telehealth services with place of service (POS) 02 ...
April 06, 2021
The Centers for Medicare & Medicaid Services (CMS) recently announced it had begun recouping COVID-19 accelerated and a...
March 17, 2021
In response to CMA advocacy, UnitedHealthcare has advised that the Optum Pay basic service will restore free access to ...
March 11, 2021
United Healthcare recently announced plans to narrow its provider network for laboratory services beginning July 1, 202...
CMA has received numerous complaints from physicians regarding the recent loss of payment remittance advice access thr...
February 16, 2021
CMA has asked DMHC and CDI to investigate concerns that some payors are shifting the financial risk of critical COVID-...
December 21, 2020
The U.S. Department of Health and Human Services (HHS) posted a recent update to its Provider Relief Fund frequently as...
December 17, 2020
The U.S. Department of Health and Human Services (HHS) has reviewed applications for phase 3 of the Provider Relief Fun...
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