Below is content from the CMA Practice Resources (CPR) newsletter, which keeps you up-to-date on critical payor and health care industry changes.
February 19, 2025
DMHC is investigating provider-specific barriers when providing behavioral health care, with the goal of identifying
February 12, 2025
Medi-Cal Rx reinstated claim edits and prior authorization requirements on new start prescriptions
February 07, 2025
DWC recently updated its Official Medical Fee Schedule for Physician Services/Non-Physician Practitioner Services to co...
February 06, 2025
CMA is urging DMHC to require plans to take additional steps to ensure that physician practices affected by the Southe...
February 05, 2025
CMA resources can help you identify and stop payors from engaging in unfair payment practices.
February 04, 2025
Due to challenges in the transition to the new TRICARE contractor, the Defence Health Agency has temporarily waived aut...
January 24, 2025
The Trump administration overturned existing policies that banned immigration enforcement in hospitals and doctor's off...
January 23, 2025
Because Congress did not act, Medicare physician payments were cut by 2.8% effective Jan. 1. CMA continues to urge Cong...
DHCS is reminding providers they cannot charge paitents to fill out forms related to eligibility for public benefit pro...
Join us for a webinar on February 18 to learn how physicians can claim their share of the $2.8 billion Blue Cross Blu...
January 15, 2025
CMA has published a guide to help ensure patients continue to have appropriate access to medically necessary health car...
January 14, 2025
CMA recently published a fact sheet that provides an overview of and status update on both the 2024 targeted rate incre...
January 08, 2025
Medi-Cal is phasing out the legacy Transaction Services and will require all providers to log in via the Provider Porta...
December 16, 2024
With the new year just around the corner, physicians are reminded to verify patients' eligibility and benefits to ensur...
November 26, 2024
To help physician practices understand their participation status, which products are being offered and what changes to...
November 19, 2024
In California, both DMHC and CDI offer an independent medical review (IMR) process that allows patients to appeal healt...
On January 1, 2025, TriWest Healthcare Alliance will begin providing managed care services to TRICARE beneficiaries in ...
November 13, 2024
If you plan to change your Medicare participation status for 2025, you must do by December 31. Unless Congress interven...
November 08, 2024
Medi-Cal will be reprocessing previously denied claims for Flucelvax with dates of service back to August 1...
November 04, 2024
Medi-Cal Rx will reinstate claim edits and prior authorization requirements for patients 21 years of age and younger on...
DHCS is looking for physicians to participate in online focus groups to identify opportunities to strengthen communicat...
October 11, 2024
Effective Dec. 9, 2024, submitters who submit certain batch transactions on behalf of Medi-Cal providers will be requir...
October 09, 2024
DHCS recently announced that it will be deactivating Medi-Cal Rx override code “55555” effective October 18, 2024. This...
October 08, 2024
On Tuesday, October 15, CMA President Tanya W. Spirtos, M.D., and CMA CEO Dustin Corcoran are hosting a special webinar...
October 02, 2024
In August 2024, CMA was notified by a physician practice that Blue Shield of California was mistakenly denying claims f...
September 24, 2024
CMS is accepting 2023 MIPS exception applications through Oct. 11 due to the Change Healthcare cyberattack.
Aetna is experiencing problems with electronic eligibility verification transactions for Aetna Passport to Healthcare P...
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