Physicians Urged to Verify Patients’ Eligibility and Benefits The beginning of the new calendar year means that deductibles and visit frequency limitation start over; however, because of open enrollment for health insurance under the Affordable Care Act (ACA), there may be changes to patients’ benefit plans in 2014. January 13, 2014 Payment, Physician Resource open enrollment, Affordable Care Act, Benefits, Eligibility, physician payment 0 0 Comment Read More »
Congress Approves Three-Month Medicare Payment Update Until SGR Fix Is Completed Congress has adopted a 0.5% update to Medicare payments for three months, following a bipartisan vote of 64 to 36 in the Senate. The president is expected to sign the legislation on December 20. December 23, 2013 Advocacy, Medicare, Payment Sustainable Growth Rate, SGR 0 0 Comment Read More »
Unsuccessful Electronic Prescribers Face 2% Cuts in 2014 Physicians and group practices who were not successful electronic prescribers under the 2012 or 2013 Medicare eRx Incentive Program will be subject to a negative payment adjustment of 2% in 2014 on all Medicare Part B claims paid under the physician fee schedule. December 19, 2013 e prescribing, Medicare, Payment e-prescribing, eRx, 2014 medicare payment adjustment, Medicare 0 0 Comment Read More »
Blue Shield Announces Fee Schedule Changes Effective December 1 Blue Shield announced changes to its physician fee schedule that will take effect December 1, 2013. In a notice to physicians, the insurer said that it would be increasing payment for evaluation and management services for preventive care. Additionally, Blue Shield notes payment increases for the more commonly billed office visit codes 99204, 99205, 99213, and 99214. October 2, 2013 Payment Blue Shield fee schedule change, physician fee schedule, Blue Shield 0 0 Comment Read More »
Medi-Cal PCP Rate Increase The California Department of Health Care Services (DHCS) will soon be implementing rate increases for primary care physicians who treat Medicaid patients, as authorized under the Affordable Care Act. In order to see the bump in pay, providers must first attest to their eligibility. According to DHCS, less than half of eligible providers have completed the brief self-attestation process as of September 24. September 27, 2013 Payment, Physician Resource Medi-Cal, Medi-Cal provider attestation, Medi-Cal PCP rate increase 0 0 Comment Read More »
