Medicare Transition Update The transition from Palmetto to the new Medicare Part B fee-for-service contractor, Noridian, is set to take place on September 16, 2013. To ensure that physicians continue to receive their Medicare payments in a timely fashion after the transition, there are a number of things to consider. September 11, 2013 Medicare, Payment, Physician Resource Noridian, Palmetto, Medicare Part B, Medicare transition 0 0 Comment Read More »
DHCS to Implement 10% Medi-Cal Cuts in October The Department of Health Care Services (DHCS) recently announced that it would begin to implement the 10% Medi-Cal physician payment rate reduction on October 1, 2013, for Medi-Cal managed care and on January 9, 2014, for fee for service (FFS). DHCS also announced that it would be retroactively implementing the cuts for FFS providers to June 1, 2011, when the law authorizing the cuts went into effect. August 29, 2013 Medi Cal, Payment 10% Medi-Cal payment rate reduction, Department of Health Care Services, DHCS, Medi-Cal cuts 0 0 Comment Read More »
Medicare SGR Reform Bill Passes Key House Committee House Energy and Commerce Committee voted 51-0 on July 31, 2013 to approve legislation to repeal the Medicare sustainable growth rate (SGR) formula. AMA has put together a summary of the SGR repeal/replace bill, HR 2810. August 13, 2013 Advocacy, AMA, Payment SGR, HR 2810, Medicare sustainable growth rate, SGR repeal 0 0 Comment Read More »
Anthem Blue Cross Announces Changes to Reimbursement Policies and Claims Software In late July, Anthem Blue Cross sent physicians a notice advising of upcoming changes to the insurer’s reimbursement policies and claims editing software called ClaimsXten. The changes will go into effect on November 1, 2013. Because of these changes, physicians may notice a difference in how certain codes and code pairs are adjudicated. August 6, 2013 Payment, Practice Management Anthem Blue Cross 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 »
