Anthem Blue Cross to Require Member ID Numbers on Medical Record Submissions Effective January 1, 2016, Anthem Blue Cross is requiring that all submission of patient medical records indicate the corresponding Anthem member identification (ID) number. March 4, 2016 Managed Care, Practice Management Anthem Blue Cross, medical records 0 0 Comment Read More »
Covered California Update: Patient Eligibility and the 90-Day Grace Period Covered California plans can suspend coverage and pend or deny claims for patients in the 2nd and 3rd month of the grace period. California physicians are urged to verify eligibility on all Covered California patients, ideally on the date of service, or as near the time of service as possible. February 2, 2016 Covered California, Practice Management Affordable Care Act, grace period, Covered California 0 0 Comment Read More »
New Approval Time Frames for Prescription Drug Prior Authorizations SB 282, a new law that went into effect on January 1, 2016, requires health plans and health insurers to respond to prescription drug prior authorization requests within 72 hours for non-urgent requests and 24 for urgent requests. January 13, 2016 News, Practice Management Department of Insurance, preauthorization, prescription drugs 0 0 Comment Read More »
Avoid Medicare PQRS and Value-Based Modifier Penalties; File by December 16 Problems with how the Centers for Medicare and Medicaid Services (CMS) has been collecting and analyzing data related to the Physician Quality Reporting System (PQRS) and the value-based payment modifier (VM) may lead to inappropriate penalties of 2-4% of Medicare payments for thousands of physicians. December 10, 2015 AMA, Medicare, Payment, Practice Management value-based payment modifier, physician quality reporting system, PQRS 0 0 Comment Read More »
Noridian Launches Web-based Provider Enrollment Workshops Noridian, the Medicare Administrative Contractor for California, announced that it will offer web-based workshops focusing on provider enrollment in October through November 2015. October 5, 2015 Educational Event, Physician Resource, Practice Management Medicare Administrative Contractor, Noridian, PECOS, physician workshop 0 0 Comment Read More »
