2013 Medicare Physician Fee Schedule Contains Good and Bad News As SFMS reported last week, CMS released the final 2013 physician payment rule, which sets payment rates and related policies for next year. Read below for notable highlights from the ruling affecting physicians. November 7, 2012 Medicare, News, Payment 2013 physician payment rule, Medicare payment cuts, transitional care CPT codes 0 0 Comment Read More »
Election 2012: Update of Candidates and Issues that SFMS Was Watching This Election Cycle. Election 2012: Update of candidates and issues that SFMS was watching this election cycle. November 7, 2012 News, Politics and Medicine Election 2012, Proposition 30 0 0 Comment Read More »
Anthem Blue Cross Amends Physician Contracts to Include Individual/Exchange Product; Resources/Assistance Available to SFMS Members Anthem Blue Cross sent a notice to 8,345 physicians who are part of the Blue Cross Select PPO network announcing its intent to participate in the California Health Benefit Exchange. It’s important to note that Blue Cross is amending the physician’s Blue Cross Prudent Buyer Agreement to automatically include the new individual/exchange network, effective January 1, 2014. The new fee schedule associated with this product was included with the notice. SFMS/CMA have produced contract analyses, guides, and dedicated staff assistance to help members with payor contract issues. November 6, 2012 News, Payment, Physician Resource payor contract, physician contract agreement, Anthem Blue Cross, Blue Cross opt out, managed care contract 0 0 Comment Read More »
Medicare Finalizes 2013 Physician Fee Schedule Family physicians will receive up to a 7% boost in Medicare payments in 2013, and other primary care providers will receive 3% to 5% more, under the 2013 final rule announced by the Centers for Medicare and Medicaid Services (CMS). November 2, 2012 Medicare, News, Payment 2013 Physician Fee Schedule, Medicare reimbursements 0 0 Comment Read More »
Recovery Audit Contractor Overpayments: Pulmonary Diagnostic Testing and E/M Services CMA has recently learned that RAC contractor Health Data Institute (HDI) is currently assessing overpayments for evaluation and management services billed without a modifier -25 on the same day as a diagnostic pulmonary study. Affected claims have dates of service of 2009 or 2010. October 24, 2012 News, Payment Pulmonary Diagnostic Testing, RAC overpayment 0 0 Comment Read More »
