San Francisco Marin Medical Society Blog

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Seamless Conversion to Medicare Advantage

Some questions have been raised about recent press coverage on plans enrolling new Medicare beneficiaries in Medicare Advantage without the beneficiary’s knowledge. The American Medical Association (AMA) raised concerns and a number of questions with senior officials at the Centers for Medicare and Medicaid Services (CMS). Included in this blog posting are CMS’ answers.

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.