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San Francisco Marin Medical Society Blog

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House Committee Approves Bipartisan Medicare SGR Reform Bill

On July 23, 2013, in a short 15-minute meeting, the House Energy and Commerce Committee’s Health Subcommittee approved the bipartisan legislation that repeals the Medicare Sustainable Growth Rate (SGR), provides a transition period, and a pathway to a new payment system.

HPSA Bonus Overpayment Refund Requests

SFMS/CMA has learned that the zip code files provided to the Medicare contractors for the calendar year 2012 contained errors that incorrectly identified some zip codes as eligible for the HPSA bonus. Physicians are now receiving Overpayment Refund Request letters from Palmetto asking for the monies to be returned within 30 days.

Updated Payor Profiles Now Available on CMANET.ORG

CMA’s Center for Economic Services has published updated profiles on each of the major payors in California including Aetna, Anthem Blue Cross, Blue Shield of California, CIGNA, Health Net, United Healthcare, Medicare/Palmetto and Medi-Cal. Each profile includes key information on health plan market penetration, a description of the plan’s dispute resolution process and the name and contact numbers for medical directors, provider relations and other key contacts.

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