Dual Eligible Patients Moving from Medi-Cal FFS to Medi-Cal Managed Care Starting on January 1, 2023, all patients in Alameda and Contra Costa counties who are dually covered by both Medicare and Medi-Cal will be enrolled in a Medi-Cal managed care plan. This means that any dual eligible patients who were covered by Medi-Cal fee-for-service in 2022 will now be enrolled into a Medi-Cal managed care plan effective January 1. December 19, 2022 Managed Care, Medi-Cal, Medicare Read More »
Two Priority Bills: Take Action Now Contact your senator to support two bills: Supporting Medicare Providers Act of 2022 (HR 8800) and Improving Seniors' Timely Access to Care Act (HR 3173) September 16, 2022 Health Care Reform, Legislation, Medicare Read More »
CalHealthCares Awards $58.6M in Physician Loan Repayment Under a new program created to expand access to care for Medi-Cal patients, Physicians for a Healthy California (PHC) announced a commitment to pay off $58.6 million in student loans for physicians. Awardees include 16 physicians in Alameda County and 6 physicians in Contra Costa County. July 9, 2019 General, Medi-Cal, Medicare, Public Health CalHealthCares, Loan Repayment, MediCal Read More »
Anthem Blue Cross Modifiers Recently, Anthem Blue Cross released two articles relating to policy and contractual updates. Anthem has updated their modifier 25 policy and has released a fee schedule notification. May 1, 2019 Billing and Coding, Medicare, Reimbursement Anthem Blue Cross, E/M Services, Reimbursement Read More »
Gavin Newsom Calls for "Master Plan on Aging" in California California's senior population will increase by over 4 million in the next decade; Newsom believes state must develop a plan to address shortage of senior services. February 25, 2019 Health Care Reform, Medicare, Public Health California, Senior Services, Social Programs Read More »
New October 15 Deadline to Request MIPS Targeted Review Additional time is now available to providers to access and review their performance feedback in the Merit-based Incentive Payment System (MIPS) in 2017 on the Quality Payment Program (QPP) website (qpp.cms.gov). September 21, 2018 Medicare Medicare Read More »
CMS Proposes New 2019 Medicare Fees & QPP Rules On July 12, the Centers for Medicare & Medicaid Services (CMS) announced a plan to combine Medicare paperwork and levels of payment into one form and one flat rate for each office visit with a patient, with the option of filing for an �add-on� payment of $67 for more complex patients. August 6, 2018 Medicare Medicare Read More »
What to Do If Your Medicare Patient Doesn't Have Their New Card The Centers for Medicare and Medicaid Services (CMS) has finished mailing new cards to Medicare patients in California. August 3, 2018 Medicare Medicare Read More »
Check Your 2019 MIPS Payment Adjustment Calculation For providers who participated in the Merit-based Incentive Payment System (MIPS) in 2017, your MIPS final score and performance feedback is available for review on the Quality Payment Program (QPP)website (qpp.cms.gov). July 16, 2018 Medicare Medicare Read More »
Rating QPP Performance Measures A recent study published in theNew England Journal of Medicinefound that about one-third of the MIPS/QPP performance measures for ambulatory general internal medicine used by the Centers for Medicare and Medicaid Services (CMS) were not valid for evaluating the benefits and harms of a medical intervention. May 7, 2018 Medicare Medicare Read More »