CPT® Modifier 22 – reporting and reimbursement CPT® modifier 22 increased procedural services allows a provider to gain additional reimbursement for an unusually difficult or time-consuming procedure. To realize that extra payment, your billing staff will have to make a special effort, as well. July 31, 2014 Practice Management, Resources CPT modifer 0 0 Comment Read More »
Meaningful Use Relief Additional relief for eligible providers participating in the meaningful use program has arrived in two forms – expanded payment adjustment exemptions and extended assistance. April 30, 2014 Health Information Technology (HIT), Resources EHR, Meaningful Use, Medicare 0 0 Comment Read More »
Understanding The Covered CA Grace Period RCMA/CMA has made significant progress through our advocacy efforts to help ensure that physicians are not on the hook for unpaid claims in months two and three of the three month grace period. January 24, 2014 Covered California, Health Care Reform, Practice Management, Resources Covered CA, Exchange, FAQ, Grace Period, Practice Management 0 0 Comment Read More »
Gov. Brown's proposed budget eliminates retroactive Medi-Cal cuts Governor Jerry Brown this morning announced that the State of California would not be moving forward with retroactive collection of a 10 percent cut to the Medi-Cal program, a win for physicians and patients in California. The announcement came as part of the governor's 2014-2015 fiscal year budget proposal. January 9, 2014 Medi-Cal, Resources Medi-Cal 0 0 Comment Read More »
Five Inadvertent HIPAA Violations by Physicians Doctors do not plan ahead to violate HIPAA, but in this digital age, they may be doing it because they did not plan ahead. January 7, 2014 Practice Management, Resources HIPAA, practice management, privacy 0 0 Comment Read More »
Don't Miss Out On Increased Medi-Cal Payments The California Department of Health Care Services (DHCS) will soon be implementing rate increases for primary care physicians who treat Medi-Cal patients, as authorized under the Affordable Care Act. The increase also applies to services provided by physicians to Medi-Cal managed care patients. In order to see the bump in pay, providers must first attest to their eligibility. According to DHCS, less than half of eligible providers have completed the brief self-attestation process as of September 24. Have You? October 1, 2013 Medi-Cal, Resources ACA, Attestation, DHCS, IEHP, Increase, Managed Care, Medi-Cal, Molina 0 0 Comment Read More »
Riverside County Public Health Ready For Meaningful Use Stage 2 The County of Riverside Department of Public Health (DOPH) is committed to the improvement of our health information systems and to ensuring our local providers and medical facilities attain meaningful use certification as defined by the Health Information Technology for Economic and Clinical Health (HITECH) Act. As part of this process, this letter is to inform you that DOPH is declaring readiness for Meaningful Use Stage 2 (hereafter MUS2). Incentive payments you may receive or will receive under meaningful use may be affected if you or your facility is not able to meet the requirements for MUS2, including the public health integration objectives. In addition, your Medicare payments may be adversely adjusted in 2015 if you are not a meaningful user of electronic health record (EHR) technology, which include MUS2 requirements. September 30, 2013 Health Information Technology (HIT), Medi-Cal, Medicare, Resources, Riverside County Community EHR, HIE, HIT, Meaningful Use, Stage 2, Public Health, Riverside County 0 0 Comment Read More »
CMA Launches Exchange Resource Center In 2010, Congress passed historic sweeping health care legislation, the Patient Protection and Affordable Care Act (ACA), which reformed the individual and small group health insurance markets and, beginning in 2014, will provide health insurance to much of the nation's uninsured. Under the ACA, two-thirds of California's uninsured may be may be eligible to purchase coverage through the health benefit exchange. The exchange's goal is to begin open enrollment on October 1, 2013 – with coverage beginning on January 1, 2014. July 22, 2013 Federal Legislation, Health Care Reform, Legislation, Resources ACA, CMA, Health Exchange, Exchange 0 0 Comment Read More »
Noridian EDI: Early On-Boarding In preparation for the cutover from Palmetto GBA, Noridian is offering “early boarding” to ensure physician offices are transitioned without any interruption in your business. June 13, 2013 Medicare, Resources Noridian, Palmetto GBA 0 0 Comment Read More »
Legislation To Repeal SGR Unveiled The Energy and Commerce Committee Republicans unveiled draft legislation that would repeal the sustainable growth rate (SGR) formula and replace it with a new system for determining Medicare physician payments. June 13, 2013 Federal Legislation, Legislation, Medicare, Resources Energy and Commerce Committee Republicans, legislation, Medicare, SGR 0 0 Comment Read More »