Help save lives: Co-prescribe naloxone to patients at risk of opioid overdose For more than 40 years, the life-saving opioid overdose antidote naloxone has been used to reverse the effects of opioid overdose. Timely administration of naloxone has saved tens of thousands of lives. The American Medical Association Opioid Task Force, of which the California Medical Association (CMA) is a member, recently issued updated guidance encouraging physicians to consider co-prescribing naloxone when clinically appropriate for patients who are at risk for opioid overdose or might be in a position to help someone else at risk. The updated guidance includes several important questions that ... October 19, 2017 General Drug Prescribing, Opioids 0 0 Comment Read More »
Saturday, Oct. 28, is National Prescription Drug Take Back Day Saturday, October 28, 2017, is National Prescription Drug Take Back Day. On this day, hundreds of locations throughout California will be accepting and properly disposing of unused prescription drugs, including controlled substances. Proper disposal of unused prescription drugs helps prevent diversion and misuse associated with these medications. This one-day event will provide patients with free, anonymous collection of unwanted and expired medicines. The last National Take Back event collected 450 tons of unwanted prescription drugs at almost 9,700 collection sites nationwide. In addition to providing a safe, convenient and responsible means ... October 19, 2017 General Opioids, Prescription Drugs 0 0 Comment Read More »
California physicians oppose elimination of ACA cost-sharing subsidies President Donald Trump announced yesterday that his administration will cease making critical cost-sharing reduction (CSR) payments to health insurers that help low-income Americans afford health care. This announcement also followed yesterday’s executive order seeking to loosen the Affordable Care Act’s (ACA) health insurance regulations. “Rather than taking action to make health care more affordable and accessible, the President’s actions threaten to destabilize the insurance market, increase health care costs and reduce patient access to care,” said California Medical Association (CMA) President Ruth Haskins, M.D. “We urge our leaders in Washington ... October 19, 2017 General ACA, Affordable Care Act 0 0 Comment Read More »
FSMB releases free online education modules for medical students and residents The Federation of State Medical Boards (FSMB) has released a free online education module for medical students and residents who are interested in learning about the medical licensing process. The new module, "Understanding and Navigating the Medical Licensing Process," is designed to help medical students and residents familiarize themselves with the licensing process before they apply with their state medical board. This is the second module in a series of online educational offerings developed by the FSMB Workgroup on Education for Medical Regulation. The workgroup is currently working on future ... October 19, 2017 General Licensure, Medical Board of California, Medical Students, Residents and Fellows 0 0 Comment Read More »
Free webinar Nov. 2: POLST eRegistry pilot project The Coalition for Compassionate Care of California (CCCC) is hosting a webinar for health care providers and medical professionals, “POLST eRegistry Pilot Project: 2017 Overview and Update." The free webinar takes place on Thursday, November 2, 2017, from 12-1:30 p.m. This webinar will provide an overview of the California POLST (Physician Orders for Life-Sustaining Treatment) eRegistry pilot project. This project, funded by the California Health Care Foundation, is designed to test implementation, use and sustainability of an electronic POLST registry in two California communities, with electronic POLST forms securely submitted ... October 19, 2017 General Physician Orders for Life Sustaining Treatment, POLST, Webinars 0 0 Comment Read More »
New claim format for Child Health and Disability Prevention Program providers Historically, fee-for-service Child Health and Disability Prevention (CHDP) program health assessments and immunizations were billed by providers using the proprietary PM 160 claim form or its electronic equivalent. However, because this claim form applied local codes for the purpose of billing, it did not conform to federal HIPAA laws. In order to comply with HIPAA requirements, the California Department of Health Care Services (DHCS) stopped accepting PM 160 claim forms on July 1, 2017, except for claims with dates of service prior to July 1, 2017. Fee-for-service CHDP claims are ... October 19, 2017 General Child Health and Disability Prevention Program 0 0 Comment Read More »
CMS unveils new Medicare Beneficiary Identification cards The Centers for Medicare and Medicaid Services (CMS) recently unveiled the newly designed Medicare card, which will contain the unique, randomly assigned Medicare Beneficiary Identification (MBI) number replacing the current Social Security-based number. CMS will begin mailing the new cards to people with Medicare benefits in April 2018, with the deadline for replacing all existing Medicare cards by April 2019 as required under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). CMS will allow a 21-month transition period beginning no sooner than April 2018, where health care providers ... October 19, 2017 Medicare Medicare 0 0 Comment Read More »
UnitedHealthcare delays consultation services payment policy change UnitedHealthcare (UHC) announced in its October 2017 Network Bulletin that it will indefinitely delay changes to its consultation services payment policy, which would have discontinued reimbursement for CPT codes 99241-99245 and 99251-99255. Citing alignment with a policy implemented by the Centers for Medicare and Medicaid Services, and in response to misuse of consultation service codes, UHC had previously announced that it would no longer reimburse consultation services for commercial product lines effective October 1, 2017. In lieu of a consultation service code, physicians would have been required to bill utilizing ... October 19, 2017 General, Managed Care Consultation Codes, UnitedHealthcare 0 0 Comment Read More »
UnitedHealthcare to issue latest cycle of Peer Comparison Reports UnitedHealthcare (UHC) has announced that the next iteration of its Peer Comparison Reports will be sent to physicians beginning in November. The Peer Comparison Reports, formerly known as performance reports, contain analysis of a physician’s UHC paid claims data in comparison to nationally-based and risk-adjusted benchmarks. Only physicians whose paid claims data shows patterns that vary significantly from the identified benchmarks will receive a Peer Comparison Report. According to UHC, approximately 550 physicians in the following specialties will receive a Peer Comparison Report notification indicating that their paid claims data ... October 19, 2017 General, Managed Care UnitedHealthcare 0 0 Comment Read More »
Anthem Blue Cross to implement restrictive outpatient advanced radiology policy Effective December 1, 2017, Anthem Blue Cross will implement a new policy restricting outpatient advanced radiologic imaging procedures in the hospital setting. The updated policy, originally scheduled to become effective October 1 but recently delayed, indicates that advanced radiologic imaging procedures in the hospital outpatient department are only considered medically necessary under the follow circumstances: If services are only available in the hospital setting; or The patient requires obstetrical observation; or The patient is receiving perinatology services; or ... October 19, 2017 General, Managed Care Anthem Blue Cross, Radiology 0 0 Comment Read More »
