Pharmacy board warns of fraudulent prescriptions for controlled substances The California State Board of Pharmacy recently warned pharmacies of an uptick in fraudulent California security prescription forms for controlled substances. The pharmacy board is encouraging pharmacies to take appropriate precautions to verify the legitimacy of prescriptions written by prescribers who have been identified as victims of this fraud. The pharmacy board maintains a list by county of prescribers who have reported stolen or fraudulent California security prescription forms. Pharmacies that receive prescriptions from a provider on this list have been advised to verify the prescription by contacting the provider's ... November 16, 2016 General Drug Prescribing, Fraud and Abuse 0 0 Comment Read More »
2017 Medicare fee schedule includes $140 million in additional funding for primay care The Centers for Medicare and Medicaid Services (CMS) on Wednesday released the final 2017 Medicare physician fee schedule. The fee schedule transforms how Medicare pays for primary care through a new focus on care management and behavioral health, which is expected to result in an additional $140 million in payments next year for physicians providing these services. The 2017 physician fee schedule focuses on improving Medicare payments for services provided by primary care physicians for patients with multiple chronic conditions, mental and behavioral health issues, and cognitive impairment or mobility-related ... November 14, 2016 Medicare Fee Schedule, Geographic Practice Cost Index, GPCI, MACRA, Medicare 0 0 Comment Read More »
Don't forget: Last day to change your Medicare participation status for 2017 is December 31 Once again, it’s time for physicians to decide if they want to make changes to their Medicare participation status. Physicians have until December 31, 2016, to make changes for 2017. Although Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) penalties will not kick in until 2019, there are two more years of penalties that will be applied based on 2015 performance—tied to the meaningful use, Physician Quality Reporting System and Value-Based Modifier reporting programs. This will also decrease the limiting charge amounts that nonparticipating physicians can bill to ... November 14, 2016 Medicare Medicare 0 0 Comment Read More »
Physicians have until November 30 to dispute 2015 PQRS and QRUR findings The Centers for Medicare and Medicaid Services (CMS) recently released data that indicates which physicians will be subject to the 2017 payment penalties associated with the Physician Quality Reporting System (PQRS) and Value-Based Payment Modifier (VM) programs. Physicians who have concerns about the findings in their report(s) have until November 30 to file for an informal review of their data. The penalties in question stem from policies in effect prior to the enactment of the Medicare Access and CHIP Reauthorization Act (MACRA). Failure to successfully complete required PQRS reporting ... November 14, 2016 Managed Care, Medi-Cal, Medicare Quality Reporting, Medicare, Physician Quality Reporting System, PQRS 0 0 Comment Read More »
California Medical Association applauds voter approval of Proposition 52 The California Medical Association (CMA) today applauded voter approval of Proposition 52, the California Medi-Cal Hospital Reimbursement Initiative. Voters passed the measure, which will maximize the amount of federal funds available to California to provide health care services to children, seniors and working families through Medi-Cal. “One in three Californians rely on Medi-Cal care so it’s critical that we invest in health care services needed by our most vulnerable populations,” said CMA Immediate Past President Steven E. Larson, M.D., MPH. “Prop. 52 will help provide essentials like check-ups, immunizations, prescriptions, ... November 14, 2016 Medi-Cal Ballot Measures, Election, Medi-Cal, Political Advocacy 0 0 Comment Read More »
California Medical Association applauds voter approval of Proposition 56 The California Medical Association (CMA) today applauded voter approval of Proposition 56, the California Healthcare, Research and Prevention Tobacco Tax Act of 2016. Voters overwhelmingly passed the measure, rejecting Big Tobacco’s $70 million deceptive campaign. Prop. 56 will increase California’s cigarette tax by $2 per pack, with an equivalent increase on products containing nicotine derived from tobacco, including e-cigarettes. In every other state that has significantly raised cigarette taxes, smoking rates have gone down, especially among children. “This is a great day for public health in California,” said CMA Immediate Past ... November 9, 2016 General Ballot Measures, Election, Electronic Cigarettes, Medi-Cal, Prop. 56 (tobacco tax), Public Health, Tobacco, Tobacco Tax 0 0 Comment Read More »
California Medical Association applauds voter approval of Proposition 55 The California Medical Association (CMA) today applauded voter approval of Proposition 55, the California Children’s Education and Health Care Protection Act of 2016. This measure will provide much-needed funding for public education and vital health care services. “Prop. 55 presented a rare opportunity to invest in the health and well-being of low-income children and their families,” said CMA President Ruth Haskins, M.D. “California’s doctors are proud to have served as leaders in this effort to help patients stay healthy and thrive.” Prop. 55 will extend current income tax rates for the ... November 9, 2016 General Ballot Measures, Election, Medi-Cal, Political Advocacy, Prop.55 0 0 Comment Read More »
California GPCI fix implementation to begin in January Last week, the Centers for Medicare and Medicaid Services (CMS) released the final Medicare physician fee schedule for 2017, which begins implementation of the long overdue overhaul of California’s outdated geographic payment localities. The California Geographic Practice Cost Index (GPCI) fix will update California’s Medicare physician payment regions and raise payment levels for 14 urban California counties misclassified as rural, while holding the remaining rural counties permanently harmless (starting in 2018) from cuts. All California payment localities will transition to Metropolitan Statistical Areas. The transition to the new localities starts next ... November 8, 2016 Medicare Geographic Practice Cost Index, GPCI, Medicare 0 0 Comment Read More »
Register now for November 16 webinar on prenatal vaccinations The California Immunization Coalition (CIC) invites health care providers to attend its November 16, 2016, educational webinar: Providing Strong and Reassuring Recommendations for Prenatal Vaccinations. Taking place from 12 to 1 p.m. PT, this free webinar will focus on immunization recommendations for pregnant women and best practices for improving immunization rates in this population. Attendees will learn tips and techniques for communicating with their patients about the benefits of prenatal vaccination against pertussis and influenza, as well as ways to improve vaccination rates in their own practices. To register, click ... November 8, 2016 General Maternal and Child Health, Public Health, Vaccination, Webinars, Women's Health, Immunization 0 0 Comment Read More »
CMS publishes MACRA measure selection tool for physicians The Centers for Medicare and Medicaid Services (CMS) has published a tool that will let physicians review and select the MACRA (Medicare Access and CHIP Reauthorization Act of 2015) quality measures that best fit their practice. Under MACRA, CMS will begin measuring performance for eligible clinicians in 2017 through the new Merit-Based Incentive Payment System (MIPS), with payment adjustments based on those results beginning in 2019. The MIPS payment adjustments will be based on performance in four categories: quality, resource use, clinical practice improvement activities and electronic health record (EHR) use. ... November 7, 2016 Medicare MACRA, Quality Reporting 0 0 Comment Read More »
