UnitedHealthcare plans to discontinue payment for consultation services Citing alignment with a policy implemented by the Centers for Medicare and Medicaid Services (CMS), and in response to misuse of consultation service codes, UnitedHealthcare (UHC) has announced that it will no longer reimburse consultation services for commercial product lines effective October 1, 2017. Consultation services previously represented by CPT codes 99241-99245 and 99251-99255 will now need to be billed utilizing the appropriate evaluation and management (E/M) procedure code that describes the office visit, hospital care, nursing facility care, home service or domiciliary/rest home care. The California Medical Association (CMA), ... August 8, 2017 General Consultation Codes, UnitedHealthcare 0 0 Comment Read More »
FAQ: Can I maintain a drug-free policy in my office? With the ongoing implementation of California's Medical Cannabis Regulation and Safety Act of 2015 and passage of the Adult Use of Marijuana Act (AUMA) in 2016, physician offices may increasingly find themselves unsure of whether they are required to make accommodations for employees' use of marijuana, either for medical or recreational purposes. California law does not require any accommodation of the use of medical cannabis on the property or premises of any place of employment or during the hours of employment. Further, the California Supreme Court, in Ross v. Ragingwire ... August 8, 2017 General Adult Use of Marijuana, Drug Testing, Medical Cannabis, Medical Marijuana 0 0 Comment Read More »
Free CME: Patients' right of access under HIPAA The U.S. Department of Health and Human Services Office for Civil Rights (OCR) has launched a new training module for providers on patients' right of access under the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. With limited exceptions, the HIPAA Privacy Rule provides individuals with the right to see and receive copies upon request of the information in their medical and other health records maintained by their health care providers and health plans. The new module provides an in-depth review of the components of the HIPAA right of access ... August 8, 2017 General Continuing Medical Education, CME, HIPAA, HIPAA Privacy Rule, Medical Records 0 0 Comment Read More »
August is National Immunization Month August marks National Immunization Awareness Month (NIAM), a national effort to promote vaccinations and protect children and adults from serious, and sometimes deadly, preventable diseases. According to the Centers for Disease Control and Prevention (CDC), immunizations are one of the top 10 public health accomplishments of the 20th century. Among children born between1994-2013, vaccination will prevent an estimated 322 million illnesses, 21 million hospitalizations and 732,000 deaths over the course of their lifetimes. As part of this important effort, the California Medical Association (CMA) and its county medical societies are ... August 8, 2017 General I Heart Immunity, Immunization, Public Health, Vaccination 0 0 Comment Read More »
Guillermo J. Valenzuela Foundation Awards $180,00 in Grants to Inland Groups Serving Families, Women in Need Guillermo J. Valenzuela Foundation Awards $180,000 in Grants to Inland Groups Serving Families, Women in Need Grants by Inland-based foundation support its mission to improve the health of underserved communities in San Bernardino and Riverside Counties. (San Bernardino, CA) -- The Guillermo J. Valenzuela Foundation announced today that it has awarded $180,000 in grants to several local organizations that work to improve the health and well-being of underserved families and women in the Inland Empire. Founded and funded by longtime Inland physician Dr. Guillermo Valenzuela, the 2017 grant awards were provided to ... August 8, 2017 General Access to Health Care, Guillermo Valenzuela MD, Underserved Communities 0 0 Comment Read More »
Updated payor profiles for 2017 now available The California Medical Association’s (CMA) Center for Economic Services is publishing updated profiles on each of the major payors in California including Aetna, Anthem Blue Cross, Blue Shield of California, CIGNA, Health Net, UnitedHealthcare, Medicare/Noridian 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. Don’t waste your time searching the internet for this information – members can download CMA’s Payor Profiles free of charge ... August 1, 2017 CMA, Managed Care, Medi-Cal, Medicare Aetna, Anthem Blue Cross, Blue Shield, Cigna, Health Net, Insurance, Medi-Cal, Medicare, Noridian, Payor, Payor Profiles, Running a Practice, UnitedHealthcare 0 0 Comment Read More »
Hepatitis A Outbreaks in California Hepatitis A Outbreaks in California - Immunization recommended for Californians who are homeless or using drugs On July 13, 2017, the California Department of Public Health (CDPH) issued a health advisory regarding outbreaks of hepatitis A among persons who are homeless or using illicit drugs and individuals working with these persons. This advisory is directed at healthcare providers and settings that provide services for homeless people or persons using drugs. Increasing the level of hepatitis A immunity in these risk groups will help prevent and control hepatitis A outbreaks. Californians hospitalized or ... July 27, 2017 General Hepatitis A, Immunizations, Public Health 0 0 Comment Read More »
Conference on physician health comes to San Francisco in October Physicians’ professional wellness is increasingly recognized as being critically important to the delivery of high-quality health care. Physicians strive to achieve an optimal patient experience and provide the highest quality care, while simultaneously facing increasing productivity and documentation demands that often lead to anxiety, fatigue, burnout and depression. To address this issue, Stanford Medicine, the Mayo Clinic and the American Medical Association (AMA) are collaborating to host the American Conference on Physician Health: Creating an Organizational Foundation to Achieve Joy in Medicine. The conference will take place at the Palace ... July 26, 2017 General Physician Burnout, Physician Well-Being, Conferences, Continuing Medical Education, Physician Wellness 0 0 Comment Read More »
CSAM Webinar: How to Build a Controlled-Substances Review Committee in Your Primary Care Clinic The California Society of Addiction Medicine (CSAM) is hosting a webinar, "How to Build a Controlled-Substances Review Committee in Your Primary Care Clinic," to help physicians navigate chronic pain and opioid management. The webinar will take place on Friday, July 28, from 12-1 p.m. Using a case-based format, the webinar will review the basic structure, operations and benefits of creating an internal peer-review committee for complex pain cases. From this event, physicians will understand how to implement, how to interact with and when to use such a committee in their ... July 26, 2017 General Continuing Medical Education, Drug Prescribing, Prescription Drugs, Webinars 0 0 Comment Read More »
U.S. Senate health reform update While there has been considerable activity in the Senate over the past week, plans for bringing a health system reform bill to the floor for a vote remain very fluid. Under pressure from both President Trump and a long legislative to-do list, Senate Majority Leader Mitch McConnell has said he would attempt to bring repeal legislation to the floor again tomorrow. At this point, it appears that two substitute amendments for the House-passed American Heath Care Act (AHCA) are likely candidates to serve as the basis for Senate debate: ... July 24, 2017 General Better Care Reconciliation Act (BCRA), Federal Legislative Advocacy, Health Care Reform, Obamacare Repeal and Reconciliation Act (ORRA) 0 0 Comment Read More »
