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CDI issues instructions for "average contracted rate" under new out-of-network billing and payment law

On July 1, 2017, a new law (AB 72, 2016) will take effect that changes the billing practices of non-contracted physicians providing non-emergent care at in-network facilities including hospitals, ambulatory surgery centers and laboratories. The law is designed to reduce unexpected medical bills when patients go to an in-network facility but receive care from an out-of-network doctor.  While patients with out-of-network benefits can consent to treatment from out-of-network providers, absent a valid consent form, health plans and insurers are required to reimburse out-of-network physicians at an interim payment rate. The ...

Diabetes Prevention: How to get your male patients in for prediabetes screening

Being a father is a big responsibility—with big demands. Dads spend a lot of time thinking about, taking care of, providing for and worrying about their families, which means they don’t necessarily put their own needs—or their health—first. This may in part explain why it’s so difficult to get your male patients into the office, let alone to get them screened for prediabetes. But it also may be an opportunity and incentive to get them there as well, so they can do more of the things they enjoy with their ...

CHA to host webinar on cancer surgery volumes and patient outcomes

The California Hospital Association (CHA) is hosting a webinar to unveil new research on how a hospital’s volume of cancer surgeries impacts patient outcomes. The webinar, “Cancer Surgery Volumes on Outcomes," will take place on July 6, 2017, from 10 a.m.to 12 p.m. The California HealthCare Foundation has partnered with the California Office of Statewide Health Planning and Development, a health services researcher at Stanford and the Cancer Prevention Institute of California on a study to measure the volume of cancer surgeries performed at each hospital for certain cancers for ...

2018 palliative care summit accepting breakout session proposals

The Coalition for Compassionate Care of California and the Children's Hospice & Palliative Care Coalition Now are now accepting breakout session proposals for their 10th annual summit, "Better Together: Forging a path to person-centered care," which will take place April 10-11, 2018, in Anaheim. Proposals must be submitted by 5 p.m. on Friday, July 14, 2017. The summit is designed for physicians, nurses, social workers, nursing home administrators, chaplains, patients and consumers who are interested in palliative care best practices, quality and policy. For more information please visit the CCCC Summit ...

FDA wants opioid pulled from market due to risk of abuse

Last week, the U.S. Food and Drug Administration (FDA) requested that Endo Pharmaceuticals remove its opioid pain medication, reformulated Opana ER (oxymorphone hydrochloride), from the market. After careful consideration, the agency is concerned that the benefits of the drug may no longer outweigh its risks. This is the first time the FDA has taken steps to remove a currently marketed opioid pain medication from sale due to the public health consequences of abuse. The FDA’s decision is based on a review of all available data and follows a March 2017 ...

Pharmacy board announces rules for pharmacy drug take-back services

The California State Board of Pharmacy has finalized rules for pharmacy prescription drug take-back programs. The proposed regulations are part of statewide efforts to combat prescription drug misuse by making it easier for patients to safely dispose of old and unwanted drugs. A significant component of the prescription drug abuse and diversion problem stems from misuse of unused drugs. According to the Substance Abuse and Mental Health Administration, over 71 percent of prescription pain medications are obtained from family and friends, and 5 percent took the medication from a friend ...

MIPS group reporting registration period ends June 30

Physician groups planning to use the Centers for Medicare and Medicaid Services (CMS) web interface or the Consumer Assessment of Healthcare Providers and Systems (CAHPS) patient satisfaction survey data to satisfy requirements of the new Merit-Based Incentive Payment System (MIPS) must register by June 30, 2017. Please note that registration is only required if a group chooses to submit data using one of these two mechanisms. Groups do not need to register if they plan to submit MIPS data through other submission methods, such as a qualified registry, qualified clinical ...

CMA's Health Law Library updated with 2017 content

CMA On-Call, the California Medical Association (CMA) online health law library, has been updated with 2017 content. One of CMA's most valuable member benefits, On-Call contains nearly 5,000 pages of up-to-date legal information on a variety of subjects of everyday importance to practicing physicians. The searchable online library contains all the information available in the California Physician's Legal Handbook (CPLH), an annual publication from CMA's Center for Legal Affairs. New documents for 2017 include: Promoting Quality of Life for Older Patients (#3504) MACRA Overview ...

President's Message June 2017

JUNE 2017 “A Year of Awesome!” Dear Members, Colleagues and Friends,  It’s absolutely astounding to believe that the past year has flown by so quickly. It has been such an honor and a privilege to serve as President of SBCMS for 2016-17, and I’m very proud of the accomplishments we’ve made during the past year:   Completed a new Strategic Plan to guide SBCMS for the next three years; Maintained our position as the 7th largest component medical society ...

Southern California Medical Museum: Celebrating modern medicine by exploring the history of healing

The Southern California Medical Museum (SCMM) houses a treasure trove of fascinating medical, dental and pharmacy artifacts, wartime surgery kits, impressive medical artwork and photographs, rare and antique bottles used to hold and dispense salves, pills, powders and elixirs, hard to believe quackery devices and numerous special exhibits. Click here to read more from Desert Mobile Home News - June 1, 2017.