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Noridian reports low response rate for Medicare Part B revalidations

Noridian, Medicare’s administrative contractor for California, reports that only 19 percent of physicians have responded to the most recent Medicare Part B revalidation notices. Noridian is in the process of deactivating Medicare billing privileges for physicians who received a revalidation notice from Noridian but did not turn in a completed application to the Centers for Medicare and Medicaid Services (CMS) prior to the most recent deadline of May 31. If you are deactivated for failure to respond to a revalidation notice, you must submit a reactivation application. The date ...

CMA publishes guide on new provider directory accuracy law

On July 1, 2016, a new law took effect that requires plans to ensure that their physician directories are accurate and up-to-date. The law (SB 137) includes multiple components aimed at providing patients with more accurate and complete information to identify which providers are in their payors' networks. The California Medical Association (CMA) has published a new guide to help physicians understand the new law, and what they need to do to avoid penalties. The guide, "What Physicians Need to Know to Avoid Penalties Under the New Provider Directory Accuracy ...

CDPH publishes FAQ on ordering and interpreting Zika lab tests

The California Department of Public Health (CDPH) Viral and Rickettsial Diseases Laboratory has published an FAQ designed to answer providers’ frequently asked questions about ordering and interpreting Zika laboratory tests and tests for other flaviviruses. Because the way Zika test results are applied to clinical care is rapidly changing, CDPH published this document to clarify the Centers for Disease Control and Prevention’s most recent recommendations. Additionally, the FAQ addresses the current limitations of commercial laboratory testing for Zika in California. To read the FAQ, click here. If you have additional questions about ...

Have you gotten an information request from BetterDoctor?

The California Medical Association (CMA) has received several inquiries over the past few weeks from practices concerned about the validity of requests for information from a company called BetterDoctor. As you may know, a new law took effect July 1 that requires payors to ensure that their physician directories are accurate and up-to-date. BetterDoctor is a vendor working on behalf of a number of plans on a pilot project to ensure the accuracy of their physician directories as required under the new law. Practices are encouraged to respond to the ...

CMA releases 2016 annotated Model Medical Staff Bylaws

The California Medical Association (CMA) has released its 2016 Model Medical Staff Bylaws. These bylaws are the definitive guide for medical staffs, providing details on professional and legal structures to support effective medical staff operations and self-governance. The model bylaws are fully annotated to provide background information on critical provisions, including explanations of relevant state and federal laws, hospital accreditation standards, and other explanatory information. The 2016 Model Medical Staff Bylaws are available free to any medical staff with an active membership in CMA’s Organized Medical Staff Section (OMSS). If your ...

Tobacco Tax Initiative Qualifies for November 2016 Ballot

The California Healthcare, Research and Prevention Tobacco Tax Act of 2016 has officially qualified for the November ballot as Proposition 56. The California Secretary of State confirmed that the measure qualified, after a random sampling of the 1 million signatures submitted by Save Lives California showed that the campaign had more than the 585,407 signatures necessary to earn a spot on the ballot.   Reaching 1 million signatures is a tremendous achievement for the coalition and a testament to its strength. But the road to November won’t be easy. Big Tobacco ...

CMA/SBCMS Publishes MACRA Resource Center

On April 16, 2015, President Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), changing the health care financing system in the most significant and far-reaching way since the program's inception in 1965. To help physicians understand the MACRA payment reforms, and what they can do now to start preparing for the transition, the California Medical Association (CMA) has published a MACRA resource center. There you will find an overview of MACRA, and a comprehensive list of tools, resources and information from CMA, the American Medical ...

Noridian begins deactivation of providers who failed to revalidate

The due date for physicians to revalidate their Medicare enrollment information has passed for the most recent cycle of physician revalidation required by the Centers for Medicare and Medicaid Services (CMS). Physicians who received a revalidation notice from Noridian, CMS’ Medicare contractor for California, and who did not turn in a completed application to CMS prior to the May 31 deadline, will have their Medicare billing privileges deactivated. If you are deactivated for failure to respond to a revalidation notice, you must submit a reactivation application. The date of receipt ...

CMA Capitol Insight: June 7, 2016

 CMA Capitol Insight is a biweekly column by veteran journalist Anthony York, reporting on the inner workings of the state Legislature. __________________________________________________________________________________________________________________ All Eyes on California The nation’s eyes will be on California this week, as voters here go to the polls in the final major presidential contest of the long primary season. We’ve seen a massive swell in new voter registration this year. State voter rolls grew by more than 646,000 voters in April and May alone, with more than three-fourths of those voters signing up as Democrats. It will be important ...

California Cancer Registry publishes materials to help inform patients about cancer reporting

The California Cancer Registry (CCR) has published free materials to help physicians  better inform patients about the registry and cancer reporting. A patient information brochure and poster are now available to physicians to distribute to cancer patients at the time of their diagnosis. CCR, a program of the California Department of Public Health's Chronic Disease Surveillance and Research Branch, is California's statewide population-based cancer surveillance system and is recognized as one of the leading cancer registries in the world. Since 1988, the registry has collected information about almost all cancers ...