Health Net announces significant policy changes to Medicare Advantage and Medi-Cal managed care product lines Health Net recently announced several new payment policies for its Medicare and Medi-Cal lines of business, effective May 16, 2018. The California Medical Association (CMA) is very concerned with the adverse impact these policies would have on physician practices. The new policies would: Reduce reimbursement of evaluation and management (E&M) services when billed with modifier 25 under the following circumstances: When a minor surgical procedure code is reported on the same day as an E/M code by the same physician, payment for the E/M ... April 5, 2018 General, Managed Care Payor Contracting, Health Nedt 0 0 Comment Read More »
