Check Your 2019 MIPS Payment Adjustment Calculation For providers who participated in the Merit-based Incentive Payment System (MIPS) in 2017, your MIPS final score and performance feedback is available for review on the Quality Payment Program (QPP)website (qpp.cms.gov). July 16, 2018 General Reimbursement Read More »
UHC Reimbursement for After-Hours and Weekend Care� Effective August 18, 2018, UnitedHealthcare (UHC) will allow reimbursement for CPT code 99051 (services provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service) when billed with acute care services by a primary care physician (PCP). July 13, 2018 General and, Billing, Coding Read More »
UHC Reimbursement for After-Hours and Weekend Care Effective August 18, 2018, UnitedHealthcare (UHC) will allow reimbursement for CPT code 99051 (services provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service) when billed with acute care services by a primary care physician (PCP). July 13, 2018 General Care, Managed Read More »
State Funding to Improve Birth Outcomes The Omnibus Health Trailer Bill (AB 1810) was signed into law on June 27 to revise various health care programs in order to implement the 2018�19 state budget. July 13, 2018 General Health, Public Read More »
UHC Reimbursement for After-Hours and Weekend Care Effective August 18, 2018, UnitedHealthcare (UHC) will allow reimbursement for CPT code 99051 (services provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service) when billed with acute care services by a primary care physician (PCP). July 13, 2018 General Reimbursement Read More »
National Guideline Clearinghouse to Go Down on July 16 The National Guideline Clearinghouse (guideline.gov), maintained by the US Department of Health and Human Services (DHHS), is scheduled to be taken offline on July 16 due to lack of federal funding. July 13, 2018 General Misc Read More »
Early Success for State Drug Pricing Transparency Law Some planned price increases for at least 10 drugs were cancelled or reduced after SB 17, California's drug pricing transparency law, went into effect this year. July 13, 2018 General Misc Read More »
Projected State Shortage of Mental Health Professionals California is expected to face a shortfall of 729 to 1,848 psychiatrists by 2025, compared to 336 psychiatrists in 2016. July 13, 2018 General Misc Read More »
Blue Shield Corrects System for AB 72 Claims Issues affecting the accurate payment of AB 72 claims through Blue Shield have been corrected through a system update implemented by the payor on June 28. July 6, 2018 General and, Billing, Coding Read More »
Free Webinar on CURES 2.0 Compliance Effective October 2, physicians will be required to consult the CURES database, California's prescription drug monitoring program, before prescribing Schedule II, III, or IV controlled substances. July 6, 2018 Educational, Programs Dispensing, Drug, Prescribing Read More »