News DMHC directs Anthem to publish effective dates for clinical policies In March, CMA asked the Department of Managed Health Care (DMHC) to investigate Anthem Blue Cross' systematic failure to publish effective dates for its 241 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 Blue Shield backs off plan to require health information exchange participation In March, Blue Shield of California announced it would be making health information exchange (HIE) participation mandatory for its contracted providers. In an effort to accelerate statewide information 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 Health Net to rescind modifier 25 and emergency services payment policies In March, Health Net notified physicians of planned changes to its modifier 25 and emergency services payment policies for Medicare and Medi-Cal lines of business.  The California Medical 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 End of Life Option Act reinstated while state appellate court reviews its constitutionality A state appellate court has stayed the Riverside County Superior Court's judgment issued on May 24, 2018, declaring California's End of Life Option Act void and unconstitutional. Due to the 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 CMA urges Health Net to rescind recently announced payment policies Since Health Net first notified physicians in March of planned changes to its modifier 25 and emergency services payment policies for Medicare and Medi-Cal lines of business, the California Medical As 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 San Francisco bans sale of flavored tobacco products On Tuesday, San Francisco voters passed Proposition E by a 68-32 percent margin to uphold the city's law prohibiting the sale of flavored tobacco products that are regularly marketed to children 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 NEPO Summit registration now open: Building the Best YouCelebrating the Joy of Medicine Registration is now open for the 2018 NEPO Summit. This year's theme, Building the Best You: Celebrating the Joy of Medicine, will address issues of physician burnout 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 CMA Doc: Dee Lacy, M.D., Ph.D. "Part of the answer lies in creating systems that make it easier to do the right thing. But an equally important part is education. Just by tweaking a combination of elements, we established an effective safety net for these patients." 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 UnitedHealthcare implements Smart Edits into the EDI claim process In the April 2018 UnitedHealthcare (UHC) network bulletin, UHC notified physicians that it would implement Smart Edits, a new functionality introduced into the EDI workflow, allowing the payor to autodetect 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 Deadline extended to nominate an outstanding colleague for 2018 CMA service awards Every year, CMA honors inspirational physician members during its House of Delegates. The deadline for nominations has been extended to Monday, June 11. CMA is now 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 AB 72 independent dispute resolution process: how CMA can help California's out-of-network billing and payment law (AB 72) took effect on July 1, 2017, changing the billing practices of non-participating physicians providing covered, non-emergent care at in-network 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 Have you received your Prop 56 supplemental Medi-Cal payments yet? The California Health Care, Research and Prevention Tobacco Tax Act of 2016 (Prop 56) created new revenues dedicated to the Medi-Cal program. Physicians receive supplemental payments in both fee-for-service 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 Coding Corner: Reporting E/M services with time as the controlling factor "Coding Corner" focuses on coding, compliance and documentation issues relating specifically to physician billing. 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 New Parkinsons reporting requirements take effect July 1 Health care providers diagnosing or providing treatment to Parkinson's disease patients will be required to report each case of Parkinson's disease to the California Department of Public Health 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 End of Life Option Act invalidated, state seeks emergency stay pending appeal California's End of Life Option Act was recently invalidated by a Riverside County Superior Court judgment in Ahn v. Hestrin, issued on May 24, 2018. The Act was enacted during a special session 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00