Medical Practice News

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Tricare Contracting and Credentialing Change

Wednesday, June 19th, 2019

Tricare West recently announced a change that will take effect in the middle of this month. MHN (Managed Health Network), a sister company to Health Net Federal Services (HNFS) will no longer be managing the TRICARE West mental health provider network, which includes applied behavior analysis (ABA) providers. Providers currently contracted with MHN as a […]

California updates laws on protected health information

Thursday, January 31st, 2019

Effective Jan. 1, 2020, the California Consumer Privacy Act of 2018, officially called AB-375, grants consumers the right to request a business to disclose the categories and specific pieces of personal information it collects about a consumer. The AB-375 requires entities that meet the following criteria to comply with the law: annual gross revenue in […]

CMS Reveals New Medicare Card Design

Thursday, September 14th, 2017

Today, the Centers for Medicare & Medicaid Services (CMS) gave the public its first look at the newly designed Medicare card. The new Medicare card contains a unique, randomly-assigned number that replaces the current Social Security-based number. CMS will begin mailing the new cards to people with Medicare benefits in April 2018 to meet the […]

Look out for the new CMS 1500 forms

Monday, July 22nd, 2013

The new CMS forms were designed to change over from ICD9 to ICD10 diagnosis codes. During the implementation period when both versions are accepted, there will be an indicator added to designate which version of diagnosis code you are using, ICD9 or ICD10. Another major change is that the new forms will be able to […]

Caremore Healthplan of California

Tuesday, April 10th, 2012

For well over a year now, we have been receiving EOBs from Caremore Healthplan of California with numerous under-payments and over-payments errors. Take for example, one check that we received: They processed 31 claims and only 4 of them were processed correctly! :O That’s an 87% margin of error on one check for one doctor! […]

New Balance Billing Patients Rule in California

Thursday, October 16th, 2008

As of October 15, 2008, there is a new California state rule that bars hospitals and doctors from billing patients for the balance of emergency treatment not paid by insurance companies. Hospitals and physicians are contesting this new law and California Supreme Court will be hearing another ‘balance bill’ challenge next month. According to the […]

CMS Recruits Qualified Clinical Data Registries

Thursday, July 31st, 2008

Physicians who plan to use a clinical data registry to submit data for CMS’ 2008 Physician Quality Reporting Initiative, or PQRI, need to act quickly to ensure that their registry meets CMS criteria and is deemed a qualified and established registry.

Merger Spells e-Prescribing Success for FPs

Thursday, July 31st, 2008

Effective July 1, RxHub and SureScripts, the nation’s two largest electronic prescribing, or e-prescribing, networks, consolidated their operations to become SureScripts-RxHub. The merger forms a “single, secure nationwide network” for e-prescriptions and bodes well for family physicians.

Google Offers Consumers Online Health Record Access

Thursday, July 31st, 2008

Google Inc., familiar to millions of people around the globe as an Internet search vehicle, recently launched a Web-based health information service called Google Health that allows consumers to create online health accounts they can use to collect and store their personal health information.

Low Physician EHR Adoption Rates a Concern

Thursday, July 31st, 2008

A recently released study examining physicians’ use of electronic health records, or EHRs, in the United States concluded that just 4 percent of physicians have an extensive, fully functional EHR at their fingertips. Another 13 percent of physicians reported that they were using a basic EHR.

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