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DHCS Begins Recouping Retroactive Medi-Cal Radiology Cuts

May 11, 2016 In 2010, the California state budget included cuts to Medi-Cal radiology rates, stipulating that the maximum reimbursement rates for radiology services could not exceed 80 percent of the Medicare rate for the same or similar services. The Department of Health Care Services (DHCS) did not, however, implement the rate reduction until July 20, 2015, with retroactive cuts going back to October 2012. To recoup the retroactive cuts, DHCS recently announced that it would be offsetting overpayments against amounts due. Physicians affected by this retroactive recoupment were notified by ...

Noridian Will Begin Deactivations on May 31 for Failure to Revalidate

May 10, 2016 Since the passage of the Affordable Care Act (ACA), all Medicare providers and suppliers have been required to revalidate their Medicare enrollment information under new enrollment screening criteria in an effort to prevent fraud within the Medicare system. Once a Medicare enrollment application is validated, the clock starts ticking on a five-year revalidation cycle. Now that five years have passed since the ACA's revalidation requirement took effect, the Centers for Medicare and Medicaid Services (CMS) has initiated a second cycle of revalidation requests. According to CMS, Medicare Administrative ...

CMA Capitol Insight With Anthony York: May 10, 2016

CMA Capitol Insight is a biweekly column by veteran journalist Anthony York, reporting on the inner workings of the state Legislature. Budget Battles Begin For the last several years, the California budget has essentially been a non-story. Prop. 25, passed in 2010, changed the legislative vote requirement to pass a budget from two-thirds to a simple majority. In 2012, as the economy continued its incremental crawl out of the great recession, voters passed Prop. 30, which hiked the state’s upper-income tax brackets, providing state coffers with billions more in revenue to ...

Top Doctors 2016

Top Doctors 2016 Election: May 9 – June 20 SAN DIEGO COUNTY PHYSICIANS: The San Diego County Medical Society (SDCMS) invites you to participate in the selection process for “Physicians of Exceptional Excellence” — Top Doctors 2016. The SDCMS leadership wishes the selection process, while not perfect, to be fair, open, and honest for physician peers selecting the top 5% of active San Diego County physicians. Three years ago, we significantly improved the selection process to ensure a more proportionate representation between modes of practice, balancing the selectees between very large groups and ...

Reuben H. Fleet Science Center Special Membership Offer

The Reuben H. Fleet Science Center is the largest membership museum in Balboa Park. Members enjoy unlimited admission to its exhibit galleries plus member-only previews of new exhibitions.* The Science Center's two most popular levels also receive the benefits listed below: Voyager $250 (regular price: $300) Unlimited IMAX admission for two 14 IMAX vouchers for other family members IMAX Dome Theater pre-seating Trailblazer: $500 (regular price: $600) All of the above, plus: Invitations to exclusive donor ...

Physicians: Review Your Data Before it Becomes Available to the Public

Review and dispute for the June 30, 2016, Open Payments data publication opened on Friday, April 1, 2016, and will last for 45 days. CMS will publish the 2015 payment data and updates to the 2013 and 2014 data on June 30, 2016. In order for any disputes to be addressed before the June 30 publication, physicians and teaching hospitals must initiate their disputes during the 45-day review period, and industry must resolve the dispute before the publication deadline. Review and dispute is voluntary but strongly ...

CMA Capitol Insight With Anthony York: April 26, 2016

CMA Capitol Insight is a biweekly column by veteran journalist Anthony York, reporting on the inner workings of the state Legislature. The Legislative Scramble Last week was a frantic one inside the Capitol as lawmakers faced a key deadline to pass bills out of policy committee. Measures that did not receive committee approval last week were shelved for the year. A number of major proposals lived to fight another day, but many efforts were left on the prominent pile of abandoned bill ideas that accumulates each and every year. Among those bills ...

CMA Capitol Insight With Anthony York: April 11, 2016

CMA Capitol Insight is a biweekly column by veteran journalist Anthony York, reporting on the inner workings of the state Legislature. A Higher Wage (and Higher Tobacco Tax?) Gov. Jerry Brown continued to make history when he signed a $15/hour minimum wage into law. The governor, whose administration had publicly opposed calls for a higher wage, couched the increase in moral terms at a Los Angeles signing ceremony. What’s notable is that the higher wage will take effect statewide. Others had thought that more economically depressed areas of the state might ...

Workshop for Physician Health Committees in San Diego County

CALIFORNIA PUBLIC PROTECTION & PHYSICIAN HEALTH, INC. Coordinating Physician Health Activities in California Click Here to Download a Flyer for Distribution Title: Workshop for Physician Health Committees in San Diego County When: Saturday, May 7, 2016, 9:00am–12pm Where: San Diego County Medical Society Foundation, 5575 Ruffin Road, Suite 250, San Diego, CA 92123 Program: 8:30am Registration Opens • Continental Breakfast 9:00am Welcome 9:15am Introductions Around the Table 9:30am Confidentiality and Reporting Requirements for Wellbeing Committees, Medical Staffs, and Peer Review Bodies — Richard D. Barton, Esq., Shelley Carder, Esq., and ...

April 30 Is National Prescription Drug Take Back Day

Saturday, April 30, is National Prescription Drug Take Back Day, a day during which hundreds of locations throughout California will be accepting and properly disposing of unused prescription drugs, including controlled substances. Proper disposal of unused prescription drugs helps prevent diversion and misuse associated with these medications. This one-day event will provide patients with free, anonymous collection of unwanted and expired medicines. During previous Take Back events over the past five years, 5.5 million pounds — more than 2,750 tons — of drugs were collected nationwide. In addition to providing a ...