September is Prostate Cancer & Blood Cancer Awareness month.

This Weekly’s Hot Topics

  • Anthem Blue Cross not paying “interim payment” as required by law (California News)
  • Free webinars on Duplicate Claims and Critical Care this week! (Noridian News)
  • Prolonged services without direct patient contact payable by Medicare PFS (Affiliate News)

 

MOASC and ANCO have been informed by the California Medical Association (CMA) of  Anthem Blue Cross is not paying the “interim payment” as required under the recently effective law (AB 72) limiting out-of-network billing for covered, non-emergent services performed at an in-network facility. For more information click here and go to California News.

The Legislative session ends at midnight this Friday, September 15th. Legislators have been amending bills, debating and voting. Several key health care bills saw action last week. AB 205 (Wood)/SB 171 (Hernandez).  Medi-Cal: Medi-Cal managed care plans. The joined bills would require the Department of Health Care Services to make several changes to the operation of the Medi-Cal managed care program, to conform to new federal requirements. The bills were amended last week and will be voted on this week. For more information click here and go to California News.

Noridian supports and encourages the use of self-service technology. The Noridian Medicare Portal allows providers an on-demand method to retrieve their Standard Paper Remittance (SPR) Advices. This will eliminate paper delays and administrative burdens traditionally associated with SPRs. For more information click here and go to Noridian News.

National Prostate Health Month, is an annual campaign to raise awareness of the disease. The George Washington (GW) Cancer Center’s Prostate Cancer Awareness Month Social Media Toolkit, newly updated for 2017, was designed to help stakeholders establish a Prostate Cancer Awareness Month social media strategy, manage social media accounts, implement Facebook and Twitter best practices, disseminate Prostate Cancer Awareness Month messaging and evaluate their social media efforts. For more information click here and go to National News.

CMS invites representatives from organizations of all sizes to assess current and future functionality of the Quality Payment Program website (http://qpp.cms.gov) as well as make recommendations for improvements. For more information click here and go to National News.

To view the complete California Oncology Weekly Newsleter, click on the date below.

September 12, 2017