This Weekly’s Hot Topics

  • California physicians are encouraged to contact their state legislators NOW (California News)
  • Noridian answers denial of 96402 when billed with J9395 and J9217 (MOASC News)
  • UCSF study exploring cancer survivorship care plans. (MOASC News)

 

Assemblymember Ash Kalra (San Jose) amended last year’s AB 3087 to create a government commission to set the prices a physician, physician group, hospital, or health plan can charge. California’s government would set prices for hospital stays, doctor visits and other healthcare services under legislation introduced yesterday, vastly remaking the industry in a bid to lower healthcare costs. For more information click here and go to California News.

There are two Pharmacy Benefit Management bills now in Sacramento, one remains inactive (AB 315), and the other introduced recently (AB 2863).  AB 2863 regarding PBM’s, contains language on both the “gag” and “claw-back” issues.  For more information click here and go to California News.

Upcoming Noridian/JEMAC webinars include:
* Preventive Services and Screenings (April 18)
* What’s New in the Second Quarter 2018 Webinar (April 18)
* New Medicare Card Project Webinar (April 25)
* Evaluation and Management Modifiers Webinar (April 25). For more information click here and go to Noridian News.

The MOASC Office has been in receipt of calls from members regarding denials on 96402 when billed with J9395 and J9217 with denial codes COB15 and M51. For more information click here and go to MOASC News.

In the next 5 years, technology will improve health care through better diagnoses, cures and prediction of diseases and conditions, per 80%  of more than 1,000 adults ages 55 and older surveyed by Alignment Healthcare. MOASC’s LunchTime Series webinar, “Patient Management Technology,” on Wednesday, April 25 at 12:00pm Pacific, will prepare you for this evolution.  For more information click here and go to MOASC News.

CMS started mailing newly-designed Medicare cards with the new Medicare Beneficiary Identifier (MBI), or Medicare Number. People enrolling in Medicare for the first time will be among the first to get the new cards, no matter where they live. Current Medicare beneficiaries will get their new cards on a rolling basis over the coming months.  For more information click here and go to CMS News.

 

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

April 10, 2018