Monday, March 19, 2018


OCMA Selects Citizens Business Bank as Preferred Business Partner

Irvine, Calif., Nov. 13, 2012 – The Orange County Medical Association is pleased to announce another benefit of membership.  The OCMA has designated Citizens Business Bank as a Preferred Business Partner for physicians seeking deposit and lending services for their professional or personal needs. 

Citizens Business Bank offers a comprehensive array of credit products and services designed to meet the specific needs of OCMA members, including: working capital loans, equipment loans and leases, real estate loans and SBA loans.  Citizens Business Bank also offers accurate and reliable depository accommodations that provide convenience and flexibility for busy professionals, so that they can spend less time banking and more time focusing on their patients.

Citizens Business Bank has a reputation as one of the safest, strongest and best managed business banks in the United States.  Their specialists are ready to help support OCMA members with the personal attention and customized solutions needed for their practices to grow. 

Citizens Business Bank provides banking services throughout Orange County at its seven Business Financial Centers located in Brea, Fullerton, Orange, Santa Ana, Irvine Spectrum and Laguna Beach.  Founded in 1974, the bank is the largest financial institution headquartered in the Inland Empire with assets of $6.3 billion and 41 business financial centers statewide.    

The strategic business partnership with Citizens Business Bank reinforces OCMA’s commitment to bring added value to its members by aligning with companies who offer business practice expertise, allowing physicians to focus their attention on patient care.

About CVB Financial Corp.

CVB Financial Corp. is the holding company for Citizens Business Bank.

Shares of CVB Financial Corp. common stock are listed on the NASDAQ under the ticker symbol of CVBF.  For investor information on CVB Financial Corp., visit the Citizens Business Bank website at and click on the Our Investors tab.

For more information contact Arthur Bergmann, Vice President & Manager -- -- work: (949) 581-4444 cell: (714) 864-0378

The Doctors Company Announces Five-Year Anniversary of the Tribute Plan

Career Award Represents Tangible Proof of Membership for Nearly 20,000 Doctors in California

The Doctors Company is the sponsored medical liability carrier of the Orange County Medical Association (OCMA). We share a joint mission of supporting doctors and advancing the practice of good medicine.

One of the many advantages of coverage with The Doctors Company is the Tribute® Plan, a significant financial benefit that rewards doctors for their loyalty to The Doctors Company and for their dedication to outstanding patient care. This year marks the Tribute Plan’s fifth anniversary.

“The Tribute Plan is recognition of a career spent practicing good medicine,” said Richard E. Anderson, MD, FACP, chairman and CEO of The Doctors Company. “In the last five years, more than 1,300 Tribute awards have been distributed, and over 22,700 members of The Doctors Company have qualified for awards when they retire from the practice of medicine. These members have an average Tribute balance of $11,500, and the highest distribution to date is $88,708.”

A special Tribute Plan five-year anniversary video—featuring details about Tribute, perspectives from members of The Doctors Company, and commentary from Dr. Anderson—can be viewed at

About The Doctors Company

Founded by doctors for doctors in 1976, The Doctors Company ( is relentlessly committed to advancing, protecting, and rewarding the practice of good medicine. The Doctors Company is the nation’s largest insurer of physician and surgeon medical liability, with 71,000 members, $4 billion in assets, an A (Excellent) rating from A.M. Best Company, and an A (Strong) rating from Fitch Ratings.

Medi-Cal Requiring Re-Enrollment

The California Department of Health Care Services (DHCS) will soon be notifying physicians that they must re-enroll in Medi-Cal as one of the provisions of the Affordable Care Act (ACA). The ACA requires every state Medicaid program (Medi-Cal in California) to re-validate provider enrollment information at least every five years  beginning January 2, 2013.

DHCS is currently working to identify an initial list of all physicians and other providers who will be required to re-validate. Notices of re-validation will be mailed beginning the second week of January 2013. Notices will be sent to business location on file with DHCS. Each notice will include information on which application(s) must be completed. Anyone receiving a notice must complete and return the requested form(s) and required attachments within 35 working days of the date of the notice. Failure to do so may result in payment delays.

Physicians who have re-validated, updated or submitted new applications to the Medicare program within the last 12 months (January 1 through December 31, 2012) will not be required to re-validate at this time. However, your Medicare enrollment information must match the information on file with the Medi-Cal program. If it does not you will receive notice from DHCS requiring you to re-validate.

The California Medical Association (CMA) and DHCS have worked collaboratively over the past year to establish a phased, tightly-controlled re-enrollment process within the confines of current state and federal laws and regulations.

In addition, CMA will host two live webinar training courses with representatives from DHCS to walk attendees through the Medi-Cal enrollment process for both individual providers and groups. Also to be discussed will be program requirements and how to avoid common mistakes that can lead to delays, denials and exclusion from the Medi-Cal program. These extended-length webinars will be held November 15, 2012, and January 16, 2013, from 12:15 to 1:45 pm. These webinars are free and open to everyone.

OCMA/CMA members can contact the CMA reimbursement helpline: (888) 401-5911 or

Anthem Blue Cross Amending Some Physician Contracts to Include Individual/Exchange Product

On October 24, Anthem Blue Cross sent a notice to 8,345 physicians who are part of the Blue Cross Select PPO network announcing its intent to participate in the California Health Benefit Exchange, the state's new insurance marketplace called for under the Affordable Care Act.  Beginning in 2014, individuals and small business will be able to purchase health insurance using tax subsidies and credits from the exchange.


According to the notice, Blue Cross will be creating a new provider network called the "Anthem Individual/Exchange Network," which will serve both individuals who purchase coverage through the exchange and individuals who purchase coverage from Anthem Blue Cross in the individual market outside of the exchange. In other words, the fee schedule would apply to all individual business, whether bought on or off of the exchange. 

Blue Cross has clarified for the California Medical Association (CMA) that this fee schedule change will not apply to Small Business Health Options Program (SHOP) business purchased through the exchange.

It's important to note that the letter also states that Blue Cross is amending the physician's Blue Cross Prudent Buyer Agreement to automatically include the new individual/exchange network, effective January 1, 2014. The new fee schedule associated with this product was included with the notice.

CMA has been actively working with exchange stakeholders to address significant concerns regarding the exchange grace period, monitoring of network adequacy and clinician-level performance measurement in qualified health plans offered in the exchange. (Click here for more information about contracting with exchange plans.)  

Though not mentioned in the Blue Cross cover letter, Sections VI and VIII of the enclosed amendment provide instructions for physicians who wish to opt out of the individual/exchange network. Physicians who do not wish to participate in this network must notify Blue Cross of their intent to opt out by December 31, 2012. Opt out notices should be in writing and sent via certified mail, return receipt to the address specified in Section VI of the amendment.

CMA is working with Blue Cross to obtain additional clarification on the amendment and will provide updates as they are received.

Please note that a small subset of Select PPO Network physicians did not receive the October 24 notice automatically opting them into the individual/exchange network. This subset of physicians received a notice from Blue Cross dated October 9 regarding fee schedule reductions. Physicians who choose to discontinue participation in the Select PPO network at the reduced rates have until December 14 to notify Blue Cross in writing.

As always, physicians are encouraged to carefully review all proposed amendments to payor contracts. You do not have to accept substandard contracts that are not beneficial to your practice.

Physicians who did not receive a letter and are unsure whether they are affected by this change or those who have general questions about the amendment can contact Blue Cross's Network Relations Department at (855) 238-0095 or

OCMA/CMA members can contact the CMA reimbursement helpline: (888) 401-5911 or

Recovery Audit Contractor Overpayments: Pulmonary Diagnostic Testing and E/M Services

The Medicare Modernization Act of 2003 established the Medicare Recovery Audit Contractor (RAC) program to identify fraud and waste in the Medicare system.

The California Medical Association (CMA) has recently learned that RAC contractor Health Data Institute (HDI) is currently assessing overpayments for evaluation and management services billed without a modifier -25 on the same day as a diagnostic pulmonary study. Affected claims have dates of service of 2009 or 2010.

In order for a physician to receive payment for a E/M visit on the same day as a service in the pulmonary diagnostic range (i.e., any service in the series from 94010 to 94620), the physician must append a modifier -25 with the visit code, indicating that the patient's condition required a significant, separately identifiable visit above and beyond the diagnostic service provided. For additional information, please refer to The National Correct Coding Initiative Policy Manual ( See Chapter 11, Evaluation and Management Services, Codes 90000 to 99999, Section J. Pulmonary Services.

Physicians should appeal the overpayment if medical record documentation supports the E/M code. Submit the medical record and request that the modifier -25 be appended to the E/M code. Redetermination request forms for RAC overpayments are available at

Introducing: WorldPay

Irvine, Calif. - The Orange County Medical Association is pleased to announce another benefit of membership. The OCMA has designated financial processing partner WorldPay as its Business Partner for physicians seeking credit card processing solutions, check verification services, Cash Advance services and other processing technologies for the medical field.

OCMA members may receive complimentary consultations and discounted rates on a wide range of processing needs, including stand-alone terminals, integrating into current POS/Software systems, check verification services, wireless methods of payment, cash advance products and the latest in HIPAA and PCI Security. They process all card types such as VISA, MasterCard, Discover, AMEX, and JCB.

"Our Medical Professional Plan is designed to specifically help busy physicians protect their professional practices against fraud," said Andy Varble, Regional Sales Manager at WorldPay. "We offer quality credit card processing at an attractive rate while keeping each doctor PCI-DSS compliant which in turn keeps them HIPAA compliant. We look forward to offering our many services through this special arrangement to the OCMA membership."

The following services are included within WorldPay's healthcare practice: current credit card processing reviews at no cost, fraud protection reviews, PCI-DSS training to keep each doctor HIPAA compliant. WorldPay can offer integration with many of the physician-specific POS systems and software that is available on the market today along with check verification services and cash advance programs.

Carla Mullet, who has 19 years industry experience, has been chosen as the point of contact for the relationship between the OCMA and WorldPay. With her tenure she is experienced in every facet of credit card processing and the fraud prevention features that are unique to WorldPay. She uses a consultative approach with each doctor to ensure she understands completely their business model, current needs, and also keeps in mind the future growth strategies for each office with which she consults. Located in the heart of Orange County, Carla Mullet is local to meet face-to-face with each doctor and staff to ensure she is providing the best service, technology and pricing to their practice.

The strategic business partnership with WorldPay reinforces OCMA's commitment to bring added value to its members by aligning with companies that offer business practice expertise, state-of-the-art technology at a competitive price point, and allowing physicians to focus their attention on what matters most, patient care. 

For assistance please contact Carla Mullet at 714-878-2031 or 

Or contact Andy Varble at 714-380-1491 or 

Blue Shield Recontracting Effort Expanding to Orange County

Earlier this year, Blue Shield began recontracting with physicians across the state. The California Medical Association (CMA) has learned that physicians in Orange County will be next to see the new contracts.

Blue Shield has assured CMA that if a physician chooses not to sign the new agreement, his or her participation status with Blue Shield will not be affected.

The reason for the recontracting initiative, according to Blue Shield, is twofold: 1) Blue Shield has not done a large scale recontracting with physicians in over a decade, so the new contracts will allow Blue Shield to ensure consistency and compliance with new laws and regulations; and 2) Blue Shield is offering various tiered networks based on price point in anticipation of possible participation in California's Health Benefit Exchange.    

CMA continues to work with exchange stakeholders to address significant concerns regarding the exchange grace period, monitoring of network adequacy and clinician-level performance measurement in qualified health plans offered in the exchange.

Exhibit A of the new Blue Shield contract allows physicians to designate which products they are willing to participate in by product type.

While Blue Shield did update its fee schedule statewide on July 1, there is no fee schedule change associated with this recontracting initiative, with the exception of the Direct Contract HMO Medicare Advantage product.

Physicians are encouraged to carefully review and understand the vast range of legal and practical implications associated with the execution of any new contract and new product types. To assist physicians, CMA has completed an  analysis of the new Blue Shield contract, which is available to members in CMA's online resource library at

For additional information on evaluating and negotiating complex managed care contracts, see CMA's contracting toolkit, "Taking Charge: A step by step guide to evaluate and prepare for negotiations with managed care payors."The toolkit is also available free to members in CMA's resource library.

The notice  directs physicians with questions about the new contract terms to contact Blue Shield Provider Services at (800) 258-3091.

Questions: CMA at (888) 401-5911 or

The OCMA is Under New Leadership!

"Helping You Navigate Change"

The OCMA would like to announce the installation of the new

OCMA President, Standiford Helm II, MD 

Dr. Helm is available for one-on-one meetings with individual physicians to discuss relevant issues and concerns. If you would like to schedule a meeting with the new OCMA president, please contact Linda Johansen:

(949) 398-8100 ext. 102 or

Standiford Helm II, MD, MBA, President

Standiford Helm II, MD, MBA, serves as OCMA's president. Dr. Helm is the medical director of The Helm Center for Pain Management in Laguna Hills. He is board-certified in anesthesiology and pain medicine. Dr. Helm joined OCMA/CMA in 1986. He has served on the Board of Directors since 2007. He has served on the OCMA Delegation to the CMA from 2005 - 2011, at which time he was elected to the CMA Board of Trustees. He previously served on the OCMA Nominating Committee. In addition, Dr. Helm served as president of OCMA Services, Inc. from 2002-2008 and previously served as a member of the OCMA Services Board from 1998-2002. Dr. Helm has been a member of the AMA since 2003.  

In addition to his memberships in AMA, CMA and OCMA, Dr. Helm belongs to the American Society of Interventional Pain Physicians (where he is currently the immediate past president), California Society of Interventional Pain Physicians (where he served as president from 2002 through July 2008, and currently serves as president emeritus), California Society of Industrial Medicine and Surgery (where he has been a member of the board of directors since 2007), the American Neuromodulation Society and the World Institute of Pain.

Dr. Helm received his medical degree from Tufts University in 1977. His internship in Internal Medicine was completed at Boston City Hospital in 1978. Dr. Helm's residency in anesthesiology was completed at UCLA in 1980. Dr. Helm received his M.B.A. at Pepperdine University in 1988.

Dr. Helm is a member of the following medical staffs: Mission Hospital Regional Medical Center, Saddleback Memorial Medical Center (Laguna Hills and San Clemente campuses), California Specialty Surgery Center, Mission Ambulatory Medical Center, and Saddleback Valley Outpatient Surgery.

Dr. Helm and his wife, Noel, reside in San Clemente. They have three children, one living in Boston, another living in Dallas, and the third living in London. His term of office runs from July 2012 - June 2013.

2012 - 2013 Executive Committee:

President - Standiford Helm II, MD
President-Elect - Thomas C. Kockinis, MD
Secretary-Treasurer - Sudeep Kukreja, MD
Past-President - Joanna K. Tan, MD

2012 - 2013 Board of Directors:

District I - Christian Lising, MD
District II - Rakesh K. Bhola, MD
District III - George Garcia, MD
District III - James E. Pierog, MD
District III - Paul B. Yost, MD
District IV - Quynh D. Kieu, MD
District IV - Smita B. Tandon, MD
District V - Abhay Parikh, MD
District V - William M. Thompson IV, MD
District VI - William E. Callahan Jr., MD
Southern California Permanente - Darla Holland, MD
St. Jude Heritage - Ramesh Rathod, MD
Resident Representative - Deena Ibrahim, MD


CEO / Executive Director:

Robert McCann, MHA

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