Friday, December 15, 2017

OCMA Blog

Physician Advocate Tip of the Month - What you need to know about "the grace period"

February Tip:
What You Need to Know About "The Grace Period"

 Federal law allows Covered CA enrollees who receive financial subsidies to keep their health insurance for three months, even if they have stopped paying their premiums. This is known as the "grace period."

CMA made significant progress through their advocacy efforts to help ensure that physicians are not on the hook for unpaid claims in months two and three of the three-month grace period. Instead, coverage will be suspended during those two months. CMA has prepared an easy-to-understand fact sheet to help physicians and their staff understand what the grace period means for their practices and their patients. Click here to download a copy of the grace period fact sheet.

 Upcoming: OCMA Exchange Seminar  

Mitzi Young, OCMA/CMA Physician Advocate, will be hosting an exchange seminar at OCMA on Thursday, February 27. The seminar will focus on how the California health benefit exchange will affect physician practices. Attendance for this seminar is free for OCMA members. For more information and to RSVP, visit https://caexchange.eventbrite.com.


Receiving practice management guidance from Mitzi is a FREE OCMA member benefit!


Contact Mitzi to schedule a one-on-one consultation to discuss your practice management needs:

Mitzi Young
Physician Advocate, CMA Center for Economic Services
888.236.0267
myoung@cmanet.org


Physician Advocate Tip of the Month - Surviving the first month of Covered California

January Tip:


On January 1, 2014, California's health benefit exchange, Covered California, began providing health coverage to more than 400,000 patients statewide. It is critical that physicians and their staff know what to expect. 

In an effort to proactively arm physician practices with important information during the first month of the exchange, the California Medical Association has prepared the resource "Surviving the first month of the exchange" tip sheet. 



Receiving practice management guidance from Mitzi is a FREE OCMA member benefit!

Contact Mitzi to schedule a one-on-one consultation to discuss your practice management needs: 

Mitzi Young
Physician Advocate, CMA Center for Economic Services
888.236.0267
myoung@cmanet.org


Physician Advocate Tip of the Month - Don't miss out on your ACA Medi-Cal Payment Increase!

December Tip

Don't miss out on your ACA Medi-Cal Payment Increase!

Attesting is easy, so visit www.medi-cal.ca.gov and complete the ACA Self Attestation Form before 12/31/2013. Physicians must attest individually. Checks are currently being distributed to those who have attested!

Medi-Cal Resource:

Over the past year, there have been a number of changes for Medi-Cal patients and for the physicians who treat them with more to come in 2014. Be sure to review CMA's new Medi-Cal Survival Toolkit available for free at www.cmanet.org/ces (members only).

BONUS TIP:

The deadline to avoid a 1.5% fee schedule penalty in 2015 is fast approaching. There is still time to report at least one valid individual measure via claims for dates of service in 2013. There are many measures that only need to be reported once per reporting period (January 1 through December 31, 2013) that meet the requirement.  
 
The 2013 Physician Quality Reporting System (PQRS) Implementation Guide is a good place to start to identify any measure that might pertain to your practice. The 2013 PQRS Individual Claims Registry Measure Specification Supporting Documents provides the specifications that must be met in order to report the measure (frequency of reporting, procedure codes, diagnosis codes, and reporting measure code(s)). Remember, you cannot go back and add a measure code to claims already submitted.

Receiving practice management guidance from Mitzi is a FREE OCMA member benefit!
 
Contact Mitzi to schedule a one-on-one consultation to discuss your practice management needs: 
 
Mitzi Young
Physician Advocate, CMA Center for Economic Services
888.236.0267
myoung@cmanet.org


May Tip of the Month from OCMA Physician Advocate, Mitzi Young

May Tip:

"The Health Exchange is coming...get ready now!  With the implementation of the Patient Protection and Affordable Care Act (ACA), two thirds of California's uninsured will be covered by private insurance through a health insurance exchange purchasing pool. The exchange's goal is to start pre-enrollment in October 2013.

We have developed a toolkit to educate physicians on the exchange and ensure that they are aware of important issues related to exchange plan contracting. The toolkit is available free to OCMA /CMA members only at www.cmanet.org/exchange."

Receiving practice management guidance from Mitzi is a FREE OCMA member benefit!

Mitzi Young
Physician Advocate, Center for Economic Services
888.236.0267
myoung@cmanet.org


Practice Management Tip of the Month from OCMA Physician Advocate, Mitzi Young

April Tip:


"A reminder that as of April 1, 2013, Medicare reimbursement for physicians will be cut by 2 percent.

With no solution on the horizon to the budgetary woes in Congress, physicians should be prepared for the 2 percent reduction in reimbursement from the Medicare program. The 2 percent Medicare cuts are part of the $1.2 trillion in cuts required by the Sequestration Transparency Act. Medicaid is exempt from the cuts."

Receiving practice management guidance from Mitzi is a FREE OCMA member benefit! 

Contact Mitzi to schedule a one-on-one consultation to discuss your practice management needs:

Mitzi Young
Physician Advocate, CMA Center for Economic Services
888.236.0267
myoung@cmanet.org 


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