Saturday, December 16, 2017

OCMA Blog

Physician Advocate Tip of the Month: Give your patients the answers they need about Covered CA

June Tip:

Give your patients the answers they need about the Covered California networks and more.

Download "Frequently Asked Patient Questions about Covered California."

With the recent launch of California's health benefit exchange, Covered California, millions of Californians are now eligible to obtain insurance through this new online marketplace. Understandably, patients have many questions. Download this document to provide answers to the most common patient questions.

Receiving practice management guidance from Mitzi Young 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


Orange County Medical Association Selects Universal Financial Systems as its Business Partner

Universal Financial Systems will extend special offers to OCMA Physician Members 

Irvine, Calif., June 3, 2014 - The Orange County Medical Association is pleased to announce another benefit of membership.  The OCMA has designated Universal Financial Systems as its Business Partner for physicians seeking collections and pre-collections help on past due receivables. Universal Financial Systems is a full-service collection agency based in Southern California. 

Free Insurance and Patient Collection Performance Analysis ($300 Value)

  • Patient Collection Analysis
  • Insurance Collection Analysis
  • Accounts Receivable Analysis
  • Full Detailed Report

 
Pre-Collection Program - Offering a "5 %" rate for account referrals received and collected within 120 days from the date of service

  • This is exclusive for OCMA members. All other clients get the "5%" until 90 days from date of service

 
Standard Collection Program: 120+ days from date of service -> 30% of collected revenue

  • Competitors' rates can be as much as 40 to 50% rates of collected revenue
  • State-of-the-art tools to locate debtors
  • Active Account Monitoring - allows tracking and notification when debtor's finances improve, purchase assets, etc.
  • Month-end Status Reports
  • Client Account Reviews
  • Judgment Collections Expertise
  • Litigation Services Available 

 
For more information, please contact:
Greg Apostolou
(310) 386-9085
Grega@ufsworks.com


OCMA CEO Advocacy & Legislative News Update


Local: CalOptima

Thanks in part to OCMA advocacy, in March, the CalOptima Board of Directors approved establishing a 'Community Network', allowing direct contracts with physicians in order to provide greater access to services for CalOptima enrollees.
 
Also in March, the County Board of Supervisors modified the county ordinance governing CalOptima to require an additional supervisor be added to the CalOptima Board of Directors. As a result, Supervisor Todd Spitzer has joined Supervisor Janet Nguyen on the CalOptima Board. 
 
For details and resources on the state's Coordinated Care Initiative (CCI) - Dual Eligibles Demonstration, please click here.

State: Health Care Bills

SB 1215 (Hernandez): Healing arts licensees: referrals (CMA Position: OPPOSE) - which aimed to eliminate the in-office exception to the self-referral law for advanced imaging, anatomic pathology, radiation therapy, and physical therapy. This bill would have been a major blow to the integrated care model, resulting in increased costs as these services would have been driven toward the more expensive hospital setting and inhibit the development of practices that integrate and coordinate care. We have successfully managed to defeat this harmful bill in committee.
 
SB 1000 (Monning) the Sugar-Sweetened Beverages Safety Warning Act (CMA Position: SPONSOR)  - passed the Senate Floor after receiving 21 yes votes. Facing significant opposition from the beverage industry, it was a hard-won vote. 
 
AB 1771 (V.M. Perez) Telehealth Reimbursement (CMA Position: SPONSOR)  - was approved through a 76-1 vote. This bill seeks to require health insurance companies licensed in the State of California to pay contracted physicians for telephone patient management. 
 
AB 2400 (Ridley-Thomas) Health care coverage: provider contracts (CMA Position: SPONSOR) - was approved through a 55-8 vote. If signed into law, this bill will prohibit contracts issued, amended or renewed after January 1, 2015, from including a provision that terminates a provider if he or she exercises the right to negotiate, accept or refuse a material change to the contract. It would also prohibit plans from requiring participation in unspecified current and future products or product networks, unless the plan discloses the reimbursement rate, method of payment and any other contract terms that are materially different from those of the underlying commercial agreement. 

National: Medicare SGR

Over CMA's strong opposition to another short term patch, on March 31, the night before the SGR cut, the House and Senate voted on the 17th patch in a decade.  With the President's signature, the bill takes effect and provides the following: 

  • Stops the 24% Medicare physician payment cut for 1 year until April 2015.
  • Provides a 0.5% payment increase through Dec 31, 2014; 0% through April 1, 2015.
  • Delays the burdensome ICD-10 coding system until October 2015.
  • Permanently Reforms the California physician payment localities. 


For the full OCMA CEO Advocacy & Legislative Report, click here.


Stepping Up to Leadership Courses Available Online

Couldn’t make it to the IMQ-PACE Stepping Up to Leadership conference this spring? Why not make the conference content come to you? Selected courses from Stepping Up to Leadership are now available online at IMQ Online Education!  All content is available for AMA PRA Category 1 CreditTM—take this opportunity to earn CME credit at a time and place that’s convenient for you.

Stepping Up to Leadership courses cover a variety of important skills for successfully running a medical staff, particularly issues of communication, problem-solving, and improving outcomes for patients and staff.  Choose from Nancy Dickey, MD’s keynote presentation, Successful Leadership: What It Really Takes, Donald David, MD on The Role of the Physician In Patient Safety, Carol Havens, MD on Using CME as an Organizational Improvement Tool, and a 2014 Legal Update by Greg Abrams, Esq. covering hot medico-legal topics in California. To browse the full IMQ Online Education catalog, visit http://imq.inreachce.com.


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