MOASC President, Warren Fong, M.D.’s interview with Larry Marino

Hear MOASC President, Warren Fong, M.D.’s interview with Larry Marino, host of Sunday Morning Newsmakers, to discuss the 340B program on “Politics & Issues.”

This Weekly’s Hot Topics

  • 3 days left to submit an informal review request for several CMS performance reporting programs. CMS News
  • ACCC webinar this Thursday, entitled “CMS Final CY2018” Affiliate Association News
  • Contracting information resources MOASC News

 

A Capital Public Radio analysis of data from the California Department of Managed Health Care found that the number of contested denials handled by the department has nearly tripled over the past five years — from roughly 1,500 in 2012 to more than 4,200 in 2016. The department said the increase is because of a jump in the number of insured Californians during that time; the state’s uninsured rate has steadily declined since the Affordable Care Act roll-out in 2014. For more information click here and go to California News.

Upcoming Noridian/JEMAC webinars include:
Modifier 59, NCCI, and MUE Webinar (November 29); Preventive and Screening Services Webinar (December 6); Modifier 59, NCCI, and MUE Webinar (December 13); Understanding National and Local Coverage Determinations Webinar (December 13); Telehealth Services Webinar (December 14). For more information click here and go to Noridian News.

DHCS has detailed the requirements of Medi-Cal plans to provide palliative care services to their beneficiaries in accordance with SB1004 (2014). DHCS will implement the Medi-Cal palliative care program through managed care and fee-for-service providers beginning January 1, 2018. For more information click here and go to DHCS/Medi-Cal News.

MOASC Members are in the thick of contract negotiations with local IPAs and health plans. Do you know enough about your practice to negotiate the rate that’s right for you?. For more information click here and go to MOASC News.

Friday, December 1 at 5pm PT, is also the deadline for you to access and review your 2016 PQRS feedback report and 2016 Annual QRUR,  to determine whether you are subject to the 2018 PQRS downward payment adjustment and your practice’s 2018 Value Modifier payment adjustment. The PQRS feedback reports show your program year 2016 PQRS reporting results, including if you are subject to the 2018 PQRS downward payment adjustment. For more information click here and go to CMS News.

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

November 28, 2017

This Weekly’s Hot Topics

  • Hear MOASC President’s radio interview on the 340B program. (MOASC News)
  • Read FDA letter regarding IV & drug shortages. (National News)
  • Preview period for Physician Compare is extended to December 1. (CMS News)

 

The California Medical Association (CMA) Practice Resources (CPR) for November is now available online it features articles entitled: Anthem Blue Cross announces plans to significantly cut reimbursement on E/M services with modifier 25; Be prepared for Covered California changes in 2018; Do you know if non-contracted mayors are complying with AB72 interim payment rules?; Remember: Don’t hesitate to revalidate or Medicare will deactivate; Blue Shield to require electronic claim submission; Anthem Blu Cross to alter member ID cards; Remember: TRICARE transitions to HNFS on January 1; Act now to avoid 4 percent Medicare penalty in 2019. For more information click here and go to California News.

Hear MOASC President, Warren Fong, M.D.’s interview with Larry Marino, host of KRLA’s Sunday Morning Newsmakers to discuss the 340B program.  The interview will first run this Saturday November 25th, at 10:00 AM on AM 590, a program called “Politics and Issues,” which reaches the Inland Empire and other parts of the Southern California area. Then, on Sunday, December 3, it will run again on KRLA’s “Sunday Morning Newsmakers,” AM 870 “The Answer.”

MEMBER ONCOLOGIST CLOSING PRACTICE, DRUG STOCK AVAILABLE. A MOASC member is closing their practice and has leftover stock available. If you are interested in purchasing some of leftover stock of chemo meds, please contact [email protected] for the list of drugs and information. For more information click here and go to MOASC News.

VERY IMPORTANT:  You need to send an email to [email protected] to describe your particular problems in getting IVFs and the problems you are encountering with patient care.  Don’t treat this as just another thing you don’t have time to do IT IS VERY IMPORTANT that you go on record.  Obviously, if you don’t have a problem there is no need to respond. For more information click here and go to National News.

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

November 21, 2017.

 

This Weekly‘s Hot Topics

  • Three hospital groups file lawsuit against the Trump administration to block 340B cuts. (National News)
  • FDA initiates temporary importation of some intravenous drug products from its facilities in other countries. (National News)
  • The Value of Community Oncology: New Site of Care Cost Research webinar (Affiliate Association News)

 

The California Health Information Partnership & Services Organization (CalHIPSO) can help practices with 15 or fewer physicians with free assistance to prepare and participate in the Medicare QPP. For more information click here and go to California News.

The 2017 MOASC Administrator & Oncology Billing Programs, highlighted MACRA quality reporting scores and how not to miss your bonus through MIPS in 2019, Benchmarking and Revenue Cycles, the Impact of Rising Healthcare Costs and Systems Thinking Approach® to Strategic Management, A/R Billing Updates and Medi-Cal Updates. For more information click here and go to MOASC News.

MEMBER ONCOLOGIST CLOSING PRACTICE, DRUG STOCK AVAILABLE. A MOASC member is closing their practice and has leftover stock available. For more information click here and go to MOASC News.

Three hospital groups filed a lawsuit against the Trump administration yesterday to try to block dramatic cuts in a federal drug discount program. The American Hospital Association, Association of American Medical Colleges and America’s Essential Hospitals argue in a D.C. federal court filing Congress intended for hospitals and health clinics serving low-income patients to receive a discount on drugs through the 340B program. For more information click here and go to National News.

CMS, in its final rule on the 2018 HOPSS, has finalized a proposal to cut reimbursement for separately paid drugs under the 340B Drug Pricing Program from ASP plus 6% to ASP minus 22.5%. Rural Sole Community Hospitals, PPS-exempt Cancer Hospitals, and Children’s hospitals will be exempt from this policy in 2018. For more information click here and go to CMS News.

 

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

November 14, 2017

This Weekly’s Hot Topics

  • 2017 Administrator & Oncology Billing Programs, November 8th& 9th (MOASC  News)
  • The growing IV fluid shortage (National News)
  • Reimbursement cut for separately paid drugs under the 340B Drug Pricing Program (CMS News)

 

The California Health Information Partnership & Services Organization (CalHIPSO) can help practices with 15 or fewer physicians with free assistance to prepare and participate in the Medicare QPP. For more information click here and go to California News.

MEMBER ONCOLOGIST CLOSING PRACTICE, DRUG STOCK AVAILABLE. A MOASC member is closing their practice and has leftover stock available. If you are interested in purchasing some of leftover stock of chemo meds, please contact [email protected] for the list of drugs and information.

Anthem Blue Cross will conduct post-payment coding reviews of professional claims billed with modifiers 25, 62, 80, 81, AS, and 91 beginning in 4Q2017. Additionally, Anthem will conduct post-payment coding reviews of E&M services billed during a global surgery period. For more information click here and go to National News.

CMS, in its final rule on the 2018 HOPSS, has finalized a proposal to cut reimbursement for separately paid drugs under the 340B Drug Pricing Program from ASP plus 6% to ASP minus 22.5%. Rural Sole Community Hospitals, PPS-exempt Cancer Hospitals, and Children’s hospitals will be exempt from this policy in 2018. For more information click here and go to CMS News.

 

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

November 7, 2017