Unintended consequences from California’s surprise billing law.

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This Weekly’s Hot Topics

  • Hear about the newly released Medicare Fee Schedule changes on 11/14. MOASC News & CMS News
  • Unintended consequences from California’s surprise billing law. California News
  • Washington legislators trying, again, to pass drug pricing legislation. National News

The State of California is urged to rescind, or amend, the Medi-Cal Fee-for-service reimbursement methodology and clawback. The San Francisco Board of Supervisors unanimously approved a resolution stating that the action taken by California DHCS harm patients seeking specialized medication. To read more click here and go to California News.

This Thursday! Plan to attend the “MOASC Educational Series Program,” November 14, 2019. Get the most recent information to prepare your practice for 2020 changes! Bobbi Buell  will bring news on the NEWLY RELEASED MEDICARE FEE SCHEDULE CHANGES and billing changes from across the board with southern California benchmarks and specific California healthplan issues; Carynne Godfrey, from Noridian, addressing specific Medicare changes; Dawn Holcombe presenting current USP800 (eff. 12/1/19) and USP797 news and further actions; Arthur Lurvey, MD, FACP, FACE, California Medicare Contractor, Noridian, Medical Director, speaking on new E&M codes for physicians’ awareness coming in 2021; and Remedios Turner, from Medi-Cal, reviewing state initiatives of coverage. Presenters will also address new imaging rules; payment changes; classification of physician relationship to patient; off-label coverage, and more. To read more click here and go to MOASC News.

Trying again this week to obtain unanimous consent to pass drug pricing legislation that would crack down on efforts by drugmakers to delay competition from generic drugs, Sen. John Cornyn, R-Texas, plans to address the objections of last week’s vote. Sens. Chuck Grassley, R-Iowa, and Dick Durbin, D-Ill., also failed in their attempt to pass by unanimous consent a measure that would require drug companies to disclose prices in television ads. To read more click here and go to National News

CMS released its final rule for reimbursement under the Medicare Physician Fee Schedule (MPFS), including proposals related to the Quality Payment Program (QPP) and E&M codes, and Hospital Outpatient Prospective Payment System (HOPPS) on November 1. To read more click here and go to CMS News.

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

November 12, 2019



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