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The SBCMS keeps you up to date on the latest news,
policy developments, and events

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One Community Resource Fair

Calling all Inland Empire nonprofits and businesses to be part of a monthly fair!  Date: Thursday, February 21, 2019 from 10:00am - 1:00pm Location: Unidos Por La Musica Resource Center, 1260 North E Street, San Bernardino, CA Confirmed services on site: Medicare services Free food pantry program Free music classes sign-up Table Information: contact Xochilt Padilla - xpadilla@uplmnonprofit.org Raffles and Prizes!

CMA objects to federal rule that would disrupt comprehensive women's health coverage

The California Medical Association (CMA) has filed formal comments objecting to a proposed federal rule that would change the way consumers are billed for health insurance exchange plans that cover abortion services. The proposed Exchange Program Integrity rule would require plans to send two separate monthly bills to each policyholder: one bill for the non-Hyde abortion coverage (at least $1 per member per month) and one bill for all other services. This would mean consumers would have to pay their monthly premium in two separate transactions. CMA believes the proposal threatens ...

CMA comments on HHS proposal to reduce health IT burden

Physicians are overwhelmed with unnecessary, burdensome regulations that take time and resources away from providing quality patient care. The U.S. Department of Health and Human Services (HHS) recently issued a draft strategy designed to help reduce administrative and regulatory burden on clinicians caused by the use of health information technology (health IT) such as electronic health records (EHRs). The draft Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs was led by the HHS Office of the National Coordinator for Health Information Technology ...

Coding Corner: Physician/patient meet-and-greet

CPR’s “Coding Corner” focuses on coding, compliance, and documentation issues relating specifically to physician billing. This month’s tip comes from G. John Verhovshek, the managing editor for AAPC, a training and credentialing association for the business side of health care. Potential patients sometimes ask to meet with a provider prior to needing health care to be sure that the patient/provider relationship will be a good fit. For example, it’s common for expectant parents to “interview” obstetricians and pediatricians. The reality is, time equals money, and physicians’ time is in demand. As ...

Anthem issues new ID number for some patients

Anthem Blue Cross has issued new identification numbers and cards for a number of its members. New ID cards containing the new ID number were mailed to all affected members in late December. Providers are encouraged to make copies of each patient’s insurance card at the time of visit to verify the member’s identification number. Anthem advises that claims submitted with an incorrect ID number will be returned to the provider for correction and resubmission with the correct ID. Providers will need to contact their patients to obtain their updated ...

Call to Action: Act now to ensure patients can get needed prescriptions

Flawed implementation of a new state law that requires all security prescription forms to have a uniquely serialized number law has left pharmacies unable to fill prescriptions and patients being refused necessary medications. The California Medical Association (CMA) is currently working on a legislative fix to address this issue immediately to ensure no patient goes without the essential medicine and care they need. Last week, AB 149 (Assemblymembers Cooper, Arambula and Low) was introduced to correct the flawed implementation the new law, which was intended to improve the security of ...

Bill introduced to fix security prescription law

Flawed implementation of a new state law that requires all security prescription forms to have a uniquely serialized number law has left pharmacies unable to fill prescriptions and patients being refused necessary medications. The California Medical Association (CMA) is currently working on a legislative fix to address this issue immediately to ensure no patient goes without the essential medicine and care they need. This week, AB 149 (Assemblymembers Cooper, Arambula and Low) was introduced to correct the flawed implementation the new law, which was intended to improve the security of ...

Golden Shore Medical Group to shut down following Molina contract termination

The California Medical Association (CMA) has learned that Molina Healthcare has terminated its contract with Golden Shore Medical Group. The plan filed requests in late 2018 with the California Department of Managed Health Care (DMHC) to transfer its enrollees to other delegated groups and the request was approved by the Department on January 11, 2019. According to Molina’s block transfer filing with DMHC, the termination was the result of the parties’ inability to agree on contractual terms. As a result of the termination, Golden Shore has announced to its network ...

CMA working to fix security prescription legislation

The California Medical Association (CMA) has heard from dozens of physicians and patients across the state about prescriptions not being filled because the pads the prescriptions were written on were not compliant with a new state law. On January 1, 2019, a new California law took effect that requires all security prescription forms to have a uniquely serialized number. The legislation did not include any transition or grandfathering period to allow for continued use of old controlled substance security prescription forms on or after January 1. Unfortunately, with less than two ...

Federal court halts expanded religious exemption from ACA contraceptive mandate

On January 7, 2019, the California Medical Association (CMA), along with other health care provider organizations, filed an amicus brief in support of the State of California in its challenge to federal rules that would expand a group health plan or health insurer's ability to claim a religious or moral objection to opt out of the Affordable Care Act’s (ACA) contraceptive coverage mandate. On January 13, 2019, one day before the effective date, the federal court granted the state’s motion for a preliminary injunction, blocking the rules from going ...