CMA Practice Resources (CPR) is a free monthly e-bulletin from the California Medical Association’s practice management experts that focuses on critical payor and health care industry changes and how they directly impact the business of a physician practice. Each issue includes tips on reimbursement and contracting related issues along with information on the latest practice management news.
- SUBSCRIBE NOW: Sign up now for a free subscription to our email bulletin.
- SPREAD THE WORD: Please share this bulletin with your coworkers and colleagues.
- QUESTIONS: Contact us with your questions about articles in this issue.
- TELL US WHAT YOU THINK: CMA is interested in your feedback.
- PRINT: Download a printable version of this newsletter.
In this issue:
- Be prepared for Covered California changes in 2015
- Verifying your patients’ eligibility and benefits in 2015 may save your practice thousands of dollars
- Potential Medicare pay cuts coming in 2015; participation selections due Dec. 31
- CMA creates new resource summarizing Medicare incentive and penalty programs
- DHCS identifies glitch in UCR web app for CHDP primary care rate increase payments
- Don’t miss out on increased Medi-Cal payments! Deadline to attest is December 31
- Annual Medicare benefit changes
- New Reassignment of Medicare Benefits (855R) enrollment form coming
- DMHC audit finds Anthem, Blue Shield Covered California directories misleading and violate
- Duals project sees additional setbacks
- Medi-Cal provider training announced
- Reminder: Anthem expanding its Medi-Cal managed care network
- The Coding Corner: CPT 2015: Summary of additions and revisions
- CMA advocacy at work
- Payor updates
- Save the date
- Problems getting paid?
- Health plan provider newsletters
In 2014, Covered California, California's health benefit exchange, enrolled approximately 1.4 million individuals statewide in new health plans. With Covered California aiming to enroll an additional 500,000 during the 2015 open enrollment period, it is critical that physician practices understand their participation status, which products are being offered and what changes to expect in 2015.
To help physicians understand the changes taking place and how they will affect their practice, the California Medical Association (CMA) has published a new tip sheet, “Surviving Covered California: Preparing for changes in 2015.”
Verifying your patients’ eligibility and benefits in 2015 may save your practice thousands of dollars
With the new year soon upon us, physicians are urged to be diligent in verifying patients' eligibility and benefits to ensure that you will be paid for services rendered. The beginning of a new year means calendar year deductibles and visit frequency limitations start over. With open enrollment there may also be changes to patients’ benefit plans, or they may even be insured through a new payor.
The new year also brings a host of other challenges that could affect your ability to be paid:
- Medicare patients can modify their enrollment choices from October 15 through December 7, allowing them to switch between Medicare fee-for-service and Medicare Advantage, or switch from one Advantage plan to another.
- The Covered California open enrollment period is November 15, 2014, through February 15, 2015. Existing exchange/mirror patients have the option to select a different plan and Covered California expects an additional 500,000 individuals will enroll in an exchange plan during 2015 open enrollment.
Additionally, there will be some changes to exchange/mirror product names in 2015. Covered California notified all exchange plans that the product names must be the same for exchange and mirror products and that plans must also utilize a standard naming convention for all individual exchange/mirror products.
The 2015 Covered California QHP naming convention is as follows:
[carrier name] + [metal tier name] + [Actual Value ] + [product type (e.g., EPO, HMO, PPO)]
Example: Blue Shield Bronze 60 PPO
- California moved the remaining 25,000 seniors and persons with disabilities (SPDs) from fee-for service to managed care on December 1, 2014, in the following counties: Alpine, Amador, Butte, Calaveras, Colusa, El Dorado, Glenn, Imperial, Inyo, Mariposa, Mono, Nevada, Placer, Plumas, San Benito, Sierra, Sutter, Tehama, Tuolumne and Yuba.
Additionally, 30,000 patients who are dually eligible for Medicare and Medi-Cal in Los Angeles and Santa Clara counties will begin to transition from fee-for-service Medicare and Medi-Cal into managed care on January 1, 2015. Dual eligible enrollees will transition in these two counties over the next 12 months based on month of birth. Duals will also continue to transition based on month of birth in San Bernardino, Riverside and San Diego counties. The duals transition for Orange County is scheduled to begin in July. For more information on Duals, see CMA’s toolkit, “Cal MediConnect Physician FAQ – What you need to know about keeping your patients and billing for the dual eligible population," available at www.cmanet.org/duals.
Don’t get stuck with unnecessary denials or an upset patient. Do your homework before the patient arrives by obtaining updated insurance information at the time of scheduling, if possible, and making copies of the insurance card at the time of the visit.
And, don't forget that deductibles are typically based on the calendar year and will reset on January 1. Many of the exchange/mirror plans have high deductibles (e.g., $5,000 deductible on the Bronze plan), as do some employer-based plans. This reinforces the importance of verifying patient eligibility – particularly for exchange patients – each time they are seen. Best practice is to communicate with patients upon scheduling to remind them that their plan has a deductible that may be resetting on January 1 and, if that is the case, payment will be due at the time of service. If you offer an appointment reminder service, remind the patient if payment is expected at the time of service. Failure to collect deductibles, copays and coinsurance at the time of service can be very costly for a practice as your ability to collect can decrease significantly after the patient leaves the office.
Taking these proactive steps to protect your practice by preventing denials, delays in payment and disgruntled patients goes a long way toward ultimately saving time and money.
It's that time of year again – time for physicians to decide about their participation in Medicare. Physicians have until Dec. 31, 2014, to make changes to their status for 2015. In addition to the annual threat of steep payment cuts as a result of the sustainable growth rate (SGR) formula, another factor for physicians to consider is that 2015 will be the first year that the Centers for Medicare & Medicaid Services (CMS) will impose penalties under the value-based modifier (VBM) program for large medical groups of 100 or more physicians.
As always, physicians have three choices regarding Medicare: Be a participating provider; be a nonparticipating provider; or opt out of Medicare entirely.
The VBM penalties and bonuses will not, however, apply to unassigned claims. That means a nonparticipating physician would not be subject to a VBM penalty. According to CMS, more than 1,000 groups of 100 or more eligible professionals will see payment penalties from the VBM in 2015. Next year will also be the base reporting year for the 2017 penalties imposed on smaller practices.
Other penalties that will be applied in 2015 based on 2013 performance—including those tied to quality reporting, meaningful use and e-prescribing—will decrease the limiting charge amounts that nonparticipating physicians can bill to patients for unassigned claims.
The three participations options are as follows:
- A participating physician must accept Medicare allowed charges as payment in full for all Medicare patients.
- A nonparticipating provider can make assignment decisions on a case-by-case basis and to bill patients for more than the Medicare allowance for unassigned claims. Nonparticipating physician fees are 95 percent of participating physician fees. If you choose not to accept assignment, you can charge the patient 9.25 percent more than the amounts allowed in the participating physician fee schedule (which equates to 15 percent of the nonparticipating fees).
- Physicians who opt out of Medicare are bound only by their private contracts with their patients. Medicare's limiting charges do not apply to these contracts, but Medicare does specify that these contracts contain certain terms. When a physician enters into a private contract with a Medicare beneficiary, both the physician and patient agree not to bill Medicare for services provided under the contract.
Physicians who want to change their participation status for 2015 must send a letter to their Medicare contractor postmarked by December 31, 2014.
The California Medical Association (CMA) also has information on physicians' Medicare participation options in CMA On-Call document #0151, "Medicare Participation (and Nonparticipation) Options." On-Call documents are free to members in CMA's online resource library at www.cmanet.org/cma-on-call. Nonmembers can purchase On-Call documents for $2 per page.
Additional information can be found in the American Medical Association (AMA) Medicare Participation Kit. The kit contains a detailed explanation of physician options, a calculator and various sample materials for communicating with patients. The Medicare payment calculator will help you estimate how much your total revenues from Medicare patients would change if you switch your Medicare status from participating to non-participating.
The next SGR Medicare payment cut of ~21 percent is slated to take effect on April 1, 2015, unless Congress passes legislation to stop the cut which they have done 17 times. CMA will be working with AMA to stop the cuts and pass the SGR repeal and Medicare payment reform legislation (HR 4015/S 2000) before April 1.
Contact: Michele Kelly, (213) 226-0338 or firstname.lastname@example.org.
Over the past few years, Congress has created a number of programs that call for payment incentives and reductions (referred to as “adjustments” by the Centers for Medicare and Medicaid Services) that impact physicians and their practices. At their inception, most of these programs offered an incentive to participate. However, most of the programs are entering their penalty phases, with complex and potentially conflicting requirements and implementation processes.
To help physicians understand how these programs will affect their practices, the California Medical Association (CMA) has created a new resource, “Medicare Incentive and Penalty Programs: What physicians need to know.” The resource is available free to CMA members in the resource library at www.cmanet.org/resource-library.
The California Department of Health Care Services (DHCS) has identified an error in its web application that was designed to allow physicians the ability to enter their usual and customary rates (UCR) for Child Health and Disability Prevention Program Services (CHDP) claims. Physicians who already entered their UCR data prior to November 26, 2014, will need to return to the portal and reenter their information.
The web app was developed to address a problem with the Affordable Care Act primary care rate increase unique to CHDP providers.
Before the rate increases were implemented, some practices had been instructed by DHCS to bill CHDP claims at their Medi-Cal rates. This caused concern – based on DHCS’s pricing logic of paying the lesser of Medicare’s rate or the billed charges – that some practices would not qualify for the retroactive increases once the systems were updated to process claims at the higher rates.
The error resulted in previously submitted data being overwritten when subsequent data was entered by other physicians. DHCS corrected the problem as of November 26, so physicians who entered their UCR prior to that date will need to visit the portal and reenter their information. Because of the glitch, DHCS has extended the deadline to submit physician UCR charges to January 16, 2015.
Click here for instructions on how to access the CHDP web app.
The Department of Health Care Services (DHCS) reports eligible physicians who have already attested have received over $330 million for services provided to fee-for-service Medi-Cal enrollees as a result of the Affordable Care Act (ACA) primary care rate increase. Don't miss out!
However, to qualify for enhanced payments for fee-for-service Medi-Cal and Medi-Cal managed care plans, you must first self-attest to your eligibility. The deadline to attest, if you haven't already done so, is December 31, 2014. If you have attested and not received any additional funds, practices are encouraged to confirm the accuracy of the information submitted through the attestation process. Practices with questions can call Medi-Cal’s Telephone Service Center at (800) 541-5555.
For more information on this topic, see CMA's "Medi-Cal Primary Care Physician Rate Increase FAQs," available free to members in CMA's online resource library.
Each year, the Centers for Medicare and Medicaid Services reviews and determines what changes are needed for deductibles, premiums and other Medicare program limitations. The table below illustrates benefit changes from 2014 to 2015:
|Part A deductible||$1,216||$1,260|
|Part B deductible||$147||$147|
|Annual physical therapy/speech pathology limit||$1,920||$1,940|
|Annual occupational therapy limit||$1,920||$1,940|
|Amount in controversy for ALJ hearing||$140||$150|
|Amount in controversy for judicial review||$1,430||$1,460|
The Medicare Physician Fee Schedule for January through March 31, 2015, has been posted to the Noridian website. Changes in Relative Value Units (RVU) for malpractice, work values, geographic practice index values and others may have an impact on the amount paid. Please check the updated fee schedule for any changes.
Changes necessitated by legislative decisions made during the first quarter of 2015 will be posted as they become available.
The Centers for Medicare and Medicaid Services (CMS) recently finalized a new 855R form, which is used to reassign an individual physician's Medicare billing privileges to an organization. The revised form will become available on the CMS.gov website on December 29, 2014, and can be found by searching "855." Once available, Medicare administrative contractors will accept both the current and revised versions of the form through May 31, 2015. The new version must, however, be used for applications received by the Medicare Administrative Contractor on or after June 1, 2015. Prior versions will be denied. The online Medicare Provider Enrollment, Chain and Ownership System (PECOS) will be updated to include the revised Medicare reassignment information.
DMHC audit finds Anthem, Blue Shield Covered California directories misleading and violate state law
The California Department of Managed Health Care (DMHC) released the results of a five-month investigation of the Anthem Blue Cross and Blue Shield Covered California networks, which found that more than 25 percent of physicians listed as participating in the plans’ directories were not taking these patients or they were no longer at the location listed by the companies.
The audit also found that in both cases, auditors were unable to confirm Covered California participation status for more than 40 percent of physicians listed as participating in the plans’ directories after three separate attempts to contact them using information in the directory. This hindrance to accessibility for such a substantial portion of listed physicians is a violation of state law, the DMHC said in its report.
According to the DMHC audit, only 58.7 percent of the physicians listed in Anthem's Covered California directory could be verified as accepting Covered California patients, which is consistent with previous California Medical Association surveys of physicians listed as participating in Covered California. DMHC found that 12.8 percent of physicians listed by Anthem were not accepting Covered California patients; and 12.5 percent were not in practice at the location listed in Anthem’s directory.
In the case of Blue Shield, only 56.7 percent of the physicians listed in Blue Shield's Covered California directory could be verified as accepting Covered California patients, which is again consistent with our previous in-house verification efforts and analyses. The audit also found that 8.8 percent of the physicians listed by Blue Shield were not accepting exchange patients; and another 18.2 percent were not at the listed directory locations. By its own admission, Blue Shield attributed almost 40 percent of its inaccuracies to physician terminations of the plan contract or a group affiliation, 35 percent to uncorrected phone and address changes, and roughly 7 percent to physicians who no longer practice “because they were deceased, had moved, or had relocated out-of-state.”
The two insurers account for almost 60 percent of patient enrollment in Covered California. Both insurers are also utilizing networks for their exchange/mirror products that are significantly narrower than their regular PPO networks. These narrowed networks, combined with inaccurate provider directories, have led to significant confusion and frustration for both physicians and patients.
The audit, conducted by an outside group, focused on patient experience and avoiding potential harm to consumers based on network availability (e.g., assessing whether a patient could get needed care using the directory, as opposed to whether the plan indeed had a valid contract on file for the physician).
In the report DMHC said the incorrect physician listings are problematic for consumers: “The disconnect between the information provided to members and the actual status of providers within the plans’ network has (the) real potential (to) create barriers to care.”
Both plans raised legal arguments as to why their networks do not violate the Health & Safety sections cited in the report and challenged the statistical methodology used by the survey vendor. DMHC dismissed these arguments as having no merit.
DMHC has turned the matter over to the Office of Enforcement for additional corrective action and other remedies as needed. The department has not said if the plans will be fined, though it plans to conduct a follow up survey of in-network provider listings in six months.
CMA will continue to monitor the situation closely, as it may have an impact on other actions underway in California. Such actions include the impending review of Medi-Cal managed care plan networks and directories ordered by the Joint Legislative Audit Committee, as well as the eight class action lawsuits currently pending in California courts over narrowed networks and inaccurate directories. The audits may also prove to be a popular topic in the next legislative session.
In November, the Department of Health Care Services (DHCS) announced more changes to the Cal MediConnect implementation timeline. Enrollment for the program in Alameda County will not move forward because of financial solvency issues with Alameda Alliance. In Orange County, enrollment will be delayed until August of 2015. This delay is the result of audits conducted by both Medicare and Medi-Cal that found deficits in CalOptima, a county organized health system that administers the Cal MediConnect program for beneficiaries in Orange County.
CMA has also learned that transition of Duals in Los Angeles County scheduled for December 1, 2014 was delayed to January 1, 2015.
For an updated enrollment timeline for all counties, click here.
DHCS also released enrollment figures for Cal MediConnect, showing a little more than 100,000 dual eligible patients (almost one-fourth of eligible patients) have opted-out of the Cal MediConnect program. About 40 percent of those in the Los Angeles dual-eligible pool, which has the largest numbers of potential enrollees in the state, have opted out of the program.
According to the report, about 50,000 individuals have enrolled in the program so far. To see the rest of the enrollment numbers published by DHCS, click here.
Cal MediConnect was authorized by the state in July 2012 in an effort to save money and better coordinate care for the state’s low-income seniors and persons with disabilities. The program begins with a three-year demonstration project that transitions a large portion of the state's dual eligible beneficiaries (eligible for both Medi-Cal and Medicare) to managed care plans. The project will impact approximately 450,000 duals in six counties (eight original counties – Los Angeles, Riverside, San Diego, San Mateo, San Bernardino and Santa Clara.
The California Department of Health Care Services has announced the schedule for its 2015 Medi-Cal provider training seminars and webinars.
Dates and locations for the in-person seminars have been scheduled as follows:
|Santa Rosa||August 4–5|
Webinars will be offered January 6-29 and June 2-26. Providers can access seminar and webinar details, including class schedules, on the Medi-Cal Learning Portal Provider Training page.
In an effort to expand its Medi-Cal managed care provider network across the state, Anthem Blue Cross is reaching out to California Medical Association (CMA) member physicians who are interested in joining the insurer's network.
Physicians who would like to learn more about this opportunity are asked to provide CMA with some basic information by filling out this brief form. Anthem will then follow up with physicians who have expressed interest with additional details.
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, managing editor for AAPC, a training and credentialing association for the business side of health care.
The new year brings over 250 new CPT® codes to report provider services, and nearly as many revised and deleted codes.
Several trends are evident in CPT® 2015, including an increased emphasis on patient care coordination and management services. For example, the Evaluation and Management portion of CPT® adds a new subcategory for Chronic Care Management (99490), to describe per month services to a defined subset of patients, “…when medical and/or psychosocial needs of the patient require establishing, implementing, revising or monitoring the care plan.”
In addition, a new subcategory and guidelines define Complex Chronic Care Management (99487 and 99489) to include the services described by 99490 (above), “…as well as establishment or substantial revision of a comprehensive care plan; medical, functional, and/or psychosocial problems requiring medical decision making of moderate or high complexity and clinical staff carte management services for at least 60 minutes, under the direction of a physician or other qualified health care professional.”
Time-based codes 99497 and 99498 are added to describe face-to-face advance care planning services. These services include, “counseling and discussing advance directives…. a document appointing an agent and/or recording the wishes of a patient pertaining to his/her medical treatment at a future time should he/she lack decisional capacity at that time.”
Also new in the Medicine section is a code for brief emotional/behavioral assessment, with scoring and documentation using standardized instrument (96127).
As part of another familiar trend, CPT® has created or revised many codes to include imaging guidance as part of the procedure, or to create separate codes for procedures with and without guidance. For example:
- 20600 Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance
- 20604 Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting
In another example, 22510-22515 replace 22520-22525 (percutaneous vertebroplasty and percutaneous vertebral augmentation) to describe the same procedures, but including all imaging guidance (and bone biopsy, when performed).
A new subsection, guidelines and codes 33946-33989 are added for extracorporeal membrane oxygenation or extracorporeal life support services (cardiac and/or respiratory support to the heart and /or lungs), to report cardiac and respiratory support for patients whose heart and lungs are diseased or damaged beyond function.
New codes (62302-62303) describe radiographic exam with contrast to detect pathology of the spinal cord (myelography). New codes also describe unilateral (64486-64487) and bilateral (64488-64489) transversus abdominis plane (TAP) block. Also know as abdominal plane block or rectus sheath block, a TAP block is a peripheral nerve block to anesthetize the nerves supplying the anterior abdominal wall.
Unilateral, bilateral, and screening digital breast tomosynthesis (3-D mammography) are now coded to 77061-77063. Tomosynthesis provides a clearer, more accurate view, compared to digital mammography alone.
Teletherapy isodose planning and brachytherapy isodose planning codes undergo revision, and are now classified as simple, intermediate, or complex, while two new codes (77385, simple and 77386, complex) report intensity modulated radiation treatment delivery (IMRT), including guidance and tracking.
Codes describing radiation treatment delivery have been simplified, and include a “per day” code for superficial and/or ortho voltage (77401), as well as codes for simple (77402), intermediate (77407) and complex (77412) delivery. All treatment delivery codes are reported once per treatment session.
Drug screening codes are completely overhauled. Tests are now defined as either presumptive drug class procedures or definitive drug class procedures. Five codes (80300-80304) describe presumptive drug class screening, according to whether the drug falls into “drug class A” or “drug class B” (as defined by CPT®). Dozens of new codes describe definitive drug testing, according to the specific substance tested.
Two revised codes (97605 area 50 sq. cm or less, and 97606 area greater than 50 sq. cm) describe vacuum-assisted drainage collection (negative pressure wound therapy) using durable medical equipment. Two new codes (97607 and 97608) describe the same procedure using disposable equipment.
New hypothermia initiative code 99184 Initiation of selective head or total body hypothermia in the critically ill neonate … replaces 99481 and 99482, which are deleted from the E/M section for 2015.
The majority of CPT® category III codes deleted for 2015 are replaced by new Category I codes. For example, 0247T Open Treatment of rib fracture requiring internal fixation, unilateral; 5-6 ribs is deleted and replaced by 21812-21813 Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral….
Significant additions include new codes for radiostereometric analysis (RSA) of the spine (0348T) and upper (0349T) and lower (0350T) extremities; optical coherence tomography (0351T-0354T); various behavioral assessments (0359T-0363T); adaptive behavior treatment by protocol (0364T-0374T); and visual field assessment (0378T-0379T).
“CMA has been a lifesaver on practice management and reimbursement issues. The help they provide is truly amazing.”
Herbert I Rettinger, M.D.
Endocrinology Medical Group of Orange County
CMA member since 1978
AETNA: Aetna has announced updates to its National Precertification List for the first quarter of 2015. The updates include, but are not limited to the following:
- Gender reassignment surgery and related procedures will require precertification effective January 1, 2015.
- All oral or injectable Hepatitis C medications, except for ribavirin, Incivek® and Victrelis®, will require precertification effective March 1, 2015.
- Fusilev®, Ilaris® and MyaleptTM will now require precertification effective July 1, 2015, instead of January 1, 2015.
ANTHEM BLUE CROSS: As indicated in the November 2014 Anthem Blue Cross Professional Network Update, a number of self-administered specialty drugs will no longer be covered under the medical benefit for Blue Cross PPO, CDHP and EPO plan types for California Large Group business. Members in California Large Group businesses with HMO, POS and Medicare plans are not impacted. Effective January 1, 2015, coverage for these identified self-administered drugs should now be submitted for review under the member’s pharmacy benefit.
The California Medical Association (CMA) offers our members programs to educate physicians and staff on a range of practice management issues. Space is limited, so register soon.
2015 Western Health Care Leadership Academy
The 18th Annual Western Health Care Leadership Academy has been set for May 29-31, 2015, in the heart of Hollywood. Next year's Leadership Academy will continue its mission of providing the information and skills needed to succeed in today's rapidly changing health care marketplace. Early registration is open now. Early bird registrants save $100 and secure their spots at the west coast's premier health policy and leadership development conference.
For more information, visit www.westernleadershipacademy.com.
Contact: Homa Neely, (800) 795-2262 or email@example.com.
The California Medical Association’s Center for Economic Services provides direct reimbursement assistance to CMA physician members and their office staff.
Reimbursement Help Line (888/401-5911)
- One-on-one educational and reimbursement assistance to physician members and their staff
- Tools and resources to empower physician practices
- Seminars and toolkits for physicians and their staff
- Staffed by practice management experts with a combined experience of over 125 years in medical practice operations
Need help? Contact CMA’s reimbursement experts at (888) 401-5911 or firstname.lastname@example.org.
To make sure that you are aware of important news from your contracting health plans, we encourage you to regularly read plans' provider newsletters and bulletins. Follow the links below to access the current issues.
AETNA: www.aetna.com. Click on "Health Care Professionals" in the main menu, then on "News for Providers" in the left sidebar.
CIGNA: www.cigna.com. Click on "Health Professionals" under "Customer Care" in the main menu. Then, scroll down and click on "Newsletters."
ANTHEM BLUE CROSS: www.anthem.com/ca. Click on "Providers" in the main menu, then on "Professional Network Update" under "Spotlight."
BLUE SHIELD: www.blueshieldca.com. Click on "I'm a Provider," then on "Announcements" under "News and Features."
HEALTH NET: www.healthnet.com. Click on "I'm a Provider" and then "California." Enter username and password, and then click "Online News."
MEDI-CAL: www.medi-cal.ca.gov. Click on "Publications" in the main menu, then on "Provider Bulletins."
MEDICARE/NORIDIAN: https://med.noridianmedicare.com/web/jeb/fees-news. Noridian publishes individual articles through the Latest Updates section in the left sidebar. The articles are condensed approximately every six-to-eight weeks into a Bulletin.
UNITED HEALTHCARE: www.unitedhealthcareonline.com. Click on "Tools & Resources" in the main menu, then on "Network Bulletin."
CMA RESOURCE: Find up-to-date profiles on each of the major payors in California.
If you have questions related to any of the articles in this issue, please contact CMA's reimbursement help line, (888) 401-5911 or email@example.com. Questions about membership, including technical website issues, should be directed to CMA's member help center, (800) 786-4CMA or firstname.lastname@example.org.
Let us know which topics you would like to see addressed in future issues. Contact CMA's Center for Economic Services at (916) 551-2061 or email@example.com.