COMPLETE CMA ON-CALL SUBJECT LIST: ADA/Discrimination
Expert Witness Issues
Medicare and Medi-Cal
Adverse Events
Fraud and Abuse
Miscellaneous Issues
Advertising
Fraud and Abuse: Referral Issues
Office Safety
AIDS/HIV
Managed Care: Contracting
Outpatient Facilities
Allied Health Professionals
Managed Care: Overview
Peer Review
Ancillary Services
Managed Care: Risk Arrangements
Physician-Patient Relationship
Antitrust
Managed Care: Utilization Review & Management
Professional Liability
Business Prohibitions/Disclosure
Medical Board: Discipline & Licensing
Reimbursement: From Patients
Clinical Laboratories
Medical Board: Reports
Reimbursement: From Private & Public Payors
Consent
Medical Practice: Workforce Issues
Reimbursement: Other Issues
Death/Organ Donation
Medical Practice: Physician Practice Models
Reporting Abuse
Drug Prescribing/Dispensing
Medical Records: HIPAA
Reporting Diseases, Conditions, & Events
Drug Testing
Medical Records: Management
Reproductive Issues
eMedicine
Medical Records: Requests for Access
Warning Obligations
Emergency Transfer
Medical Records: Special Confidentiality Requirements
Workers’ Compensation
End of Life Issues
Medical Staffs
Actual On-Call documents:
t #7104
Documen
Pay-for-per
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CM d Continuity ena A ONthe ual physicia care as down to e." of Care Pro gh the even individ managed health health car visions." cted throu AB AN D O groups and however, d on reform, ena Care Act (ACA), ors focuse care costs, N M EN T lth care and e 1990s pay uce rising health ms Documen healthcare Federal hea tion and Affordabl red 1. What ance progra in quality of t orm tec #3 en erf the Pro 20 is means to Th r-p t ut patient ab 1 Cpat Patien pay-fo onien ue-based the faced abo tro ess to care. andonmen towards val quality the issue of t'slled Su ta Patient aba concerns sur s on a patient's acc titute of t? also raises S payments nc. es nd 445 (Orig harm. Seebs 38 Am int s by the Ins shifts CM le, paying based on Jur:. 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Generally ule Code §§11 by the Int valuesta tin ts, bil s. nc en g_R l ed m cos (H program pro exceeds agreed-up es, t Ca to if e ela nag Ad eal hem patient rel diIinc - ministratio car the em th erg amlud 000 et seq speaki s rinMe & Sa tem one ma or ving to ing ion sum d/o ng mo po ati uct the an , enfet the rar on n's nce on are ma red .) for u. cy y Code §§11 shi ily ce are h ma ing yo (D riz dru A), who meets res, gsucMe the p a h as dic ungavasch bot es the EA)m?websi physi is establish an ongoing r- per lpful to d includ e Association (IH ilaed ciauir req 053 et seq.) -fobe hefor bleule n-emen nin ompasses asu pay te cer ed, me enc to , ile at uld tio can car con the res ich ore nce ww Wh car ns e sho po A w.deadive Thtsere be found nsibility to abouph of are ation ysicia ients. Health the nu ance, wh relationshi which results, they are fav patms t ho model. See n has ic gra Came informma rsion.usdo w ph liforou on the Dr the dia rnis area p pro ysi nopre -for-perform a shared savings xed , and sebet j.gov/sche asked for secson A1cginthe uris tywhpre ug t rel based pay nin includes pro is terminated. (Id patient until the cians sed Pay for scr ou-gh y du e yielded mi c and private payors 12 cer Ba You have thr ibe on les scr y hav y uecon . ph co ipt the alit Th ms Val on ysi ntr .) ion qu been Pal issue brief, is docume viding "co loc cia bli ollaledho progra ns law 11, 20 ormati t and provide cov should and answers sub cosicti spista physician verage" for This obligation nt talncem on had kers and pu October contact inf es. era ber 2013lfor-t jurisd tem commonly is patients wh Pertha Sepnis by policyma ly to expand. See – Pay C forfor gencies, or ge, except for patien ergency room to trator (Parnia. IHA mi patients, etc ill, on vacation, quesen the like ts icy Bri nce in Califo e, a andef the MA ent BenefitsPerAd For aor . See 3 Am which therefore forma motre alth most manag in extraordinary cir with true emerating re det ted Pol E, On that dat ian nm Document #4005 Such coverage the issues . Jur. Proof airss He rela ailedoth Affent cumstance ed care con disercussioarr alth tto Gover tember 16, 2013. addresses er to rid to the dis cum n He me of do eth No sio is L Fac wh s. n typ cus r AL of ts ng tra ms ang Fir pen ica dis Sep 2d 7. cians who the cts req st, e for lly provid til ON-C mance. dicare progra lawcon rket took ove lowing s per doc-sider when decidi gra s ma tintai agr ON ed by othsing of11con nesJur metto)k un m, and uonin trolled sub Me ed a con the CMA isdicti-on The folpre Retention of Medical Records us gcoverage uire physicians to par toCharfor on- ive L doercum physician's ee to be available to-CAL ciasta Some of phent ance pro di-Cal and should sta s seeMA nsnce effi ysi- #3 physi A has 508, "N by Freoth ins, the snoer, CA seeirCM ysicians iniAtiat new stancepro absence. to the Me L document #7 der nd -for-perform increase the likecon93 vices. eCM phme ate a more speAcialty. s: vid em0,ergenc t, ,"P4PCM ers un e car tra72 Dispe besact mb cte1d s to cre "Con in a payA's specifically in."theFo 20 trative Ser nsie ng Refer theirntr y tro ms to y hav pate on (55ral roolled At incentive 9) 48 CM m gen A ON-CAL Adminis or-perdispose of physicianpartici nt s," ing theA to 7-5 r inf Suera me ed Coand um the40loc such progra tem. 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Ass ion ati 6 al ilab physician ntion, ava controlled include CM Physicians/Implifor help CM Auditive Legal Counsel, JanuaryA2015 tement and ow to al on stru ces is sys sys ir to -C no to ry wo on the the t w edi ent use sho uld um nsi me see ho e documl improve substancepay hopo y "M lthcare del ing tra e uld carefu et thi ob w ten CMA ON to tially ob San Diego spend cians who Agree- patients nav s asfor Th Contracting cument #7201,cient hea y wil physi- ich physicians ma end of igate the lly select litiv wathe -CALL do to lig 60 the Dis vis ste dif ion n, t-effec wil 4, "Side profer at atio manetc .org.lihoodidethe L do #720ate duenc ste."the other ph orm-C : Wh cts,e in cos 45ate phidg ALL toand genent www.cno Viewr ysiecian (Southern CA) ecklist," wh y be found at the ketemoatre cos sicians pro l provide coveraWa ON-CAL cument ade cy dep Chdocument mabsi minsitionforGu #630 ysi- cum quCMAinfON ge.destruction t San art9, nt cha eco Tra between the mance Avenue ma based raised by the retention, If This the major abandonment, vided ina theft and ected we , discusses -CALL do ue-issues edical le or"Mno Diego, CA rate. Secon me"M dequate car one of those phyrge edicare exp may be AexpONts- with litt physician se programs information on val em92 CMA ON Medi-Cal Patients," ect er-12 money d, emergenc s and the(85 did not use can e, and statentitlensd, wh dits," CM re ph8)ysician's ien evaluateofthe h o kn 3 medical or insurance information and physician practice business records, including: mohealth ow." or nt nasspat the For care Auice me tha era n. y edi to 61 cia du sic ments wit s ori ign dep off d lly sio 6-4 ysi e ian "M gin carD artment cha cus significantl ph cians nee 252 ice , the origin al cho duct e in e Re Similarly, #7205, EA this disutory select edicarme y higher rges are gen RE al phin ing record retention requirements, the rules applicable to records abandoned or othticular con tech#7209, GthaISt ph document ysibankruptcy 208, "Minv cian RE estcumnt. than offLo us ent eng T RA y- Tand ng in par informationCo could agin) do cument #7 ices An ntacts Division the genero IOtoy the extent patients wil basgel QbeUhel edesser dEM n 1995-2015 inS Medicare -CALL bonusesn-Pfor CALL do liab recommended of a leEN IR icipatio atioerwise, mbers, andretention periods, options for record management on the sale or closing vices (South Centr 5 E. Tem ment for TSsibilitN l hav25 for these bil est No g art inv t of our me ies, dical Associ CMA ON CM e ple fin ir d al CA) por Me 3, " anc the Str (an sup nia 10 les, ls, they are Los An ial respon-eet, 20th #1 Ru sin unhappy. 1. Wha ugh the medical © Califor compan fors CM safeguarding increa Floor likely to begeles, CA Participation ALL t are the req pany, destruction requirements, and obligations Thi document A ON-CALL patients n No.t9: ©personal to you thro al liabilitypractice, record Finally, Regio CaliS ent 90012 -C profession er tual Insurance Com ans. is brough document California "Medicare extremely Medicuir CMum burdening (213) emoci al Ass ents for reg mb sponsored information and responding when records containing identifying information sup are orugh othL Mu CMA ON iew of Federal andA ON Evestolen Physici 1-694 RCA ry is bro an for -CALL doc the 62em NOnu eric physician-4-3Cal 2 1 Ma ysicia nia,in ist you throug ation 199 Options," ration? 5-2 port ofph s CM#1105, nt to ergenc : Overv 015 Thient ative of Am are 74 wh support of: (41han of 50ifor use phy 5) per cum ge o Ab y h Me do sici adm pen Sac Coo the dic L anramento Re the erwise Telce Exc al Insurases any con sponsored inisters, support of Medic ran ofbreached. "Fraud and CMA ON-CAL A ON pany, and prescribes,our memb trolled sub professional sident Office dical Insu The Docto the nce Exchan Me ," ge ement Com 4-3770 Division " and CM or dis-ers, and the4328 Watt of iforstance mu Drug rs Manag re (Northern rs Manag 74 fornia Law G Investigations, e Managed Ca nia, NORCAst beliab generous Avenue emEnforcemCal The Docto regility CA) istecompan ent OI L Mutua car Tel: (415) pan tration Secent Com Sacram Admi y, and withies, l Insred ento, CA urance thenis tration (D "Medicare tio 206, "Medi ns Coo Company, (91 EA Health Pla cument #7 e of ), eric 22152-2639 n/ODR, P.O. Box 26perativ Regis Am 6) 480-725 95821 CALL do an e)." 39 . Phy A s: tag , 0 sicians. Springfield, physician Advan 224, which Form Order mu VA im st San (Medicare app Cla 0 Francisco can beorobt ly under the Medi-Cal program, the theDE beneficiary CMS-150 CALIFORNIA STATUTORY Division ained or com on Form DEArms/CMS Coast CA A's bsi (Central or e/CMS-Fo pleted on-lin ) person to whom rendered, the date of service we and any te, & North v/Medicar office RETENTION PERIODS e on msforms, s_n_dirs/field ww w.d ead ive rsi E ern 450 Golde urance www.cms.go ml?redirect=/c on.us v/Medin Gate Av div/sanfran. additional information required .ht M ED IC AR gram is a federal ins trationbyUnMedi-Cal. the enue www.cms.go html, from do j.g ov/ P.O. Box 36 Forms/index m directly atCalifornia it, (800) statutory authorities which specifically // pro XVIII of ads le (Welfare & Institutions Code §14124.1.) are 03 nlo the Tit dic 88 5 for ow low by 2-9539, or Regising local DE rms/d the retention of medical records in a phySan Franci The Me access the MS-Foregulate ed in 1965 e health care to the any ish s/C A sco abl rm fiel of est , d offices: -Fo the fol(888) 304-3 CA 94102 program to provid care/CMS red by the t ste Ac sician's office are found, among other places, in the f. ini EMS Fund ty .pd uri adm 251 05 Fresno Re ps://law governing the Emergency Social Sec l level it is CMS15008 es (CMS) sident Office e: htt Medi-Cal Act, the Oakland (N the federa aid Servic n Bookstor 2444 Main (Central CA orthern CA elderly. On and Medic the United States ociatioMedical Physicians must retain the records of patients Services Fund, the California Uniform ConStrfor 1301 Clay ) ) Medicare eet, Suite of Medical Ass tore/. Street, Suite 240 Secretary Services Centers for American .org/s trolled Substances Act, the Knox-Keene Act, OSHA whom reimbursement was received from the EmerOakland, Human ion of the 460N .ama-assn inrce CA me adm at the direct of Health and to com gency Medical Services Fund for three Thi (3)s years after rules, and the laws governing workers' compensation. (888) 304-3 94612 nsibility CMA ON © California Department S assigns the respo ers' claims to a 251 -CALL doc Medical Ass the date that the last service reimbursed under this ument is Licensed clinics, adult day care centers, home health CM vid pro r S). s ove bro oci HH ces ation 199 ught to (D AC") support of program was rendered. (Health & Safety Code are and pro facilities, hospitals, and other licensed health facilities actor ("M physician- you through the sup 5-2015 Medical Ins ister Medic ministrative Contr isdiction sponsored port of our urance Exc erous statutory obligations to keep medical a is in Jur genother §1797.98e.) professio Ad may have members The Docto hange of 5-2015 and the nal liability s. Californi , Medicare rs Manag ociation 199 t of our members, companies, and the generous ement Com California, NORCA jurisdiction records. Physicians who practice in facilities which por Medical Ass L Mutual pany, and geographic © California you through the sup liability companies, Ins the y, Controlled Substances Coo pan to al perative of urance Company, are licensed by the California Department of Public Com ion brought American . red profess L Mutual Insurance ans ument is nso sici doc spo Physicians Phy LL an Health should make sure the facility complies with ON-CA physician- California, NORCA . e of Americ This CMA ativ support of of per Every physician who prescribes, dispenses or adminge Coo han these statutory and regulatory record retention rance Exc y, and the Medical Insu nagement Compan isters a controlled substance classified in Schedule II requirements as well. rs Ma The Docto must make and keep a record of that transaction for at least three (3) years. (Health & Safety Code 15
uary 20 unsel, Jan
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