practice management experts with a combined experience of over 125 years in medical practice operations. Our goal is to empower physician practices by providing resources and guidance to improve the success of your practice.
CALIFORNIA MEDICAL ASSOCIATION
Assistance ranges from coaching and education to direct intervention with payors or regulators.
TB case, who are now active TB cases. In each instance, the LTBITROUBLE Treatment Fresno Madera Medical Society GETTING PAID? LTBI patient did not start or did not complete the full course Of course, not all at-risk individuals will test positive for of medication therapy. And now, ofInstitute course, each of these new 66th Annual Yosemite Postgraduate LTBI. However, those that do should be urged to undergo
CMA CAN HELP!
CMA members can call on CMA’s practice management experts one-on-one helpfor with payment, billing active cases serve as a nidus a new population of LTBI medication therapy for LTBI. There exist three options for 24 March 26, for 2017 and contracting issues. If you answer “yes” to any of the-following it might be time to call for help. I’VE RECOVERED contacts. questions, medication therapy: Isoniazid (INH) once daily for 9 months, $ Rifampin (RIF) once daily for 4 months and a combination of The San Joaquin County Public Health Services is taking an In the past nine years, CMA’s Center for Isoniazid/Rifapentin (3-HP) once WEEKLY months. At • Are your claims being denied after obtaining prior • Do you have questions about the new for law3on payment from my the payors active role in promoting idea ofusing “Think LTBI” in order to Economic Services has recovered over this point in time, both the CDC and California Department authorization? and billing for out of network services (Assembly Bill 72)? CMA’s Center forit is you, the clinicians in reduce the burden of TB. However, from payors behalf of Public$15.5 Health million (CDPH) recommend the 3-HPon regimen for of Economic Services hospitals, emergency communityissues? medical offices, and •CMA Do youages have questions • Do you need help withrooms, Medicare-related members. all individuals, two and up. about Covered California? urgent care centers who stand at the front lines in this war. CMA’s Center for Economic Services is staffed by Pleaseyou remain identify and test thosecare at risk for LTBI, and • Are your claims not being paid in a timely manner? • Have been alert, presented with a managed practice experts with combined Some might denymanagement there is a TB war here in SanaJoaquin contract andwith you’re not sure ifthen the terms arebe defeated once and treat those LTBI. Only can TB of over why 125 years medical practice County.•experience One may question LTBI in patients must be Are you not Our being paidisaccording to your contract? consistent operations. goal to empower physician for all. with California law? identified and treated, claiming “Conversion to active TB does practices by providing resources and guidance to not REALLY happen here...” As matter of fact, San Joaquin •improve Are you receiving untimely requests for refunds or is a • Have you done everything you can to resolve an issue the success of ayour practice. (For more information on reporting, testing or treating TB and moneyrecently from your check without with a payor, but have hit a brick wall? County payor Publicrecouping Health Services identified several LTBI, please call San Joaquin County Public Health Services, Assistance coaching andrequest? education to first notifying you infrom writing of a refund LTBI patients, each ranges previously identified as contact to an active Registration is now open - Call (559) 224-4224 ext.at118 TB Control Program, 209for 468-3838). direct intervention with payors or regulators.
more information or visit www.FMMS.org
Access to CMA’s reimbursement experts is a FREE, members-only benefit. help? Call 786-4262 or email email@example.com. CMANeed members can call on (800) CMA’s practice management experts for one-on-one help with payment, billing and contracting issues. If you answer “yes” to any of the following questions, it might be time to call for help.
• Do you have questions about the new law on payment and billing for out of network services (Assembly Bill 72)?
• Are your claims being denied after obtaining prior authorization?
• Do you have questions about Covered California?
• Do you need help with Medicare-related issues?
• Are your claims not being paid in a timely manner?
• Have you been presented with a managed care contract and you’re not sure if the terms are
• Are you not being paid according to your contract? • Are you receiving untimely requests for refunds or is a payor recouping money from your check without
consistent with California law? • Have you done everything you can to resolve an issue with a payor, but have hit a brick wall?
first notifying you in writing of a refund request?
Access to CMA’s reimbursement experts is a FREE, members-only benefit. Need help? Call (800) 786-4262 or email firstname.lastname@example.org.
SAN JOAQUIN PHYSICIAN
San Joaquin Physician Fall 2018