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SEPTEMBER NEWS HIGHLIGHTS
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Virtual Medicare Workshop: Updates for 2023 & Beyond
This 60-minute virtual training provides your practice with updates on Policy, Payment and Quality Provisions for Medicare under the Physician Fee Schedule (PFS) for CY 2023 and beyond. Cheryl Bradley will present information relevant to practicing clinicians and your billing staff will walk away with the resources to decrease denials and maximize reimbursement. Cheryl is an Associate Director in CMA’s Center for Economic Services. She has over 25 years of experience in the Medicare Program and has held a variety of responsibilities including Education and Training Specialist, Medical Review Analyst, and has worked with providers in virtually all specialties across all the CA Medicare contractors. This year's Medicare Updates Workshop will be held via zoom from 12:30 pm to 1:30 pm on September 15, 2022
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Ventura County Hospitals, Clinics, Health Plan will Pay $70.7M to Settle Claims of Improper Billing
Three medical providers and one health coverage system in Ventura County have agreed to pay a total of $70.7 million to settle a whistleblower’s allegations that they broke federal and state laws by submitting false, overstated and duplicative Medi-Cal claims. The United States Department of Justice, on behalf of the Inspector General of the Department of Health and Human Services, announced August 18 that it had entered into the settlements with four public and private health care organizations: Dignity Health, the San Francisco based nonprofit system that owns St. John’s hospitals in Camarillo and Oxnard; Clinicas del Camino Real, a Camarillo-based nonprofit health care provider for low-income patients; the county of Ventura, which owns and operates the Ventura County Medical Center public hospital and clinic network; and the Ventura County Medi-Cal Managed Care Commission, also known as Gold Coast Health Plan, a county-organized system that provides coverage to low-income patients under Medi-Cal, California’s version of the federal Medicaid system.
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Physicians Would Need Almost 27 Hours a Day to Provide Optimal Patient Care, Per New Study
In a new study published in the Journal of General Internal Medicine, researchers found that to provide guideline-recommended care, a primary care physician would require nearly 26.7 hours per day. The study was pioneered by Dr. Justin Porter, MD, at the University of Chicago School of Medicine, and is titled “Revisiting the Time Needed to Provide Adult Primary Care.” The study looked at a hypothetical panel of 2500 patients, and what it would take to provide them guideline directed care (e.g. per The US Preventative Services Task Force guidelines). The studied categories included preventative care, in addition to chronic disease and acute care.
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Understanding the Climate Health Crisis and How California Physicians Can Make an Impact. This engaging two-part panel discussion will explore the health impacts of climate change in California and the opportunities for California's physicians to advance policy-level climate solutions with enormous public health co-benefits. This webinar is sponsored by Climate Health Now and the California Foundation on the Environment and the Economy (CFEE) in coordination with CMA.
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The Summer Issue of Central Coast Physicians Available Online. In this issue of our magazine, we recognize our 2021 Physicians of the Year, who were honored at our Annual Membership Celebrations earlier this year. We also thank physicians who understand the importance of organized medicine by featuring our local members and highlight donors to California Medical Association Political Action Committee (CALPAC). Thank you to our advertisers and contributing authors.
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