Network Newsletter

Department of Health has issued mandatory vaccines for doctor’s offices. However, this order does have exemptions which include acupuncture offices. See the link below for full details. https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Unvaccinated-Workers-in-High-Risk-Settings-State-Public-Health-Order-FAQ.aspx What facilities/offices are not covered under this Order? Acupuncture office Chiropractic office Naturopathic doctor office Occupational therapy office Optometry office Outpatient physical, speech, occupational Read more…

July 26 Department of Veterans Affairs Secretary Denis McDonough announced he will make COVID-19 vaccines mandatory for Title 38 VA health care personnel — including physicians, dentists, podiatrists, optometrists, registered nurses, physician assistants, expanded-function dental auxiliaries, and chiropractors — who work in Veterans Health Administration facilities, visit VHA facilities or Read more…

TriWest Healthcare Alliance’s (TriWest) new claims processor – PGBA – will start accepting and processing all Department of Veterans Affairs (VA) Community Care Network (CCN) health care claims and any remaining Patient-Centered Community Care (PC3) claims effective June 9, 2021 VA claims must now be submitted under a new Payer Read more…

Cigna and ASH have now updated that the date to join their network to maintain being “in-network” which was June 1, 2021, has now been extended to September 1, 2021. (Note this does not apply to California, Oregon, Washington, and Tenessee.) But most surprising is the new fee schedules. As Read more…

It’s official: California workers’ compensation has a new Medical-Legal Fee Schedule (MLFS). These new fees and codes took effect on April 1, 2021. This will affect all QME’s of course but also a provider who is providing a report for a disputed medical fact. The updates are substantially different from Read more…

This act specifies that clinical notes collected in an electronic format must be made available in that format and made available free of charge to patients. Practices may continue using paper charts, and if you do not use electronic records, the 21st Century Cures Act likely has little impact on Read more…

JUST A REMINDER!!!  97026 & 97016 CIGNA WILL STOP PAYING THESE CODES Effective March 15, 2021, Cigna will NO LONGER pay for Heat Lamp 97026 & Vasopneumatic Devices 97016. It is effective for claims with dates of service on or after March 15, 2021. A letter from Cigna was sent Read more…

California Division of Workers’ Compensation (DWC) announced the 2021 reimbursement changes to the Physician Services section of the Official Medical Fee Schedule (OMFS), to conform to relevant 2021 changes in the Medicare payment system as required by Labor Code section 5307.1.   Fees for evaluation and management (E&M 99202-99205 and 99211-99215)  were Read more…