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CMADocs
cmadocs.org > newsroom > news > view > ArticleId > 51244 > CMA-advocacy-restores-up-to-29-million-for-physicians-in-Anthem-maternity-claims-dispute

CMA advocacy restores up to $29 million for physicians in Anthem maternity claims dispute

7+ hour, 18+ min ago  (161+ words) After months of advocacy by the California Medical Association (CMA), Anthem Blue Cross has agreed to indefinitely pause enforcement of its gestational age reporting policy for professional maternity delivery claims in state regulated health plan coverage. Enforcement of this policy…...

CMADocs
cmadocs.org > newsroom > news > view > ArticleId > 51220 > CMA-reimbursement-advocacy-recovers-5-6-million-for-physician-practices-in-2025

CMA reimbursement advocacy recovers $5.6 million for physician practices in 2025

3+ week, 6+ day ago  (338+ words) Denied claims, payment delays and reimbursement disputes can take a significant financial toll on physician practices. Fortunately, California Medical Association (CMA) members have free access to experts who can help. In 2025 alone, CMA's Center for Economic Services (CES) recovered more…...

CMADocs
cmadocs.org > newsroom > news > view > ArticleId > 51197 > AMA-CMA-and-all-state-medical-societies-back-legislation-to-strengthen-No-Surprises-Act-enforcement

AMA, CMA and all state medical societies back legislation to strengthen No Surprises Act enforcement

2+ mon, 4+ day ago  (403+ words) The California Medical Association (CMA), alongside the American Medical Association (AMA), all 50 state medical societies and 46 national health care organizations, is urging Congress to pass bipartisan legislation designed to strengthen enforcement of the federal No Surprises Act. In a letter…...

CMADocs
cmadocs.org > newsroom > news > view > ArticleId > 51196 > Reminder-Health-plans-cannot-shift-COVID-19-testing-costs-through-case-rate-agreements

Reminder: Health plans cannot shift COVID-19 testing costs through case rate agreements

2+ mon, 1+ week ago  (253+ words) The California Medical Association (CMA) is reminding physicians that health plans are prohibited from shifting the financial risk for COVID-19 testing, immunizations and related services through limited risk arrangements such as single case agreements and case rate agreements. CMA-sponsored Senate…...

CMADocs
cmadocs.org > newsroom > news > view > ArticleId > 51179 > CMA-calls-for-enhanced-federal-oversight-of-No-Surprises-Act-implementation

CMA calls for enhanced federal oversight of No Surprises Act implementation

2+ mon, 2+ week ago  (540+ words) The California Medical Association (CMA) joined a coalition of national medical specialty societies and state medical associations in urging federal regulators to strengthen enforcement of the No Surprises Act and increase transparency in the law’s independent dispute resolution (IDR) process....

CMADocs
cmadocs.org > newsroom > news > view > ArticleId > 51164 > Anthem-extends-pause-on-E-M-downcoding-policy-through-May-1

Anthem extends pause on E/M downcoding policy through May 1

3+ mon, 2+ week ago  (175+ words) Anthem Blue Cross has once again extended the temporary pause of its automatic evaluation and management (E/M) claim downcoding policy until at least May 1, 2026. As previously reported, the policy was originally scheduled to take effect February 15, 2026. After a number of…...

CMADocs
cmadocs.org > newsroom > news > view > ArticleId > 51135 > Anthem-agrees-to-pause-automatic-E-M-downcoding-policy-until-March-1

Anthem agrees to pause automatic E/M downcoding policy until March 1

4+ mon, 2+ week ago  (279+ words) Anthem Blue Cross has agreed to temporarily pause implementation of its new automatic evaluation and management (E/M) claim downcoding policy until March 1, 2026, pending review by the California Department of Managed Health Care (DMHC) after concerns raised by the California Medical…...

CMADocs
cmadocs.org > newsroom > news > view > ArticleId > 51132 > CMA-sponsors-legislation-to-prohibit-automatic-downcoding-by-insurance-companies

CMA sponsors legislation to prohibit automatic downcoding by insurance companies

4+ mon, 3+ week ago  (12+ words) California Medical Association...