PULSE is our electronic publication emailed weekly to keep physicians' practices up to date with time sensitive information.
September 17, 2020
Valley Fever Institute at Kern Medical Invites You to Join Them
The Valley Fever Institute at Kern Medical is pleased to invite you to join our Infectious Disease team as they discuss the shared primary symptoms between Coccidioidomycosis, COVID-19, and Influenza, as well as the challenges in assessing the clinical, diagnostic, and radiographic differences of this triple threat.
This virtual educational event is scheduled for Friday, September 25th at Noon. The hour-long event will offer 1 CME credit to participating physicians. 
To register, please email [email protected] to obtain the link for the event. After attendance has been verified, an evaluation form will be emailed and must be completed and returned to receive CME credit.

ASK THE GOVERNOR TO VETO NP SCOPE BILL! - It's still on his desk!
AB 890 (Wood) is a dangerous bill that would undermine physician-led care and could create a lower tier of care for low-income patients. This bill passed the Legislature on the final night of this year’s legislative session and will await action from Governor Newsom this month.
Physicians are urged to contact the Governor and ask him to protect patient safety and VETO AB 890.

Are you experiencing trouble with self-insured ERISA payors?
Self-insured or Employee Retirement Income Security Act (ERISA) governed plans have traditionally raised unique problems for physicians.

With a typical insurance product, the employer pays a premium to the insurance carrier or health plan, and that entity assumes the financial risk for claims incurred. Under a self-insured ERISA plan, the employer typically leases a large payor’s provider network and discounted reimbursement rates, but the employer assumes the actual risk of claims incurred. More...
CMS indicates it will withdraw controversial Medicaid Fiscal Accountability rule
Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma, M.D., announced this week the agency would be withdrawing its proposed Medicaid Fiscal Accountability Rule, which would have cut state and federal Medicaid funding by as much as 50% in all 50 states. Dr. Verma said in a tweet that CMS would be withdrawing the proposal due to concerns raised by state and provider partners about "potential unintended consequences" of the proposed rule, which require further study. It is unclear whether the agency will be abandoning the proposal in its entirety, or if CMS will move forward in the future with some sort of modified “fiscal accountability” regulation after a study. More...
AMA releases 2021 CPT code set
The American Medical Association (AMA) recently released the 2021 Current Procedural Terminology (CPT®) code set, which includes the first major overhaul in more than 25 years to the codes and guidelines for office and other outpatient evaluation and management (E/M) services. More...
Anthem PPO added to specialty medication policy
Anthem Blue Cross recently notified physicians that effective December 2, 2020, it will expand its specialty medication policy to also apply to its commercial PPO and EPO plans. The new PPO policy, effective for dates of service on or after December 1, 2020, mirrors policy previously implemented for Anthem’s commercial HMO and Medi-Cal managed care plans and will require that certain specialty pharmacy medications administered in the office or outpatient hospital setting be obtained exclusively through CVS Specialty pharmacy. More...
CMA president issues statement on county health officer resignations
CMA President Peter N. Bretan, Jr., M.D., issued the following statement in response to recent county public health offer resignations:

The California Medical Association (CMA) is severely troubled by the recent resignations of county public health officers in Placer and Humboldt counties.

Earlier this month, Teresa Frankovich, M.D., announced her resignation as Humboldt County Health Officer, citing stress and fallout from COVID-19 as her reasons for leaving her post. More...
Upcoming FREE CMA Webinars
GME Webinar Series: Partners: A Two-Year Journey

September 24, 2020 | 12:15PM - 1:15PM

Lung Cancer and COVID-19 in the Outpatient Setting: What Clinicians Need to Know *CME Available

September 29, 2020 | 10:00AM - 11:00AM

Regulating the Stress Response for Kids: Practical Tips for Primary Care Providers

September 30, 2020 | 12:00PM - 1:00PM

Telehealth Series for Small and Medium Sized Practices: (Pt. 4) Telehealth Strategies for Treating Vulnerable Patient Populations

October 1, 2020 | 12:15PM - 1:15PM

The Central Valley Medical Societies have partnered to bring you:

Debra Phairas, President Practice & Liability Consultants

There will be many operational, HR and telemedicine/technology changes needing to be implemented to re-invent the "New Normal." New staffing and practice operations changes are necessary and "thinking outside the box" is imperative.

Advanced registration is required. Space is limited.
FREE for Physician and/or 1 Staff Member