Learning Opportunities

Electronic Health Record Certification, Feb. 9-May31. Offered online through Richmond Community College in Hamlet, NC. This course will prepare students to sit for the Electronic Health Records Certification Exam and earn the credential offered through the National Healthcareer Association. For more information contact Lauren Holland, or call (910)410-1848.

Feb. 18, noon-1 p.m., Webinar on Meaningful Use & HIPAA: Meaningful Use in 2015 including HIPAA requirements for Meaningful Use Stage 1 or 2, featuring Karen McKeithen Schaede, J.D. North Carolina Medical Society Foundation, in cooperation with the North Carolina Medical Group Managers, will discuss what you need to know to attest for Meaningful Use in 2015. This webinar is free but you must register to attend. Space is limited so register early.

NCTracks Training for February include:
Wednesday, Feb. 18 – 9 - 11 a.m. - Recipient Eligibility
Tuesday, Feb. 24 - 9:30 a.m. to 12 p.m. - Prior Approval - Medical (Professional)
Tuesday, Feb. 24 - 1-4 p.m. - Submitting a Professional Claim
These courses will be offered in-person at the CSC facility in Raleigh. They include hands-on training and will be limited to 45 participants in each course. You may register in SkillPort by logging on to the secure NCTracks Provider Portal and click Provider Training to access SkillPort. Open the folder labeled Provider Computer-Based Training (CBT) and Instructor Led Training (ILT). The courses can be found in the sub-folder labeled ILTs: On-site. Refer to the Provider Training page of the public Provider Portal for specific instructions on how to use SkillPort.

The North Carolina Healthcare Information and Communications Alliance (NCHICA) fifth Thought  Leader Forum, on Using Analytics for Population Health Management. Feb. 25 at the Research Triangle Foundation of NC, 12 Davis Dr., Research Triangle Park. The registration fee is $50 NCHICA members/$75 non-members/$25 students. Click here to register. The deadline to register is Feb. 24.

MAHEC's Spring CE offerings include:
February 19th – May 28:   “MAHEC Motivational Interviewing for Health Care”
March 13-14: “Everything Has Changed: New Prevention & Management Recommendations in Primary Care” 
March 24:  “Practical Matters in Dementia Care”                                                                                
April 30: “Finding Stability: Management to Live Better with  Parkinson Disease or  Essential Tremor”
May 6-8:  MAHEC Women’s Recovery Conference”  
May 8: "Healthcare Express Track"  
May 12:  “You’re Looking at Me Like I Live Here and I Don’t – A Unique Documentary About Living with Alzheimer’s and Post-Film Panel Discussion”
Save-the-Dates: June 3-6: “Southeast Pain Symposium”

Cleveland Clinic Florida has three cutting-edge medical symposiums coming up in February 2015. They are part of Cleveland Clinic Florida’s week-long Digestive Disease Institute’s Education Week. Visit the website for details.

  • 26th Jagelman / 36th Turnbull International Colorectal Disease Symposium, Feb. 10-15, 2015 at the Harbor Beach Marriott Hotel in Fort Lauderdale, FL.
  • 4th Annual Gastroenterology & Hepatology Symposium, Feb. 12 – 14, 2015 at the Harbor Beach Marriott Hotel in Fort Lauderdale, FL.
  • 14th Annual Surgery of the Foregut Symposium, Feb. 14 – 18, 2015 at the Biltmore Hotel in Coral Gables, FL.

Save March 4, 2015 for North Carolina Pregnancy & Opioid Exposure Project’s conference, “Pregnancy & Opioid Exposure: Improving Outcomes for Women, Infants, and Families” in Greensboro. Learn the current and emerging approaches to best support families at risk for experiencing opioid exposed pregnancies in North Carolina. Medical, behavioral health, justice, child welfare and other professionals working with women of childbearing age, and their infants, are encouraged to attend.

Duke Geriatric Education Center presents a three-part workshop on Improving Care Through Interprofessional Collaborative Practice, March 25, April 8 and April 22. 8:30 a.m – noon, Croasdaile Village Retirement Community, Durham. More information and register.

ICD-10 Boot CampNCMGMA's General Code Set TrainingMarch 26 & 27, 2015, 8 am – 5 pm, Women's Educational Center, Greensboro, NC. This intensive 2-day, 16-hour, General Code Set Training is designed specifically for coding staff and intended to give attendees a comprehensive understanding of guidelines and conventions of ICD-10 as well as fundamental knowledge of how to decipher, understand and accurately apply codes in ICD-10. This Training is approved for 16 CEUs through AAPC. Get more information and register.

Sixth Annual Addiction Medicine ConferenceApril 10-11, Asheville, Learn more and register.

Save the date -- June 12, 2015, for Go SIMple, an opportunity to learn about the hottest trends in simulation education from experts. The training session will be held at Campbell University College of Osteopathic Medicine in Lillington, NC.

NCTracks Ready to Reprocess Claims for Enhanced Payments under the ACA

From NCTracks:
The Affordable Care Act (ACA) requires the state’s Medicaid program pay at the Medicare rate for certain primary care services and to reimburse 100 percent Medicare Cost Share for services paid in calendar years 2013 and 2014 to attested providers. In September 2013, NCTracks began making the ACA enhanced rate payments to providers who attested and were verified by the state for qualified services billed from that point forward.
In September 2014, the Centers for Medicare and Medicaid Services (CMS) approved a North Carolina State Plan Amendment, which changed the allowable attestation date from June 30, 2013, to June 30, 2014, for retroactive ACA payment eligibility back to January 1, 2013. (Providers who attested after June 30, 2014, are eligible for enhanced ACA payment for services rendered after their attestation date.)
NCTracks has since been updated to include information regarding providers who attested at a later date, as well as changes in rates effective January 1, 2014. (ACA eligible claims with a date of service on or after January 1, 2014, that adjudicated on or before March 7, 2014 at 10:00 a.m. paid with the old rates.) Now that these changes are complete, retroactive reimbursement is starting.  No action is required on the part of attested providers to receive retroactive reimbursement.
Beginning on January 17, 2015, NCTracks will start the reprocessing of paid physician claims for enhanced ACA payments of eligible services. The reprocessing will include physician claims processed and paid with dates of service from January 1, 2013, through December 31, 2014, that did not already receive enhanced ACA payment.
The claim reprocessing will likely take several checkwrites and should be completed by mid-February. The claims will be reprocessed as Adjustments and will be reported on the providers Remittance Advice (RA). On the paper RAs only, the reprocessed claims will be listed in a separate section of the RA and the claims will be reported with an EOB code of 06040 - "CLAIM REPROCESSED FOR ACA ADJUSTED PAYMENT."
The 835 transactions will include the reprocessed claims along with other claims submitted for the checkwrite. (There is no separate 835.)
This is the second reprocessing effort, and we do not anticipate additional reprocessing of previously paid claims for enhanced ACA payments. Individual reprocessing, if needed, will be addressed on a case by case basis. New claims for eligible services from 2014 rendered by attested providers will be reimbursed appropriately.
If providers have any questions about the reprocessed claims, please contact the NCTracks Call Center at 1-800-688-6696 or [email protected].

Prevention Partners Issues On-Line Report Card On NC's Health

A new, comprehensive look at North Carolina’s health as measured by tobacco use, nutrition, physical activity and obesity gives the state mediocre to dismal grades.  The Prevention Partners “2015 NC Prevention Report Card,” however, shows “encouraging momentum around understanding the impact of poor health as an economic issue and the role that employers can play,” writes Meg Molloy, Prevention Partners President and CEO. “This report card offers a wake-up call, pointing all of us to what we can do to fill prevention gaps and build health across North Carolina.”
The Report Card is in an easy to use visual and interactive format with links to sources and resources.

February 15 Deadline Looms for Insurance Marketplace Enrollment

The deadline to sign up for health insurance coverage through the Affordable Care Act’s Insurance Marketplace is Feb. 15. As of Jan. 9, more than 434,000 people in North Carolina have signed up for health insurance coverage, the U.S. Department of Health & Human Services (HHS) reports. That total reflects those who enrolled in 2014 and reenrolled this year as well as new enrollees who were not insured last year through the federal insurance marketplace.
To help patients who may be looking for insurance coverage keep in mind these facts provided by HHS:

  • Open Enrollment runs through February 15, 2015. Visit HealthCare.gov to sign up. After the Feb. 15 deadline, people can enroll only under special circumstances, such as the loss of a job or marriage.
  • Nationally this year, there are 25 percent more health insurance issuers competing in the Marketplace for enrollees.
  • Financial help is available. Eight out of 10 people can find coverage for $100 or less a month with tax credits through the Marketplace. And 87 percent of people who selected 2015 plans through HealthCare.gov in the first month of Open Enrollment got financial assistance to help lower the cost of premiums.
  • Last year’s technological glitches have been fixed. HHS has been working to make the consumer experience at HealthCare.gov simpler, faster, and more intuitive.

Last year more than 357,000 enrolled in the state, and 91 percent qualified for federal subsidies. North Carolina had the nation’s fifth-highest enrollment total in 2014. Nationwide as much as 20 percent of initial enrollees don’t make a payment and remain uninsured.

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Problem Solved!

PROBLEM-SOLVEDIf you need an answer or a problem solved regarding your practice, as a North Carolina Medical Society (NCMS) member you have access to our  Solution Center Coordinator, Belinda Battle McKoy, who is standing by to help you solve the problem or answer your question. Call (919-833-3836 x142) or email Belinda the next time you need a problem solved.
Here is a common question Belinda receives:

Q:  How does my practice obtain DNR (Do Not Resuscitate) and MOST (Medical Orders for Scope of Treatment) forms?

A:  The DNR and MOST forms are available through the Office of Emergency Medical Services, North Carolina Department of Health and Human Services.


Former NCMS Executive Director, William N. Hilliard, Passes Away

WO0070129-1_20141227William N. Hilliard, who spent 33 years at the North Carolina Medical Society (NCMS), retiring as Executive Director in 1984, passed away on Dec. 26, 2014 in Raleigh. Mr. Hilliard began his lengthy career at the NCMS after spending six years as a news editor at radio station WPTF in Raleigh. He was the first recipient of the NCMS’ John Huske Anderson Award, presented to a layman whose “contribution has had a positive impact on the medical profession and the public health.” After retiring from the NCMS, he founded Hilliard Association Management, Inc., where he remained active until his final retirement in 2005 at the age of 85. He served clients including the NC Society of Anesthesiologists and the NC Society of Internal Medicine.
“Mr. Hilliard provided great leadership, guidance and support toNorth Carolina physicians for many years,” said current NCMS CEO Robert Seligson. “His legacy as a strong leader and statesman will be lasting because of the tremendous impact he had on the medical profession in North Carolina.”
We extend our sympathies to Mr. Hilliard’s family.

Watch Your Email for Member Survey on Governance As HOD Recommendation Work Continues

At the 2014 North Carolina Medical Society (NCMS) House of Delegates, proposed amendments to the NCMS Constitution and Bylaws were passed to re-engineer the NCMS governance structure. The goal of the proposed amendments is to establish a policymaking process within the NCMS that is more accessible and efficient. One option to be considered is to develop a mechanism for NCMS members to bring issues to the Board of Directors for discussion and action on a timely basis, rather than waiting for the House of Delegates to meet annually.
Following the House of Delegates meeting, NCMS President Robert Schaaf, MD appointed a Bylaws Modernization Task Force. As part of their work, all members will be contacted by email this week to respond to an online survey. The NCMS has contracted with McLaughlin & Associates, a national public opinion firm, to conduct an Internet survey of all NCMS members. This survey will assist in determining how best the NCMS can represent its members.
The survey will launch on Friday, January 9. It will be administered by McLaughlinOnline.com, an Internet polling service fully owned and operated by McLaughlin & Associates, and powered by Qualtrics, an online data collection engine.
Please take a few minutes to complete the survey to give the NCMS leadership valuable information about your expectations for member representation and how you prefer to engage with us and other professional organizations. The survey will only take a few minutes of your time, which will be invaluable to the NCMS and its leadership. Thank you in advance for your participation in this survey.

North Carolina Home to Seven New Medicare ACOs in 2015

Just before the new year dawned, the Centers for Medicare & Medicaid Services (CMS) announced 89 new Medicare Shared Savings Plan (MSSP) Accountable Care Organizations (ACO) bringing the nationwide total of MSSP ACOs to 405. Of the new ACOs announced, seven have service areas in North Carolina.
1)      Cape Fear Valley ACO
2)      Carolina Medical Home Network ACO (NC FQHCs)
3)      Coastal Plains Network (Vidant)
4)      CHESS (Cornerstone, Wake Forest Baptist)
5)      Mission Health Partners
6)      PACN (Pinehurst Accountable Care Network)
7)      Pioneer Health Alliance (service area includes Georgia, Kentucky, Mississippi, North Carolina, Tennessee, Virginia)
To learn more about accountable care efforts in North Carolina or to download educational toolkits on the subject, visit the TAC Consortium website: www.tac-consortium.org.