BCBSNC ICD-10 Provider Readiness Survey

From Blue Cross and Blue Shield of North Carolina This ICD-10 conversion readiness survey is being conducted to identify and evaluate opportunities to minimize possible disruptions in health care billing, reporting, and payment processes within North Carolina’s health-care industry. The survey consists of just six questions related to your organizational readiness for ICD-10 compliance on October…

What Does A Patient Safety Organization Offer?

The US Department of Health and Human Services (HHS) enacted the Patient Safety & Quality Improvement Act, which creates a voluntary reporting program in which health care providers can share information relating to patient safety events with a patient safety organization (PSO) on a privileged and confidential basis. The goal is to bolster efforts to improve the quality and safety of health…

In the News

Huge Medicare Appeals Backlog Draws Senate Scrutiny, ModernHealthCare, 4-28-15 How Is the Doctor-Patient Relationship Changing? It's Going Electronic, The Washington Post, 4-27-15 Should Doctors Be Allowed to Ask Patients About Their Gun Habits?, The Los Angeles Times, 4-23-15 Five Years Old, Going On 10: The Future of the ACA, MedPageToday, 4-22-15 Few Consumers Are Using Quality, Price…

Learning Opportunities

Diagnostic Error…It Happens! The NCQC Patient Safety Organization invites you to their May 5 webinar from 11 am – noon as Dr. Mark Graber, a national leader in the field of patient safety, addresses the reality of diagnostic errors. To Register: Click Here   NCTracks Training Courses Available in May 2015. Unless otherwise noted, all courses will be offered at the CSC facility in Raleigh…

Congress Votes to Repeal SGR

Last night history was made when the US Senate repealed the sustainable growth rate (SGR) formula with passage of H.R. 2, the “Medicare Access and CHIP Reauthorization Act,” or MACRA. The Senate passed bill was identical to the version that passed the House of Representatives by an overwhelming 392-37 margin on March 26. Now the legislation is with President Obama, who has indicated he will sign…

NCMS Leads Medicaid Reform Efforts

The North Carolina Medical Society (NCMS) has been leading the charge toward meaningful Medicaid reform most recently by bringing together the groups most affected by changes to the state’s Medicaid program. The goal of this large group of concerned organizations is to present a detailed plan to legislators in the next few weeks. Ideally, the plan would serve the most vulnerable citizens of North…

General Assembly Considers Changes To NC Medical Board Law

House Bill 543, Amend Laws Pertaining to NC Medical Board, was reviewed today by the House Health Committee. This bill is similar to one introduced last year at the General Assembly and is the result of a year’s work to reach a broad agreement within organized medicine on the content of the proposed amendments. Among the proposed changes: The bill would modernize the Physicians Health Program…

3 Percent Medicaid Retroactive Rate Reduction to Begin April 23

The NC Department of Health and Human Services issued a special Bulletin to Medicaid providers last night alerting everyone that they will begin reprocessing claims incorporating the retroactive 3 percent rate reduction passed by the General Assembly in 2014. The reduced rate will be assessed back to January 2014, when it was originally to begin. Learn the details about what this may mean for you…

CMS Proposal Seeks to Streamline EHR Incentive Programs

On Friday, April 10, the Centers for Medicare and Medicaid Services (CMS) issued a new proposed rule for the Medicare and Medicaid EHR Incentive Programs standardizing the 2015 meaningful use reporting period from one year to 90 days among other changes. CMS’ goal is to allow providers to “focus more closely on the advanced use of certified EHR technology to support health information exchange…

CMS Certifies NCTracks Paving Way for Higher Federal Payments to State

NCTracks, the claims payment system implemented by the North Carolina Department of Health and Human Services, has earned certification by the federal Centers for Medicare and Medicaid Services (CMS). The certification of this claims system, which fumbled at its launch on July 1, 2013, means the federal government will now bear more of the cost of its operation resulting in about $19 million…