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Managed Care/Payer Issues
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Webinar: Learn About the Proposed Meaningful Use Content and Comment Period
The Carolinas Center for Medical Excellence (CCME) will offer a webinar on Friday, February 12, 2010, 1:00 pm – 2:00 pm, on the Proposed Meaningful Use Content and Comment Period. […]
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Medical Board Considers License for Administrative Medicine
The North Carolina Medical Board (NCMB) is considering the creation of a Special Purpose License for Administrative Medicine for physicians to perform non-certification work.
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State Health Plan Adds Prescription Coverage for OTC Proton Pump Inhibitors
In its continuing efforts to maintain an affordable prescription benefit, the State Health Plan (SHP) has added prescription coverage for over-the-counter Prevacid™ 24-hour capsules for a $5 copay for a 42-day supply […]
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Update on BCBSNC Contract Addendum
As many of our readers will recall, NCMS worked during the 2009 session of the NC General Assembly to pass legislation requiring health plans to provide proper notice to physicians before they make changes to fee schedules (i.e., Senate Bill 877). On October 1, 2009, before the provisions of SB877 became effective, BCBSNC sent to its participating providers a contract addendum that we believe was inconsistent with the intent of SB877.
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NC Society of Eye Physicians and Surgeons Presents Codequest Coding College
Ophthalmologists, their technicians and office staff are invited to attend this year’s Codequest Coding College, Saturday, February 6, at the Grandover Resort in Greensboro. Sue Vicchrilli, the AAO’s Coding Executive, […]
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NCMS Keeps Watch over Developments Involving BCBSNC Contract Addendum
On October 1st, most Blue Cross Blue Shield of NC (BCBSNC) participating providers were sent a contract addendum explaining changes to their existing contract that BCBSNC stated were necessary in order […]
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Federal Court Grants Preliminary Approval of Historic $350 Million Settlement with UnitedHealth Group
The AMA announced Thursday, December 3, that the US District Court for the Southern District of New York has granted preliminary approval of the previously disclosed $350 million settlement that would resolve a class-action lawsuit against UnitedHealth Group.
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Medicaid Provider Agreement Deadline Postponed
NCMS and other provider representatives recently met with officials from the NC Division of Medical Assistance to discuss concerns about the new Mediciad provider agreement. In response to concerns raised about the validity of certain provisions in the agreement, DMA has agreed to extend the deadline for returning the agreement until the later of 60 days from receipt or December 31, 2009.
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NCMS EVP, CEO Testifies on Proposed UHC Acquisition in Connecticut
NCMS EVP, CEO Robert W. Seligson, President of the Physicians Advocacy Institute (PAI), testified during a hearing on November 23, 2009 before the Connecticut Department of Insurance about the effects […]
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New Medicaid Participation Agreement Raises Concerns
Recently, the Division of Medical Assistance, through its vendor CSC, sent out new Medicaid Participation Agreements. A number of concerns have been identified with the new agreements. NCMS has joined […]
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