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Managed Care/Payer Issues
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Health Care System Reform Major Topic at MAC Meetings This Week
Steve Keene, NCMS General Counsel and Deputy EVP, and Chip Baggett, NCMS Director of Legislative Relations, spoke this week to meetings of the NCMS Employee Benefit Plan Member Advisory Council (MAC), comprised of practice administrators across the state who participate in the NCMS Plan.
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2010 Annual Participation Enrollment Program Extended
Due to recent revisions that were made to the 2010 Medicare Physician Fee Schedule (MPFS), the Centers for Medicare & Medicaid Services (CMS) has extended the 2010 Annual Participation Enrollment […]
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UnitedHealthcare Announces Change to Radiology Notification Program
The North Carolina Medical Society has been advised that UnitedHealthcare is implementing a change to the Radiology Notification Program, whereby Premium Quality and Cost Efficiency (Q&E) Designated Physicians will be […]
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Humana Update Webinar Set for November 24
A Humana Update Webinar is scheduled for Tuesday, November 24, 2009, from 10:30-11:30am. There is no cost to attend; pre-register online at https://www.compassionatecarenc.org/legacy/pages/meetings_and_events/calendar_detail.jsp?id=620. Back to Bulletin
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Tell Us about Your problems with Health Insurers
The AMA and NCMS invite you to participate in a survey on claims denial management and health insurer business practices. This 10-minute survey is open to physicians and their practice […]
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U.S. House Passes H.R. 3962
On Saturday, November 7, 2009 the U.S. House of Representatives approved the Affordable Health Care for America Act. Read on for details of the bill.
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Will You See 30 Patients before December 31, 2009?
If you will see 30 patients before December 31, 2009, you should be able to satisfy your annual PQRI requirement and earn a bonus payment of 2.0% of total allowed […]
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BCBS Security Breach
Physicians contracting with Blue Cross Blue Shield (BCBS) plans, who use their Social Security number as their Tax ID number, should be aware that their personal information was likely on a laptop computer that was stolen from a BCBS Association employee’s car. Each affected physician should have received a letter from BCBS addressing the breach.
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NCMS and Others Comment on BCBSNC Contract Addendum
NCMS, NCMGM, NCAFP and NCSA have sent a letter to Commissioner Wayne Goodwin (PDF) asking for his review of a recently mailed Addendum to the BCBSNC agreement. The letter asserts that the addendum is non-compliant with Senate Bill 877, otherwise known as the Fair Contracting legislation.
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U.S. Senate Fails to Consider S. 1776
The US Senate blocked a vote to consider Senate Bill 1776 on Wednesday. Known as the Medicare Physicians Fairness Act of 2009, the legislation would have provided a permanent fix to the flawed SGR formula. Currently Medicare physician payments will be cut by 21.5% beginning January 2010 unless Congress takes action.
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