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Managed Care/Payer Issues
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BCBSNC Awarded State Health Plan Contract
The North Carolina Department of State Treasurer announced that the third party administration services contract for the State Health Plan will once again be awarded to Blue Cross and Blue Shield of North Carolina (BCBSNC) beginning July 1, 2013.
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Did You Know…Payor Issues are a Priority for NCMS
The NCMS began a “Did you Know?” campaign, starting with the distribution of postcards to members informing them about the many efforts of NCMS staff to make North Carolina a […]
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NCMS Members Receive Revenue Recovered through United Healthcare Ingenix Settlement
A note from Emily Deese, Director of Member Services and Marketing: Well, I am now in my third month as the new Director of Member Services and Marketing. I could […]
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AMA offers CPT Code Edits to Assist with Coding
Data files containing Current Procedural Terminology (CPT) Code Edits are now available through the AMA. The edits are consistent with guidelines and conventions established by the CPT Editorial Panel. The […]
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NCMS and NCHA Urge Blue Cross CEO to Stop Misleading Ads
This week, the CEOs of both the NCMS and NCHA sent a letter to Brad Wilson, CEO of BCBSNC, urging him to stop the recent public relations offensive his company has launched against North Carolina doctors and hospitals.
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NCMS Leaders Discuss Fair Audit Principles with Senator Burr
This week, NCMS leaders met with U.S. Senator Richard Burr to discuss the potential for federal legislation that would introduce a set of fair audit principles in various Medicare and Medicaid program integrity audits and initiatives.
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New Federal Partnership to Pursue Health Care Fraud
On Thursday, the Obama Administration announced the formation of a new public-private partnership to combat health care fraud.
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AMA Launches Online Contracting Group for Physicians
To assist physicians meet and understand the challenges associated with managed care contracting, the American Medical Association (AMA), through their Practice Management Center, launched an online community entitled the “Cutting-Edge […]
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Blue Cross Retreats on Imaging Reimbursement Reductions
BCBSNC released a statement this week to announce they are again delaying implementation of a controversial corporate medical policy that would have unilaterally cut reimbursement by $16 million a year for certain radiology procedures.
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AMA Launches Resource to Help Practices Understand Impact of Accepting Payer and Patient Credit Cards
In direct response from concerns addressed on the North Carolina Medical Group Managers (NCMGM) listserv, the AMA created a toolkit to assist physician practices learn more about dealing with claims […]
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