Compliance Dispute Officer Issues Ruling in Oncology/Rheumatology Dispute

In a disappointing ruling, Compliance Dispute Officer Martin Quinn has determined that the pricing policy and associated actions taken by Blue Cross Blue Shield of North Carolina did not violate key provisions in the BCBS Settlement Agreement. In his opinion, Mr. Quinn stated that BCBSNC provided adequate notice of its policy, and provided fee schedules upon request. NCMS and numerous physician practices signed affidavits disputing these and other contentions made by BCBSNC. NCMS will likely file a motion for reconsideration. We gratefully acknowledge and thank the numerous oncology and rheumatology practices who participated in this process by providing information, signing affidavits and otherwise participating.

Read the BCBSNC Brief.

Read the NCMS Brief.

Read the Associated Decision: BCBSComplianceDisputeDecision091709

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