Home / Posts tagged 'Provider Contracts' (Page 3)
Post Tagged with: "Provider Contracts"
-
NCMS Offers Resources to Employed Physicians
The North Carolina Medical Society (NCMS) realizes that many physicians these days are either weighing their options as far as being employed by a large network or group or are […]
continue reading → -
Prescription for a healthier practice: Understand your contracts
For this month’s practice checkup, don’t let contracts with managed care organizations intimidate you—gain a better understanding of what they say. Start with “Obtaining, uploading and utilizing your contracted fee […]
continue reading → -
NCMS Joins Hospitals and Radiologists in Filing Appeal against Decision in BCBS Dispute
NCMS, the NC Hospital Association and the North Carolina Chapter of the American College of Radiology have requested a judicial review of the Department of Insurance ruling in the dispute […]
continue reading → -
BCBSNC Pledges End to Most Favored Nation Clauses
Legislation that would ban the use of most-favored nation (MFN) clauses in managed care contracts saw some late action in the General Assembly’s 2012 Short Session. Despite strong support from the physician community, the bill ultimately did not pass.
continue reading → -
Important News for Physicians Caring for Federal Inmates Under Contract with MDI
See how you may be affected if you sent claims to Medical Development International, Inc. (MDI).
continue reading → -
NC Consumers and Businesses Sue BCBSNC, Allege Anticompetitive Behavior in State Insurance Markets
Groups of individuals and businesses that hold health insurance policies with Blue Cross and Blue Shield of North Carolina have filed a class action lawsuit in federal court against both BCBSNC and the Blue Cross Blue Shield Association. The complaint highlights BCBSNC’s dominance in state health insurance markets and alleges violations of federal antitrust laws and unlawful restraint of trade under state law.
continue reading → -
Legislation Proposed to Authorize Private Contracting in Medicare
Starting this week, the AMA is launching a grassroots initiative to generate public support for Congressional passage of H.R. 1700 and S. 1042, the Medicare Patient Empowerment Act.
continue reading → -
TIP Sheet Offers Help for Handling Physician Ratings by Health Plans
Worried about physician ratings and tiering by health plans? The Physicians Advocacy Institute (PAI) has created the TIP Sheet for Physicians: Reviewing and Disputing Physician Rating and Tiering by Health […]
continue reading → -
What You Need to Know about Medical Audits
The Physicians Advocacy Institute (PAI), in collaboration with NCMS and other state medical associations, has developed a new resource to help physicians avoid and respond to audits and financial reviews conducted by Medicare, Medicaid and private payers.
continue reading → -
Written Policy Guidance Sought on Medicare Patients Billed Directly by Unenrolled Physicians
Physician organizations, including the NCMS and other state medical societies, have asked the Centers for Medicare and Medicaid Services (CMS) for written public policy guidance on how patients enrolled in Medicare may obtain reimbursement for covered services provided by physicians who are not enrolled in Medicare and bill their patients directly.
continue reading →