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Post Tagged with: "Provider Contracts"
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Electronic Funds Transfer Requirement in Effect
Physicians and other Medicare providers are reminded that all Medicare provider and supplier payments must be made by Electronic Fund Transfer (EFT).
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Special Report: Managed Care in 2011
This special edition of the Bulletin focuses on the accomplishments achieved on your behalf in the managed care arena by the NCMS and the Physicians Advocacy Institute, a national organization in which the NCMS is actively involved. Throughout 2011 the NCMS remained actively engaged with the health plans. We successfully addressed and resolved a variety of managed care issues; read on for an overview of what we accomplished this year…
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UHC Deploying a Revised Treatment Cost Estimator for Members in 2012
Starting January 1, 2012, UnitedHealthcare (UHC) will begin deploying a Revised Treatment Cost Estimator for commercial members in selected markets, with a new Health Care Cost Estimator to be introduced […]
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IPG Inks Agreement with BCBSNC to Provide Implantable Device Management
Atlanta-based Implantable Provider Group (IPG) has announced an agreement to provide implantable device management for Blue Cross Blue Shield of North Carolina’s (BCBSNC) provider network. Under the agreement, IPG will […]
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Joint Complaint Filed Over BCBSNC Radiology Services Reimbursement Policy
On Tuesday, October 25, 2011, the NCMS, the NC Radiological Society and the NC Hospital Association filed a Joint Complaint with the NC Department of Insurance expressing concerns over a proposed Corporate Medical Policy issued by Blue Cross and Blue Shield of NC (BCBSNC).
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UPDATE: BCBSNC’s Radiology Services Reimbursement Policy Revised and Reposted
See the latest developments on this issue that resulted from a meeting last week between the NCMS, the NC Radiological Society Society, the NC Hospital Association and Blue Cross Blue Shield NC.
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PAI Compliance Committee Convenes in Chicago
The Compliance Committee of the Physicians Advocacy Institute (PAI) convened this week in Chicago to continue its ongoing efforts to improve the relationships and interactions between physicians and health plans, particularly now that the long-running managed care settlements have expired.
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Save the Date: NCHFMA 2011 NC Health Insurance Institute Set for October
The North Carolina Healthcare Financial Management Association (NCHFMA) will hold the North Carolina Health Insurance Institute October 13-24, 2011 at the Sheraton Hotel at Four Seasons in Greensboro. Registration materials […]
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Meeting with NCMS Prompts UnitedHealth Group to Revisit Many Details of Premium Designation Program
Earlier this spring, NCMS heard from numerous physicians and practice managers around the state about problems with United HealthCare’s rollout of its Premium Designation Program, or PDP. This year notification letters […]
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Thomas/Love Settlement Agreement Expires; BCBSNC to Permanently Adopt Many Key Settlement Practices
On Tuesday, the Thomas/Love Settlement Agreement between BlueCross BlueShield of North Carolina (BCBSNC) and the North Carolina Medical Society officially ended. Overall, the Settlement Agreement, which has been in place […]
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