Managed Care/Payer Issues

  • 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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  • NCMS Support for Updated Physician Fee Schedule

    In follow-up to a letter sent last week to Senator Richard Burr and Senator Kay Hagan to support Senate Bill 1776, the NCMS sent the attached letter today to both Senators to reaffirm […]

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  • Action Needed Now to Support S1776

    Action Needed Now to Support S1776

    Monday, October 19th the United States Senate will consider S 1776, known as the Medicare Physicians Fairness Act of 2009, introduced by Senator Debbie Stabenow (D-MI). Without the passage of this important legislation, you will see a 21% cut in Medicare reimbursement as of January 1, 2010. Your action is needed today.

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  • New BCBSNC Addendum

    BCBSNC has sent out contract addenda to many physician practices in order to comply with Senate Bill 877 Fair Contracting. Senate Bill 877 was a major legislative priority of North Carolina physicians and medical group managers in the 2009 session. NCMS is reviewing the BCBSNC addenda and has concerns related to the contact notice provision, pricing policy disclosure, availability of new fees and other provisions.

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  • BCBSA Security Breach

    Providers with BCBSNC will receive a letter this week, from the Blue Cross Blue Shield Association (BCBSA), notifying them of a provider data security breach.

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  • Medicaid Radiology Preauthorization Orientation

    Please be aware that Medsolutions, the vendor for the new Medicaid radiology preauthorization program, will hold numerous on-line orientation sessions from October 7-November 4, 2009.

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