Good News: Efforts of NCMGM and NCMS Help Resolve Several NC Tracks Issues

The North Carolina Medical Group Managers (NCMGM) and North Carolina Medical Society (NCMS) have been working closely with key staff at the Department of Medical Assistance and CSC on NCTracks issues that continue to affect providers across North Carolina.  We want to share the latest results of these efforts on behalf of our members. 
 
Vaccine Reimbursement –  CSC will reprocess unpaid vaccine claims that have been filed since July 1st.  Providers will not be required to refile. The system fix will be implemented this week and payment for these should be in the check-write Friday, August 16, 2013. 

Primary Care Incentive Payments (PCIP/ACA) – Implementation of the enhanced payment levels will occur during the month of August.  For providers who have timely attested, the enhanced payments will be retroactive to January 1, 2013.  Additional details are still forthcoming, but NCMGM was told that CSC will perform a test run this Friday of 30 doctors.  CSC confirmed that all eligible doctors will receive their payments by the end of August.

CSC is in the process of drafting a list of known NCTracks system issues that will be published to the portal.  Each issue will be assigned a status and kept updated.  Hopefully disclosing this information will lead to fewer calls to the call center.

CSC is also working on tools to help navigate through the prior approval process on the portal as well as filing claims and eligibility in the portal.

This week, CSC and Palmetto GBA will be discussing taxonomy codes on Medicare-Medicaid crossover claims.  We anticipate additional guidance will emerge from this.

CSC will offer a live webinar today, Thursday, Aug. 15, at 11 a.m. for NCMGM and NCMS members on enrollment-related issues in NCTracks. 

We will continue to update you as we receive new information.

 
 

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