NCMS Morning Rounds 12-20-19

Happy Friday! It’s

NCMS Morning Rounds time!

Dec. 20, 2019

The NCMS Center for Leadership in Medicine will be closed starting Monday, Dec. 23 for the holidays. The office will reopen and the NCMS Morning Rounds will resume publication on Monday, Dec. 30.

The NCMS staff wishes you a very happy holiday season!

BCBSNC Suspends Pathology Billing Policy — for Now

NCMS staff recently has received member calls about a Blue Cross and Blue Shield of North Carolina’s (BCBSNC) pathology policy, which was introduced earlier this year. This week the insurer said they will be suspending the policy (AHS-R2169) for the moment while they review all the questions and concerns they have received. They plan to re-issue a policy in early 2020.

For those affected by the change, here is what BCBSNC advises:
• BCBSNC will identify all POS 11-denied claims from Oct. 1 to Dec. 3, 2019 for the surgical pathology code range of 88300-88399, and will make the appropriate adjustments.
• If you held a claim, they thank you for your patience. Pathology edits were placed on hold and backdated to the initial implementation of the policy on Oct. 1, 2019. These claims can now be released and will process as they were before the policy was implemented.

Read BCBSNC’s statement on this policy change.

Carolina Complete Health’s Generosity Featured on News

NCMS’ Medicaid partner, Carolina Complete Health (CCH), one of the health plans selected by the state to provide Medicaid managed care services when the transformation of the program to managed care continues, was featured on ABC-11 TV in Raleigh for giving $5,000 to its food drive.

The reporter interviewed longtime NCMS member and former NCMS Board Member CCH CEO Jeff Runge, MD, FACEP along with longtime NCMS member and CCH Chief Medical Officer William Lawrence, MD, about the importance of good nutrition to maintaining health.

CCH is a partnership between the NCMS, the NC Community Health Center Association and Centene Corporation, a Fortune 500 company.

Watch a video of the broadcast.

Tips for Holiday Well-Being and Mindfulness

Thanks to the folks at the NCMS Benefit Plan here are some tips for a happier and more mindful holiday.

First, don’t forget about yourself this holiday season! As much as we’d like the holidays to be a time of mirth and merriment, too often this season becomes one of the most stressful times of the year. Burnt turkeys, disappointing presents, delayed flights, shopping nightmares, argh! These pressures are heaped on top of an already stressful existence. Below are some common stressors that pop up this time of year alongside mindful strategies to help you through the discomfort:

Demands on Time
Back-to-back social events at this time of year may start to feel overwhelming as we attempt to juggle them with other commitments. Treat yourself! You do not need to say yes to everything. Giving and giving without stopping is not an altruistic notion. It’s important to be mindful of when we might need refueling and allow that to happen.

Instead of a joyful endeavor, gift-giving can often become a chore, making many of us feel resentful and unloved if we do not receive something equally meaningful in return. Giving doesn’t have to be a monetary or a physical commitment, giving comes in many forms, including time and emotional support. This season, try donating your time to help those less fortunate. There is great opportunity to give to and establish meaningful connections with those who have fewer resources.

Expectations of Perfection
This time of year is ripe with the expectations we put upon ourselves to get it just “right.” Things have to look, taste, feel and be a certain way. Try to take time to reflect on the meaning of the holidays. It’s hard to stop and smell the roses at any time of year, and it’s especially easy to get caught up in the commercial version of what the holiday season means today. Taking the time to mindfully reflect on what matters, whether it be our religion or tradition, helps us to maintain a healthy perspective as the year draws to a close.

The Indulge/Guilt Cycle
We often seem to let all notions of wellness and health fall by the wayside during this time of year. The problem is not only are we not staying healthy, but we are also setting ourselves up for feelings of guilt and self-deprecation. Give yourself permission to enjoy all the flavors of the holiday season in moderation. If you’re planning to kickstart your journey toward health in the new year, read on to learn how available programs can help.

Family Stress and Anxiety
Family stress shows up in many ways. Take the time to step back and bear witness to all that you have; count your blessings, as they say. Gratitude goes a long way when it comes to overall wellness. During this time of year, a sense of gratitude can easily fall by the wayside as indulgence and the idea of “more” and “merrier” are front and center.

Finding meaning and purpose

If you have time away from work and the regular routine, use this time to ask yourself: What am I doing here? On the deepest level, what have I been given an abundance of that I can share with the world? What was I put here to do?

Our attempts at answering these questions are aimed at defining our purpose. Be aware that the answers you may find are not static. Instead, it’s important that we move through life with these questions always in mind and allow our answers to be reshaped by life context, growth and experience. Because of the nature of personal purpose, it may be beneficial to make an intentional habit of checking in with your purpose to ensure that it still aligns with your values and beliefs.

The Purpose Checkup is a great tool to help you assess whether you’re living with purpose. In only a few minutes, you can more clearly understand whether you’re living a life fueled by purpose, or recognize that it may be time for a purpose tune-up. Either way, you’ll have a better grasp of what gets you up every morning ready to embrace life, or the first step toward finding that passionate purpose.

Happy holidays!

In the News

Why Big Tech Companies Won’t Solve Healthcare’s Biggest Challenges, Forbes, 12-16-19

Learning Opportunity

With 2020 just days away, now is the perfect time to review the last year at the NC General Assembly as well as to look ahead to what’s in store legislatively in 2020. Get an insider’s view with NCMS Senior Vice President for Advocacy and Associate General Counsel Chip Baggett, JD. This is a recording of the Lunch and Learn Webinar presented on Tuesday, Dec. 17. [Please note: the recording starts at about minute 11:40]. Listen in now.

 
 

More Posts in Insurance/Payer Issues

 
 

Share this Post