NCMS Morning Rounds 5-3-21

Welcome to May and your Monday NCMS Morning Rounds.

May 3, 2021

NCMS Legislative Update

More bills are accelerating through committees at the NC General Assembly as the May 13 crossover deadline approaches. Legislators seek to get their proposals through one chamber by that date in order to help ensure passage. While all bills may remain ‘alive’ beyond that date, the likelihood they will become law diminishes if they haven’t passed through one chamber by the crossover deadline.

One proposal, SB345 — PA Team-based Practice made it through the NC Senate Commerce and Insurance Committee last week. This bill, which the NCMS supports thanks to several years of work by the NCMS’ Medical Team Task Force and the NC Academy of Physician Assistants, has generated questions among members. See the following Morning Rounds article for more information on the Medical Team Task Force and the evolution of this proposal as well as a webinar this Wednesday to help answer your questions.

Other pending legislation our legislative relations team is closely monitoring includes:

SB505- Medical Billing Transparency, which, along with SB415 – Greater Transparency in Health Care Billing, concerns surprise billing. As noted in previous updates, the NCMS wants to see the federal legislation around surprise billing fully implemented before the state addresses it. The NCMS along with state and county medical societies and specialty societies have submitted an opposition letter to NC Senators explaining our stance. Read the letter here.

We urge you to review HB512/SB575 — Pharmacists Improve Public Health Needs and to contact our Director of Legislative Relations Sue Ann Forrest, MPA,, with your input on this bill, which has generated a lot of discussion. And remember to share your thoughts with your legislators as well. Find your legislative representatives’ contact information here.

Our team also continues to work with legislators to improve SB228 – Allow Employers to Offer EPO Benefit Plans. We will continue to monitor this and update you in this newsletter.

This week likely will see bills around childcare as well as anti-vaccine proposals moving. Watch your email for a possible Action Alert on these issues.

The NCMS’ Medical Team Task Force – Learn More This Week

As several legislative proposals regarding team-based as well as independent practice for advanced practice providers currently are under consideration at the NC General Assembly, be sure to tune into our webinar on Wednesday, May 5 at 6 p.m. to learn more about the NCMS’ Medical Team Task Force’s work on these issues. The Task Force’s chair, Robert ‘Charlie’ Monteiro, MD, will lead the discussion. Learn more and register here.

We also have a comprehensive Frequently Asked Questions document and other background material on the topic as well as a recording of a recent Power Hour on team-based practice you can watch at your leisure. Access all the information here.

Clinical Diagnostic Labs: Resources about the Private Payor Rate-Based CLFS

If you’re a laboratory, including an independent laboratory, a physician office laboratory, or hospital outreach laboratory that meets the definition of an applicable laboratory under the Clinical Laboratory Fee Schedule (CLFS), you must report information, including laboratory test HCPCS codes, associated private payor rates, and volume data. CMS recently updated resources:

• Collect data: January 1-June 30, 2019
• Report data: January 1-March 31, 2022

For more information, visit the PAMA Regulations webpage.

In the News

Do the Pfizer And Moderna Vaccines Keep People Out Of The Hospital? New CDC Data Sheds Light, Advisory Board, 4-29-21

Learning Opportunity

MIPS Quality and Cost Performance Categories for the 2021 Performance Year, Thursday, May 6, 2021, 2 to 3:30 p.m.
During the webinar, CMS subject matter experts will provide information on:
• Quality and cost performance category basics for 2021 participation
• Reporting and scoring requirements
• Resources and support
CMS will answer questions from attendees at the end of the webinar as time permits.

Learn more and register here.

If you have policies you’d like your NCMS Board of Directors to consider, please complete the Board input form here. Thanks for reading!


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