NCMS Morning Rounds 7-19-21

Enjoy your Monday NCMS Morning Rounds.

July 19, 2021

NCMS Legislative Update

Last week, the NCMS along with several specialty societies met with legislators to discuss SB249/HB277 — the SAVE Act, which would remove the current physician supervision requirements for nurse practitioners, certified nurse midwives, clinical nurse specialists and certified registered nurse anesthetists within the definition of advanced practice registered nurse. NCMS Past President and chair of the NCMS’ Medical Team Task Force Robert ‘Charlie’ Monteiro, MD, spoke at the meeting about the NCMS’ opposition to this proposal and about the importance of training and education to patient safety. The NCMS and numerous medical specialty societies sent a letter to legislators outlining our opposition to the SAVE Act. Read the letter here.

We need you, NOW, to act, engage, and communicate with your legislators on this issue. Please use the Find Your Legislator link and contact your legislator to discuss the importance of training and education, and why both matter in patient care.

Now that the Senate has completed their budget and it has passed, the House is working to create theirs. We will likely see the House budget the first or second week of August. Stay tuned for more information.

As a reminder, if you are experiencing any issues with Medicaid Transformation, please complete the NCMS’ Medicaid Transformation Issues Form here. For helpful resources on Medicaid Transformation, be sure to visit our Medicaid Transformation page here.

NC Professionals Health Program (NCPHP) Call for Nominees

The NCMS has an opportunity to appoint a new member to the NC Professionals Health Program (NCPHP) Board of Directors. Since 1988, NCPHP has been dedicated to helping medical professionals experience a lifetime of change and return to health. NCPHP assists with recovery from substance use disorders and other conditions that could impair a clinician’s ability to safely provide care and services to their patients.

NCPHP originated as a physicians’ health committee of the North Carolina Medical Society (NCMS). In 1988, it was established as a formal program of the NCMS and written into the North Carolina General Statutes.

View appointee criteria for appointment here. If interested, please complete application here and submit to Evan Simmons at by Wednesday, August 18.

Adding Billing, Rendering and Attending Provider Taxonomy to Professional and Institutional EDI Claims

Health plans have identified a common billing error of clinicians submitting professional and institutional EDI claims (ASC X12 837-P and ASC X12 837-I) with missing or invalid billing physician, rendering physician and attending physician taxonomy codes.

When billing NC Medicaid Direct claims, clinicians may have directed clearinghouses to append billing physician, rendering physician, or attending physician taxonomy codes to the claims. This process may not have been established for NC Medicaid Managed Care claims being submitted to the prepaid health plans (PHPs), causing these claims to deny for missing or invalid taxonomies.

More information is available in the Medicaid bulletin here.

In the News

The U.S. Surgeon General Is Calling COVID-19 Misinformation An ‘Urgent Threat’, NPR,7-15-21

Learning Opportunity

 Lunch and Learn Webinar: Health Equity in Context, Tuesday, July 20 | 12:00 noon to 1:00 pm

 This presentation provides a foundational overview and educational outlook of the principles of health, equity, health inequities, health disparities, and drivers and determinants of health. The historic and contemporary context of these issues and barriers help to shape much-needed discussions and conversations on eliminating barriers, sharing resources, and building trust.

Learn more and register here.

Presented by the North Carolina Medical Society Foundation in cooperation with the North Carolina Medical Group Management Association

This webinar is free but you must be registered to attend.
Space is limited so register early!

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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