NCMS Morning Rounds 8-18-21

Happy Wednesday! Enjoy your NCMS Morning Rounds.

August 18, 2021

White House Virtual Conversation: Health Systems, Providers, and the COVID-19 Vaccinations Effort

On behalf of the White House COVID-19 Response Team, you are invited to a White House Virtual Conversation on Health Systems, Providers, and the COVID-19 Vaccinations Effort. The event is Monday, August 23, from 12:00 – 1:00 PM ET.

During the event, attendees will hear from health system leaders and providers on these and other best practices they are implementing to increase shots in arms, and to do so equitably. The event will also be an opportunity to thank health systems and providers for their continued service to their patients, state, and country throughout the COVID-19 response and vaccine rollout.

View full White House Vaccination Event Invitation.

Please click the following link during the event to attend. A recording will also be available at this link after the event.

On Behalf of Susan G. Komen: Research Study on Patterns of Breast Cancer Care Across North Carolina

You are invited to partner with Susan G. Komen for a research study on patterns of breast cancer care across North Carolina.

This project is a collaboration between Susan G. Komen, the North Carolina Area Health Education Centers (AHEC) Program, and the UNC Lineberger Comprehensive Cancer Center, and conversations with community stakeholders in the breast cancer care delivery system, like yourself, will be vital to its success.

This research study will create a comprehensive geographic picture of variations in breast cancer care in North Carolina, and identify the unique unmet needs of breast cancer patients in local communities. To help draw this picture accurately, the researchers are asking you for two things:

  1. Participate in a one-time phone or video interview (approximately 45 minutes to an hour) to reflect on the patterns of breast cancer care in your community.
  2. Help identify breast cancer patients who would participate in a focus group to discuss their experiences with cancer care, to be held in early 2022.

As part of the one-time interview, they will share with you a brief report curated using insurance claims, cancer registry, and other data, on breast cancer care, for your area of North Carolina and the state as a whole, and ask you to help in understanding these trends.

They will also discuss your observations about breast cancer care in your community. If you’re willing to partner with them for an interview, please contact Sarah Bailey at 919-610-6849. Interviews will be scheduled over the next three months.

COVID-19 Vaccines Additional Doses: Codes & Payment

The FDA amended the emergency use authorizations (EUAs) for both the Pfizer BioNTech COVID-19 vaccine and the Moderna COVID-19 vaccine to allow for an additional dose in certain immunocompromised people.

Effective August 12, 2021, Centers for Medicare & Medicaid Services (CMS) will pay to administer additional doses of COVID-19 vaccines consistent with the FDA EUAs, using CPT code 0003A for the Pfizer vaccine and CPT code 0013A for the Moderna vaccine. CMS will pay the same amount to administer this additional dose as paid for other doses of the COVID-19 vaccine (approximately $40 each).

CMS will hold and then process all claims with these codes after completed claims system updates (no later than August 27).

Learn more about Medicare COVID-19 vaccine:

In the News

US To Recommend COVID Vaccine Boosters At 8 Months, AP News, 8-17-21

Learning Opportunity 

WellCare of NC- Provider Virtual Office Hours, Thursday, August 19, 2021, 4:00 p.m. – 5:00 p.m.

This webinar is ideal for:

  • Office Managers
  • Office Administrators
  • Billing Staff
  • Authorization Staff

Join the Zoom meeting here.

Dial by your location

+1 646 931 3860 US

+1 669 444 9171 US

Meeting ID: 980 7107 2512

Password: 579690

There is no registration required, you will click on the link at the time at the event.

 

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