State Health Plan Drops Humana; Moves to One Medicare Advantage Carrier
The State Health Plan Board of Trustees recently approved moving from two Medicare Advantage…
Helping Practices Make the Move to Value
The North Carolina Medical Society (NCMS) and its Foundation are committed to helping physicians…
Support for Medicare Audit Reform
Members of the US Senate Finance Committee, including Sen. Richard Burr (R-N.C.), highlighted a new…
CMS Releases Two Landmark Directives on Medicaid and Medicare
Last week the Centers for Medicare and Medicaid Services (CMS) published the final rule on Medicaid…
Landmark Proposed Rule Outlines Future For Our Health Care System
The Centers for Medicare and Medicaid Services (CMS) recently released their proposed rule…
CMS Launches New Initiative For Primary Care
The Centers for Medicare and Medicaid Services (CMS) recently announced the launch of a new program…
Mapping Tool Reveals Disparities in Health Care
A new interactive tool from the Centers for Medicare and Medicaid Services (CMS) allows users to…
Comprehensive Care for Joint Replacement Initiative Underway In Certain NC Markets
The Centers for Medicare & Medicaid Services (CMS) began its Comprehensive Care for Joint…
Now Is The Time to Review/Dispute Open Payments Information
The Centers for Medicare and Medicaid Services (CMS) recently announced the beginning of the 45 day…
NC Makes Strong Showing On CMS' List of New and Renewing ACOs
The Centers for Medicare and Medicaid Services (CMS) announced on Monday that three accountable…
PAI Pushes for RAC Audit Reform
The Physicians Advocacy Institute (PAI) submitted additional comments this month on the Audit &…
Palmetto Posts 2016 Medicare Physician Fee Schedule Files
Palmetto’s 2016 Medicare Part B Physician Fee Schedules (MPFS) are now available in their Medicare…
Primary Care Bonus for Medicare Patients Ends With New Year
The 10 percent bonus that many primary care practitioners have been receiving to care for Medicare…
NC Medicare Shared Savings Program Council Members Share Best Practices
Last month, representatives from North Carolina medical groups that participate in the Medicare…
NCMS Formally Comments on Implementation of MACRA
The North Carolina Medical Society (NCMS) formally submitted comments yesterday, Nov. 17, in…
CMS Releases Interactive Tool to Map Opioid Prescription Claims
The Centers for Medicare & Medicaid Services (CMS) released an interactive online mapping tool,…
CMS Finalizes 2016 Medicare Physician Fee Schedule
On October 30, 2015, the Centers for Medicare & Medicaid Services (CMS) issued a final rule…
Time is Running Out for Informal Review of 2016 Value Modifier
If you are in a practice with 10 or more eligible providers subject to the 2016 Value Modifier,…
Fair Medical Audits Act Gaining Momentum
US Representatives David Rouzer, (R-NC), and Mark Meadows, (R-NC) have signed on as co-sponsors to…
Alliant Offers Mental Health Screening Help for Primary Care Practices
Alliant Quality, the Quality Innovation Network – Quality Improvement Organization (QIN-QIO) for…
CMS Releases Medicare ACO Results for 2014
The Centers for Medicare and Medicaid Services (CMS) yesterday released 2014 quality and financial…
Understand the Proposed Medicare Physician Fee Schedule
The North Carolina Medical Society’s (NCMS) Director of Health Policy Jennifer Gasperini has…
2015 MAC Satisfaction Indicator Survey — Please Share Your Opinions!
There is still time to share your views on Palmetto GBA, but don't delay since the survey will…
Medicare and Medicaid Turn 50 Tomorrow
On July 30, 1965, President Lyndon Johnson signed legislation amending the Social Security Act and…
Trustees: Medicare Solvent Until 2030
The Medicare Trustees have projected the trust fund that finances Medicare’s hospital insurance…
DMA Details Changes to Payment of Crossover Claims
The North Carolina Division of Medical Assistance (DMA) today sent a letter to providers detailing…
ACO Final Rule Released
On June 4, the Centers for Medicare & Medicaid Services (CMS) released a final rule detailing…
CMS Releases Physician Medicare Payment Data
Last week, the Centers for Medicare & Medicaid Services (CMS) released its second annual…
Potential Benefits In the SGR Repeal Law — MACRA
When the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law in April,…
Hard-Won RAC Reform Legislation Introduced
In case you missed the announcement, on the Friday afternoon before the long Memorial Day weekend,…
Pioneer ACO Model Generates Medicare Savings, Independent Report Reveals
The US Department of Health and Human Services released an independent evaluation report showing an…
What MACRA Means to You — Detailed Summary of Historic SGR Repeal Bill
The AMA has produced a detailed summary of HR 2, the hard won legislation that repealed the…
ICD-10 Medicare Testing Opportunity Still Available
During the week of July 20-24, 2015, a final sample group of providers will have the opportunity to…
Palmetto GBA Will Continue As North Carolina’s Medicare Administrator
The Centers for Medicare & Medicaid Services (CMS) announced as of April 1, 2015, Palmetto GBA…
CMS Announces Next Generation ACO
The Centers for Medicare & Medicaid Services (CMS) Innovation Center introduced the “Next…
PAI Advocates Reform of Medicare RAC Program
The Physicians Advocacy Institute (PAI) recently sent comments to the chair of the Health…
Move Toward 'Pay for Quality' Accelerates With HHS Announcement
In an announcement last week, the US Secretary of Health and Human Services Sylvia M. Burwell set…
NCTracks Ready to Reprocess Claims for Enhanced Payments under the ACA
From NCTracks: The Affordable Care Act (ACA) requires the state’s Medicaid program pay at the…
Pulse Check — Have You Seen Your QRUR?
Please take this quick two-question survey to help us tailor our communications and educational…
North Carolina Home to Seven New Medicare ACOs in 2015
Just before the new year dawned, the Centers for Medicare & Medicaid Services (CMS) announced…
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