Provider appeal rights defined in the Standard Plan Contract Section V.D.5 Provider Grievances and Appeals, and the appeal processes outlined in the Prompt Payment Fact Sheet, include deadlines to submit appeals which may vary by Standard Plans, from 30 days to 365 days after the decision giving rise to the right to appeal.  

North Carolina AHEC now offers you additional communication tools regarding Medicaid Managed Care challenges. If you are in need of an effective way to communicate complicated issues to the Prepaid Health Plans (PHPs), your Clinically Integrated Network (CIN), or even to the Provider Ombudsman, we can help.  

The next webinar in the Quality & Population Health Webinar series will be held December 9 from 5:30-6:30 p.m. and will focus on Advanced Medical Homes: Incentives Plan.

A recent study of 87 primary care encounters found that providers used at least 1 type of medical jargon without explaining it to patients in nearly 80% of appointments, with an average of more than 4 uses of jargon per visit. Fewer than half of the terms were explained, and overall, providers used a jargon term about once every 4 minutes!

National Influenza Vaccination Week is here! If you haven’t received a flu shot yet, there’s still time. People with certain chronic conditions are more likely to develop serious flu complications. Together, we can all #FightFlu. Protect yourself and your loved ones by getting a flu shot.

The Northwest AHEC Practice Support Team supports social, physical, and economic environments which promote attaining the full potential of health and well-being for all. This blog segment will highlight impactful publications which promote improved health outcomes through Social Determinants of Health (SDOH) each month.

Is your practice interested in getting help from an interprofessional team of graduate level health professions students participating in a leadership group through the North Carolina Medical Society call the Future Clinical Leaders College? 

The next webinar in the Quality & Population Health Webinar series will be held December 9 from 5:30-6:30 p.m. and will focus on Advanced Medical Homes: Incentives Plan.

Temporary provider rate increases set to expire Nov 30 now extended through Dec 31. 

The Division of Services for the Deaf and Hard of Hearing (DSDHH) has partnered with the Division of Health Benefits to establish a pilot initiative for communication access services for patients (and companions) who have Medicaid and Health Choice.