Practice Support Update Blog

Provider Relief Fund Post-Payment Reporting and Audits

Sep 9, 2021 8:00:00 AM / by Practice Support Team posted in COVID-19, Billing

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Provider Relief Fund (PRF) recipients who received one or more payments exceeding, in the aggregate, $10,000 during a Payment Received Period are required to report as part of the post-payment reporting process. The reporting portal is now open. If you received payments from the fund between April and June 2020 you are required to report prior to September 30th, 2021. 

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Strategies for SUDs in the Primary Care Setting Webinar Series

Sep 1, 2021 5:45:00 PM / by Practice Support Team posted in Billing

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In an effort to improve healthcare quality and reduce costs, many states and healthcare plans are adoption Value-based payments. These financial levers are being used to encourage AUD/SUD treatment in primary care settings. This program is designed to give you an understanding of how to apply harm reduction strategies for AUD/SUD in primary care setting, including quick interventions and next steps if patients are deemed in need of immediate intervention-crisis.

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​Medicaid Managed Care: Flexibilities Extended for Out of Network Providers  ​

Aug 26, 2021 8:00:00 AM / by Practice Support Team posted in Medicaid Managed Care, Billing

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In an effort to ensure optimal access to care for Medicaid beneficiaries, to support providers during the recent COVID-19 surge, and to alleviate potential provider payment concerns, DHHS and the prepaid health plans (PHPs) have agreed to extend the policy for out of network flexibilities to providers who have not yet contacted with a PHP through Nov. 30, 2021. These flexibilities were originally expected to sunset on Aug. 30, 2021.   

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​Medicaid Managed Care: Request to Move to NC Medicaid Process  ​

Aug 5, 2021 7:25:28 AM / by Practice Support Team posted in Medicaid, Medicaid Managed Care, Billing

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What is the Request to Move to NC Medicaid Direct Process? 

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​Medicare Billing: Medicare Secondary Payer Guidelines

Jun 23, 2021 8:23:19 AM / by Practice Support Team posted in Billing, medicare

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In the April 2021 Medicare Secondary Payer MLN Booklet, CMS clarified the policy on accepting payments for services when another insurance is primary to Medicare. 

To learn more about Medicare Secondary Payer(MSP) billing and claims review the Medicare Secondary Payer MLN Booklet.  Common MSP coverage situations are listed in Table 1 (pp 5-8).

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NC Division of Health Benefits: Health Equity Payments Initiative

Mar 24, 2021 8:30:00 AM / by Practice Support Team posted in NCDHHS, Billing, carolina access, health equity

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On March 19, 2021 the North Carolina Division of Health Benefits posted a bulletin outlining their Health Equity Payment Initiative. To support the North Carolina Department of Health and Human Services (NCDHHS) goals to achieve health equity, NC Medicaid is introducing an enhanced payment to Carolina Access primary care practices serving beneficiaries from areas of the state with high poverty rates. 

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Practice Support Topics: Resources of the Week

Mar 23, 2021 4:30:00 PM / by Practice Support Team posted in Billing, telehealth, behavioral health

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The Practice Support Team at Northwest AHEC has gathered topics and resources for you for the week. Check them out below. Let us know if you need more information!

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Medicaid: Payment for Healthy Opportunities Screening and Referral

Feb 3, 2021 1:00:00 PM / by Practice Support Team posted in Medicaid, NCDHHS, Billing, Healthy Opportunities

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Medicaid recently released the Temporary Clinical Policy Modifications: Payment for Health Opportunities Screening and Referral. 

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​NC Medicaid and NC Health Choice COVID-19 Immunization Billing Guidance

Jan 12, 2021 4:52:40 PM / by Practice Support Team posted in Medicaid, COVID-19, Billing, coding

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Are you planning on administering COVID-19 Vaccines in your office? 

NCDHHS has shared the Medicaid and NC Health Choice billing guidance for both the Pfizer-BioNTech and Moderna vaccines in two Special Bulletins (#147 and #148).  Please see some of the billing highlights and links to the bulletins below. 

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2021 Updates to Evaluation and Management (E/M) Guidelines

Jan 12, 2021 9:00:00 AM / by Practice Support Team posted in Billing, coding

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What’s new and different in 2021? 

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