NC Medical Employee Salary and Benefits Survey
May 1, 2025 1:00:00 PM / by Practice Support Team posted in practice management
HIPAA and Heath Departments: 2025 Critical Updates
Mar 11, 2025 8:30:00 AM / by Practice Support Team posted in practice management, NC health department, HIPAA
Our colleagues at Wake AHEC in Raleigh, NC are offering a one-day, in-person workshop to provide updates on HIPAA Compliance issues for local health departments.
Date and Time:
June 26, 9:00 AM - 4:00 PM
Core topics of the workshop include:
- Hybrid entity designations
- Breach response
- Business associate relationships
- Sharing information with local Departments of Social Services
Faculty:
Jill D. Moore, JD, MPH, Associate Professor of Public Law and Government
Kirsten Leloudis, JD, MPH, Assistant Professor of Public Law and Government
What exactly can a PA do in North Carolina?
Mar 4, 2025 11:15:00 AM / by Practice Support Team posted in practice management, scope of practice, regulations, physician assistant
The role of Physician Assistant (PA) in North Carolina is integral to the healthcare system. Physician Assistants are trained to provide high-quality care, often serving as primary care providers.
Our colleagues from South Piedmont AHEC are offering a free lunchtime webinar to learn more about this important health care professional.
Overview of Physician Assistants in North Carolina -- Regulations, Scope of Practice, and Common Questions
April 30, 2025 | 12 PM - 1 PM
There is no registration fee for this webinar!
UnitedHealthcare Provider Portal: Don't Lose Access!
Feb 18, 2025 2:30:00 PM / by Practice Support Team posted in practice management, united healthcare
Today we bring you some important news from United Healthcare.
Don't lose access to the United Healthcare Provider Portal! Make sure your sign-in options include passkey, authenticator and/or a verified phone number by March 6th.
What's changing and when
A security update to the UnitedHealthcare Provider Portal is coming soon. This will affect how you sign in to the portal and gain access if you're ever locked out.
Currently, many use email as a recovery and multifactor authentication option. On March 6, 2025, this option won't be available. Be prepared; review your options now.
UnitedHealthcare provider portal authentication webpage has all the details you need to ensure your access is maintained.
You can also review FAQs on the changes.
Interested in learning more about Practice Management?
Jan 8, 2025 4:09:51 PM / by Practice Support Team posted in practice management
Southern Regional AHEC hosts the NC AHEC Practice Management Academy.
There are courses available to you on a variety of topics!
Topics for 2025 include:
Leadership, Operations Management and Quality Improvement.
Learn more and register:
Reminder: Aetna North Carolina State Employees Health Plan launches Jan 1, 2025
Dec 19, 2024 7:45:00 AM / by Practice Support Team posted in practice management, insurance, state health plan
If your organization participates in the Aetna State Plan, we advise you to confirm your participation ahead of the January 1, 2025 launch date!
Effective January 1, 2025, Aetna will replace Blue Cross Blue Shield NC for the NC State Health Plan coverage.
Which plans are included?
- Enhanced PPO Plan (80/20)
- Basic PPO Plan (70/30)
- High Deductible Health Plan (HDHP)
This change does NOT impact members enrolled in the Humana Medicare Advantage plans.
The current pharmacy benefit manager (CVS Caremark®) will not change.
Tricare EFT Changes coming in 2025
Dec 18, 2024 1:15:00 PM / by Practice Support Team posted in practice management, claims, tricare
Humana Military's claim processor will switch from Wisconsin Physicians Service (WPS) to PGBA LLC, effective January 1, 2025.
Key Changes:
EDI Claims:
- The 2025 TRICARE East Payer ID is 99727
Claims and Document Submissions:
- Starting January 1, 2025, use XPressClaims via provider self-service
Clearinghouse Requirements:
- New submitters must file a Trading Partner Agreement and Enrollment Form to obtain a mailbox/submitter ID
- Confirm Payer ID 99727 is enabled if your clearinghouse already files claims to PGBA
- If your clearinghouse does not submit to PGBA, files can be uploaded directly if they meet ANSI X12 standards.
- Batch claims processing is available through the EDI Gateway mailbox system.
- Complete a PGBA EDI Provider Agreement to submit claims electronically
Claims with 2024 Dates of Service (DOS)
- WPS will process claims with 2024 DOS until April 30, 2025
- After April 30, 2025, submit 2024 claims via XPressClaims or the clearinghouse.
- Ensure all documentation and disputes are submitted promptly before April 30, 2025.
ERA/EFT Enrollment:
- Re-enroll in ERA/EFT by January 1, 2025 even if currently enrolled. (click 'I am staying in East Region').
- Note: T17 EFT/ERA applications will no longer be accepted after this date.
Source: Tricare EFT Changes Coming in 2025
NC HealthConnex: New Look for Easier Navigation
Dec 9, 2024 7:45:00 AM / by Practice Support Team posted in NC Healthconnex, practice management
LUNCH n' LEARN
NC HealthConnex: New Look for Easier Navigation
South Piedmont AHEC's Maria Goergen will host an informative Lunch n' Learn session on December 17th from noon - 1 p.m. See the latest updates and improvements to NC HealthConnex (NCHIE) that will make navigation simpler and more efficient for your practice.
We hope you take advantage of this learning opportunity.
Click below to register (there is no fee for this event).
We look forward to connecting with you!
North Carolina State Employees Health Plan
Nov 19, 2024 2:15:00 PM / by Practice Support Team posted in practice management, insurance, state health plan
Effective January 1, 2025, Aetna will replace Blue Cross Blue Shield NC for the NC State Health Plan coverage.
Which plans are included?
- Enhanced PPO Plan (80/20)
- Basic PPO Plan (70/30)
- High Deductible Health Plan (HDHP)
This change does NOT impact members enrolled in the Humana Medicare Advantage plans.
The current pharmacy benefit manager (CVS Caremark®) will not change.
Is your practice profitable?
Nov 14, 2024 10:09:12 AM / by Practice Support Team posted in Primary Care, finance, practice management
You know the health of your patients.
Do you know the financial health of your practice?
- Where does your practice stand related to financial benchmarks like days in accounts receivable?
- Do you understand your payer mix?
- What is your process for auditing for lost revenue?
North Carolina AHEC has a free tool that you can use to track your practice's financial health.