Practice Support Update Blog

Influenza Vaccine: Holding Claims for CPT Code 90658

Sep 24, 2024 1:30:00 PM / by Practice Support Team posted in Primary Care, reimbursement, flu season

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Updates from CMS: Coverage for COVID 19 tests post-Public Health Emergency

May 4, 2023 7:00:00 AM / by Practice Support Team posted in COVID-19, reimbursement, public health emergency

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The COVID-19 Public Health Emergency is to end on May 11, 2023. The ending of the Public Health Emergency may impact an individual’s coverage of COVID-19 tests. 

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NC Medicaid: Changes to Reimbursement Methodology for 340B Long-Acting Reversible Contraception

Feb 13, 2023 11:51:00 AM / by Practice Support Team posted in Medicaid, reimbursement, contraception

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From NCTracks News and Updates: In accordance with the Pharmacy Clinical Policy, Physician Administered Drug Program (PADP), NC Medicaid will implement changes to the reimbursement methodology for 340B Long-Acting Reversible Contraception (LARC) on March 12, 2023.

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Fee Schedule and Covered Codes Webpage Coming in November

Oct 18, 2022 11:39:32 AM / by Practice Support Team posted in Medicaid, reimbursement, practice management

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Effective Nov. 3, 2022, all fee schedules currently listed on the NC Medicaid website will be moved to a new fee schedule and covered code website available to the public. The new website offers enhanced search options for fee schedules, covered procedure codes and covered revenue code data.

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Blue Cross NC Reimbursement Policy for Consultation Codes: UPDATE

Oct 12, 2022 4:24:18 PM / by Practice Support Team posted in reimbursement, practice management

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From Blue Cross Blue Shield of North Carolina:

Beginning November 1, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will not allow separate reimbursement for office/outpatient or inpatient consultation codes.

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HRSA's COVID Uninsured Program and Coverage Assistance Funds: Important News

Mar 23, 2022 12:15:00 PM / by Leslie D McDowell, DNP, ANP-BC, RN posted in COVID-19, Uninsured, reimbursement, claims

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You play a crucial role in testing, treating and vaccinating uninsured individuals, or those with limited health care coverage. 

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Provider Relief Fund Phase 4 Payments Released

Feb 2, 2022 10:30:00 AM / by Practice Support Team posted in COVID-19, Primary Care, recovery, reimbursement, finance

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On Tuesday, January 25, HHS announced that it is disbursing an additional $2 billion in Provider Relief Fund Phase 4 payments. Like the payments allocated in December, these will be based on lost revenues and increased expenses due to COVID-19 and will be made to health care providers who previously applied for relief funds.

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Physician Fee Schedule includes values for new CPT codes

Jan 26, 2022 2:00:00 PM / by Practice Support Team posted in Primary Care, telehealth, reimbursement

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Gym doctor with a patient checking her ankle

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Blue Cross / Blue Shield of NC Reverses Decision on 99050 and 99051 Reimbursement

Jan 26, 2022 8:07:27 AM / by Practice Support Team posted in reimbursement

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Blue Cross NC has made the business decision to update the Status Codes Reimbursement Policy, effective January 21, 2022. 

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