DMA announces new commercial insurance disallowance process

The NC Division of Medical Assistance announced that its Third-Party Liability contractor, Health Management Systems, Inc., will implement a Commercial Insurance Disallowance project to streamline North Carolina’s coordination of benefits and direct billing processes. The expected date of implementation is Oct. 1, 2018. For more details, see today’s CEO/CFO Memo. The memo also includes information on the proposed 2019 Home Health Rule, a deadline extension for the new Bundled Payments for Care Improvement Advanced model, a Government Accountability Office report on 340B Contract Pharmacy Oversight, and several payor updates.

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