Posts Tagged Insurance

Jan. 23 Medicaid Managed Care Overview

NCHA will host NC Department of Health and Human Services Secretary Mandy Cohen and members of her team on Jan. 23 for an overview of what to expect under Medicaid managed care. This is the first of a series of educational conferences and webinars throughout

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CMS: 2019 HealthCare.gov Enrollment Tops 4.1 Million

More than 4.1 million people, 236,693 in North Carolina, selected a 2019 health plan through HealthCare.gov between Nov. 1 and Dec. 8, including more than 934,000 last week, the Centers for Medicare & Medicaid Services reported this past week. Almost three-quarters of those selecting plans were

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Report: Workers Spending More for Health Insurance

Employees contributed an average of $1,415 toward premiums for single coverage and $5,218 for family coverage in 2017, according to a report released recently by the Commonwealth Fund. The employee premium contributions were 6.8 percent higher for single health coverage and 5.3 percent higher for

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BCBSNC Provides Additional Information Related To myChoice Product

Blue Cross and Blue Shield of North Carolina (BCBSNC) has provided additional information related to the new myChoice product. More details are in today’s CEO/CFO Memo. The memo also has Medicare and Medicaid updates plus information on a new Medicaid demonstration opportunity to expand mental

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Webinar: Coding, Billing & Reimbursement for Non-Emergent Care in the Emergency Department (ED)

This webinar addresses the levels and types of services in the ED and differentiates between emergent, urgent and clinical levels of services. The program will help personnel understand the reasons for increasing volumes of urgent and clinical level services in the ED, theRead more

Webinar: EMTALA Update 2018: Part 3 of 3 – The Most Cited Deficiencies by CMS for Hospitals

Every hospital that has an emergency department and accepts Medicare or Medicaid reimbursement must follow the federal law and Centers for Medicare & Medicaid Services (CMS) interpretive guidelines on Emergency Medical Treatment and Labor Act (EMTALA). This includes critical access hospitals. During PARTRead more

Webinar: EMTALA Update 2018: Part 2 of 3 – The Most Cited Deficiencies by CMS for Hospitals

Every hospital that has an emergency department and accepts Medicare or Medicaid reimbursement must follow the federal law and Centers for Medicare & Medicaid Services (CMS) interpretive guidelines on Emergency Medical Treatment and Labor Act (EMTALA). This includes critical access hospitals. During PARTRead more

Webinar: EMTALA Update 2018 – Part 1 of 3 – The Most Cited Deficiencies by CMS for Hospitals

Every hospital that has an emergency department and accepts Medicare or Medicaid reimbursement must follow the federal law and Centers for Medicare & Medicaid Services (CMS) interpretive guidelines on Emergency Medical Treatment and Labor Act (EMTALA). This includes critical access hospitals. PART IRead more

Webinar: Physician Supervision & Incident-To Compliance

The phrase “Incident-to” is used in two very different ways in the Social Security Act (SSA).  For physicians and practitioners this phase is used for incident-to billing that relates to a physician coding and billing for subordinate staff services. For hospitals, the phaseRead more

Joint Letter to CMS Addresses Medicare Bad Debt Policy Changes

In recent months, many hospitals in North Carolina, South Carolina, Virginia, and West Virginia have experienced increased focus and scrutiny of their Medicare bad debts by Palmetto GBA (Jurisdiction M Medicare Administrator Contractor) and its subcontractors. These reviews are applying new documentation requirements

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