Blog Entry List

Key milestones, playbook updates, verifying eligibility, reverification and more
EVV Home Health Implementation Review and Updates
Certain nursing facility claims recently reprocessed with EOB 10354 did not reimburse as expected
Vaccine administration code changes effective Aug. 1.
CMS requires that all Medicaid providers are recredentialed
Independent laboratories shall bill services to the hospital for whom they are providing clinical lab services. Hospitals should bill the PHPs.
Base codes are aligned with related procedures in the same family; a new endoscopy family is also created. Effective in NCTracks July 31, 2022.
NCDHHS and NC AHEC are partnering to hold a webinar about the monkeypox outbreak and response efforts in North Carolina: Thursday, July 28, 2022 - 6-7:15 p.m.
Effective Aug. 1, 2022, only the technical component of an onsite radiology service performed at FQHCs/RHCs will be separately reimbursed by Medicaid
Flexibility sunset extended from June 30, 2022 to Aug. 15, 2022
Three new vaccine codes for pediatric patients ages 6 through 11
FDA authorizes Paxlovid for treatment of COVID-19 to be prescribed by pharmacists
Guidance published with examples, training and certification opportunities
Effective May 15, 2022, technical changes were made to address access to care concerns.
System updates are completed to align our policies with HCPCS code changes