NCMGM News Sponsor

ozone-wasteTwice monthly, NCMGMA News will feature a sponsor on our site.  Our sponsors are a vital part of our organization, enabling us to provide the high level of products and services our members have come to expect from NCMGMA.

Our sponsor is Ozone Waste Solutions.

Learn more about Ozone Waste Solutions by viewing their ad in this sticky post and by visiting their website at

House Passes Repeal of IPAB; Tell Your Senators to do the Same!

Originally published in the November 8th issue of MGMA’s Washington Connection
Reprinted with permission from MGMA

Last week, the House of Representatives passed a bipartisan bill, the Protecting Seniors’ Access to Medicare Act (H.R. 849), to repeal the Independent Payment Advisory Board (IPAB) by a vote of 307–111. The IPAB is a cost containment tool created under the Affordable Care Act to convene if Medicare spending exceeds a particular limit. The board has draconian power to make changes to Medicare spending, leaving little-to-no room for recourse if IPAB-mandated payment cuts are triggered.

The fight to eliminate the IPAB is not yet over. The companion bill (S.260) to H.R. 849 now moves to the Senate; if it is successful there, it will advance to the President for his signature. Please join MGMA in urging the Senate to expeditiously pass this important legislation, before future actuary reports trigger the IPAB and activate payment reductions to Medicare providers. Contact your senators now via MGMA’s Advocacy Center to express support for IPAB repeal!

NCMGMA Survey: Medicare Advantage Organizations (MAOs) in NC

NCMGMA Member Survey
Medicare Advantage Organizations (MAOs) in NC

NCMGMA values your opinion. The NCMGMA leadership has a scheduled meeting with CMS leaders and this survey is intended to capture the extent and financial impact of improper sequestration by Medicare Advantage Organizations (MAOs) in North Carolina.

The results could be helpful to underscore MAO behavior and the responsibility of CMS to actively monitor – and respond to – complaints by providers about violations of CMS rules.

Please take a moment to complete our brief survey. If you have any questions, please email our offices at

Thank you and we appreciate your time!

House Passes Bipartisan Bill to Repeal IPAB

Washington, DC – November 2, 2017

The House of Representatives today passed H.R. 849, the Protecting Seniors Access to Medicare Act, by a vote of 307-111.

H.R. 849, authored by Rep. Phil Roe (R-TN) and Rep. Raul Ruiz (D-CA), would repeal the Independent Payment Advisory Board (IPAB), which was created under the Affordable Care Act with the objective of identifying savings by restricting access to health care for Medicare beneficiaries. If IPAB is triggered, even if the board has not been filled, the Secretary of Health and Human Services (HHS) has the authority to carry out cuts to vital services.

At a July #SubHealth hearing, Ms. Mary Grealy, President, Healthcare Leadership Council, testified in support of H.R. 849, saying, “Nearly 800 organizations representing patients, health care providers, seniors, employers, veterans, Americans with disabilities, and others are asking Congress to do away with the Independent Payment Advisory Board before harm is done to Medicare beneficiaries.”

“Repealing the threat of this powerful, unelected board has been a bipartisan effort for years,” said Health Subcommittee Chairman Michael C. Burgess, M.D. (R-TX). “Today, the House acted yet again to repeal this board and its unconstitutional relinquishment of Congressional authority. I urge the Senate to follow suit so we can return oversight of the future of the Medicare program where it belongs. We must prevent potential cuts from being implemented by this unelected board once and for all.”

Note from MGMA

Please visit the MGMA Advocacy Center to ask their Senators to vote YES to this IPAB repeal legislation.

Welcome New Members

Our membership continues to grow! Take a look at the list of healthcare professionals and students who have recently joined NCMGMA (September 27, 2017 through October 27, 2017):

Active Members

  • Stephanie Appling, Novant, Charlotte, NC
  • Dawn Bryant, Midtown Dermatology, Raleigh, NC
  • Annette Chatman, Vickery Family Medicine, Asheville, NC
  • Laura Erceg, Saleeby & Wessels Proctology, Raleigh, NC
  • Cynthia Forcade, Baby+Company, Charlotte, NC
  • Donna Fox, Bethleham Family Practice, Taylorsville, NC
  • Nikki Hairston, Pediatrics – Kernersville, Kernersville, NC
  • Stephanie Hall, Digestive Health Specialists, Winston-Salem, NC
  • Ryan Halos, Raleigh Radiology, Raleigh, NC
  • Ryan Hampton, Duke Neurosciences of Raleigh, Raleigh, NC
  • Melissa Kale, Catawba Pediatric Associates, PA, Hickory, NC
  • Patricia Matheis, Wake Forest Dermatology, Wake Forest, NC
  • Matt Papach, New Hanover Regional Medical Center, Wilmington, NC
  • Reba Rinehart, Duke Medicine – Duke Primary Care, Raleigh, NC
  • William Schiff, Duke PDC, Durham, NC
  • Leslie Sonnenberg, Duke Private Diagnostic Center, Durham, NC
  • Pamela Walker, New Hanover Regional Medical Center, Wilmington, NC
  • Debbie Watson, Claremont Family Medicine, Claremont, NC
  • Diana Zambrano, Dept of Psychiatry, Durham, NC

Affiliate Members

  • Jenna Moyer, The Response Institute: CPR Consultants, Inc., Raleigh, NC
  • Christine Myers, MSOC Health, Chapel Hill, NC

Student Members

  • April Macedo, East Carolina University, Clemmons, NC


Managing Mandatory Employee Flu Vaccine Policies

2018 Alliance sponsor article provided courtesy of Medical Mutual

By Breni Malpass, HR Advisor, HR|Experts

The start of flu season—which typically runs from October through May—is a good time to take a look at some considerations practices with mandatory flu vaccine policies should keep in mind. The federal Americans With Disabilities Act and some state regulations establish guidelines that a practice must adhere to when requiring mandatory employee flu shots. Specifically, practices should be mindful of disabilities that might prevent an employee from obtaining the vaccination and religious beliefs that give them the opportunity to opt out.


Practices that require employees to have a flu shot need to consider whether any employees have medical conditions or disabilities that would prevent them from being vaccinated. The ADA mandates that employees with medical conditions that prevent them from getting a flu shot must be accommodated unless doing so would cause an undue hardship. In a blog post on the employment law website HRLegalist, attorneys Ivo Becicia and Alexander Batoff note, “When an accommodation is requested, the employer should engage in the interactive process—a dialogue with the employee to determine his or her limitations and what accommodations are feasible (i.e. exemption from the shot and permission to wear a protective mask).”

Religious Beliefs

Practices must also consider any religious beliefs that may prevent an employee from getting a flu shot. Title VII of the Civil Rights Act and many state anti-discrimination laws mandate that employers accommodate all aspects of religious observances and practices based on sincere religious beliefs. Therefore, a practice likely has to accommodate an employee requesting a religious exemption from flu vaccination. According to the HRLegalist post, employers still need to accommodate exemption requests even when they are based on religious beliefs that are not recognized by an organized sect or theological in nature.

For more information or further assistance, Medical Mutual member practices are encouraged to call 1.888.HREXPRT or email

Membership Renewal Gift Card Winners

Congratulations to our VISA gift card winners!

Gift cards provided courtesy of MagMutual

Every NCMGMA member who paid their 2017-18 membership dues by October 17th was entered into a drawing to win three VISA gift cards, provided courtesy of MagMutual. The winners of this year’s card drawings are:

  • Byron Grimmett, Carolina Neurosurgery & Spine Associates, Charlotte, NC
  • Colleen O’Keefe, Raleigh Foot and Ankle Center, Raleigh, NC
  • Lee Katherine Ayer, MSOC Health, Chapel Hill, NC

Renew Your Membership Online and Update Your Member Profile

North Carolina Medical Group Management Association (NCMGMA) was formed to provide professional administrators with a rich source of information and contacts for professional growth. From the mountains to the coast, our membership includes executives and managers of private group practices, academic medical centers, integrated delivery systems, and companies that support medical provider organizations. Over the past 46 years, we have expanded our resources and have made exceptional strides across the state in representing our industry including:


  • Expanded membership growth to over 850+ members from all across the state.
  • Active and engaging Chapters to increase local networking and educational opportunities.
  • Job Postings sent through our membership and posted on our website.
  • Updated NCMGMA website with member directory.
  • Active membership listserve.


  • In 2018, NCMGMA is planning for our Annual Conference (May 9-11 at Harrah’s Cherokee in Cherokee, NC), and our Fall Conference (October 17-19 at the Charleston Marriott in Charleston, SC). These educational offerings provide CEUs and update our membership with valuable and timely industry information and knowledge.
  • In addition, we partner with the North Carolina Medical Society to add ten free webinars during the year.


  • Formed alliances and partnerships with organizations, such as the NC Medical Society and the NC Healthcare Information & Communications Alliance (NCHICA) and others in order to provide more industry knowledge to our members.
  • Committees such as BCBS, Advocacy, Medicaid and Medicare with active members engaged to help you and your practice navigate through questions and concerns.

NCMGM Member Discount for healthcare systems!

If your practice or company has 5 or more members, then you qualify for a membership discount!

  • 5-10 members — 10% reduction
  • 11+ members — 15% reduction

Renew Your Membership Today!

Don’t miss out! Pay your NCMGMA dues online prior to December 1st when your membership benefits will expire. Go to, click Member Login, and insert your username and password. If you have forgotten your password or need to set up a new one click here and follow the instructions.

Please contact the NCMGMA offices for additional details at


Postponed Greenville Roadshow Rescheduled for January 18, 2018

2018 NCMGMA Greenville Roadshow

January 18, 2018
Holiday Inn Greenville
203 SW Greenville Blvd.
Greenville, NC 27834

NCMGMA is hitting the road and coming your way! Join us in Greenville on January 18th for a day filled with great educational content supplied by V2V Management Solutions and Sean Keyser with Novant Health, as well as great networking opportunities with other members and NCMGMA Alliance Exhibitors. Registration includes continental breakfast and lunch. Register additional employees with the same company for just $75.00 each.

Schedule of Events

Time Event
8:30 am – 9:00 am Registration
9:00 am – 10:00 am Exhibitor Move In 
9:00 am – 10:15 am General Session 1
Care Squared
Presented by Nancy Babbitt and Deb Wiggs
V2V Management Solutions
10:15 am – 10:45 am Break with Exhibitors
10:45 am – 11:45 am Breakout Sessions

  • Breakout 101
    Clinical Administrator Sandwich
    Presented by Nancy Babbitt
    V2V Management Solutions
  • Breakout 102
    Front Office:
    People Watching and Storytelling

    Presented by Sean L. Keyser
    Corporate Vice President Patient Experience
    (a.k.a. “Experience Geek”)
    Novant Health
 11:45 am – 1:00 pm Lunch with Exhibitors
 12:45 pm Exhibitor Give-away
 1:00 pm – 3:00 pm Exhibitor Breakdown
 1:00 pm – 2:00 pm Breakout Sessions

  • Breakout 201
    From Hospitality to Humanity:
    Are we using the wrong lens? 

    Presented by Sean L. Keyser
    Corporate Vice President Patient Experience
    (a.k.a. “Experience Geek”)
    Novant Health
  • Breakout 202
    Front Office:
    The Platinum Rule:
    Diversity in the Medical Practice

    Presented by Deb Wiggs
    V2V Management Solutions
 2:00 pm – 3:00 pm General Session 2
The Humanity of Consumerism:
Hard Knocks and Infinite Wisdom
in the Human Experience

Presented by Sean L. Keyser
Corporate Vice President Patient Experience
(a.k.a. “Experience Geek”)
Novant Health


rsg17-sk151aSean L. Keyser
Corporate Vice President Patient Experience
(a.k.a. “Experience Geek”)
Novant Health
Sean provides administrative direction for patient experience strategies for Novant Health system based in Winston Salem, NC. Prior to joining Novant, Sean served as Vice President of Hospital Operations for Healthcare Management Directions, Inc., Nashville, TN. Sean provided administrative support and direction to HMD’s Smart HospitalsTM by supporting clinical, financial, governance, and service elements from initial start-up through ongoing operations.

rsg17-nb151aNancy Babbit, FACMPE
V2V Management Solutions
Practice transformationist Nancy Babbitt has far-reaching expertise in medical practice operations, governance, and technology. She co-authored Go-Live: Smart Strategies from the Davies Award-Winning EHR implementation. Nancy’s engaging presentations help attendees learn how to stay nimble and adapt to change in the competitive world of medical services delivery. Nancy is a Fellow and Board Certified by the American College of Medical Practice Executives and Past Board Chair of MGMA-ACMPE National Board of Directors

rsg17-dw151aDeb Wiggs, FACMPE
V2V Management Solutions
Deb has been transforming medical care delivery since her career began. She’s established rural health clinics, grown multi-specialty physician practices, and facilitated countless strategy sessions that have helped clients achieve a sustainable competitive advantage. Deb’s great love is to pass this knowledge along via public speaking with humor, practical reality, and a commitment to provide resources that transform how care is delivered. As a past board chair of MGMA, she understands the complexity of the healthcare system and knows how to work in it without making it more complicated. Her strengths lie in strategic planning, governance, and leadership coaching.

Registration Fees

The cost to attend the Greenville Roadshow is $125 for members, $175 for non-members and $75 for additional company staff. Early registration ends January 10th. After January 10th, the cost of registration increases by $25. The cost for students, before and after the early registration cutoff, is $35.

Hotel Information

NCMGMA’s Headquarter Hotel is the Holiday Inn. To check on room availability, please contact the hotel directly by dialing 877-271-2616.

Location and Directions

The Greenville Roadshow will be held at the Holiday Inn Greenville, located at 203 Southwest Greenville Boulevard, Greenville, NC 27834. For a map and directions, please follow this link.

NCMGMA Suit-Casing Policy

Any individual who is observed to be soliciting business in the aisles or other public spaces, in another company’s booth, or in violation of any portion of the Exhibition Policy, will be asked to leave immediately. Suit-casing may also take the form of commercial activity conducted from a hotel guest room or hospitality suite; a restaurant, club, or any other public place of assembly. For the purposes of this policy, suit-casing violations may occur at venues other than the exhibition floor and at other events. NCMGMA must be informed of any hospitality suites, and expressed consent must be received prior to the event.


If you have any questions, please contact the NCMGMA offices at or phone at 704-365-0565.