Blue Cross NC Status Codes Reimbursement Policy Update: Codes 99050 and 99051

Due to recent concerns regarding the bundling of Status “B” codes 99050 (after hours services when office is normally closed) and 99051 (services provided in the office during regularly scheduled evening, weekend, or holiday office hours) as described in the Status Codes Reimbursement Policy, Blue Cross NC has made the business decision to update the Status Codes Reimbursement Policy, effective January 21, 2022.

Blue Cross NC will provide reimbursement for service code 99050 and 99051 for any place of service other than urgent care or emergency department for all specialties.

Claims with dates of service prior to January 21, 2022, that are already pended for post pay review will be processed according to the policy in place on the date services were rendered.

As a reminder, with the start of the new year, be sure to check and monitor medical policy changes for all carriers.

Melissa White & Jacob Rodman
NCMGMA Advocacy Co-Chairs

Annual Conference Returns NCMGMA to In-person Meeting with Continuing Education, Awards, and Service Project

It was a long time in the making but the North Carolina Medical Group Management Association (NCMGMA) finally came back together, in-person, last week at the Marriott Myrtle Beach Resort & Spa at Grande Dunes for their 2021 Annual Conference (May 19-21). Members, sponsors, exhibitors and speakers were brought together for three-days of continuing education, networking and the showcasing of some of healthcare’s best products and services in the exhibit hall. This year’s featured speakers included Monica Wofford of Contagious Companies, motivational speaker and author Paul Long, Steve Parker of Curi, Jason Deshayes of Cook Wealth Management, and Sharon Jones, Ph.D., of thedot. Consulting.

Exhibitor/Sponsor Welcome Video

As a fun way to kick off this year’s event, some of our 2021 Alliance sponsors/Annual Conference exhibitors put together a short welcome video for our attendees. They let their personalities shine through and the video was a hit with conference goers. Click on the image below to view the Annual Conference welcome video.

2021 Award Winners

At the networking reception on Thursday evening, NCMGMA welcomed the sunshine out on the Marriott’s Courtyard and recognized healthcare leadership excellence with their 2021 Annual Awards. Congratulations to this year’s award winners:

Administrator of the Year Award
Michael Icenhour, CMPE
Mid Atlantic Emergency Med Associates, PLLC
The Administrator of the Year award, sponsored by Curi – a Medical Mutual Company, honors a medical practice administrator who has demonstrated exceptional leadership and management proficiency, and who has helped enhance the effectiveness of health care delivery in North Carolina. The Administrator of the Year Award also provides the recipient with a stipend for continuing education at a state or national Medical Group Management Association (MGMA) meeting or professional development through ACMPE.

(L-R): Administrator of the Year Michael Icenhour and Steve Parker of Curi – A Medical Mutual Company.

President’s Award
Frank Chitty, CMPE
Coastal Physicians Alliance
The President’s Award is given to a member of NCMGMA for outstanding service and contribution to the association, its members and medical practice management.

(L-R): President’s Award winner Frank Chitty and Steve Parker of Curi – A Medical Mutual Company.

Kim Harrah Becker Volunteer Award
Melissa White
Newton Family Physicians, P.A.
The Kim Harrah Becker Volunteer Award highlights the true meaning of volunteerism for NCMGMA and we are proud to present it to Melissa, a member whose continuous service and commitment to our organization truly embodies the spirit of this award.

(L-R): NCMGMA President Amanda McKinney and Kim Harrah Becker Volunteer Award winner Melissa White.

NourishNC Service Project

At the close of educational sessions on Thursday, May 20th, NCMGMA teamed up with NourishNC to make snack packs for children in need in North Carolina’s New Hanover County. NourishNC is a 5019 (c) 3 nonprofit whose mission is to provide healthy food to hungry children, empowering them to succeed in the classroom and in their community. In the end, attendees, exhibitors, sponsors, and NCMGMA staff made over 200 snack packs for NourishNC. Thank you to everyone who participated in this essential service project!

Upcoming Events

Our next in-person event is our 2021 Advocacy Days, scheduled for June 15-16 in Raleigh, NC. Registration is open and more details can be found here.

Watch your email for registration coming soon for our Fall Conference, scheduled for October 6-8 at the Renaissance Hotel in Asheville.

Event Photos

Advocacy Committee COVID-19 Update with Dr. Christopher Ohl

Advocacy Committee COVID-19 Update
Video interview with Dr. Christopher Ohl

The NCMGMA Advocacy Committee recently hosted a video conversation with Dr. Christopher Ohl of Wake Forest Baptist Health. Melissa White, NCMGMA Advocacy Committee Co-chair, sat down with Dr. Ohl to discuss all things COVID-19 within North Carolina. Please click on the button to hear what Dr. Ohl had to say.

2021 Advocacy Days

NCMGMA is planning to meet in-person June 15th for our annual Advocacy Days in Raleigh. Watch your email and the NCMGMA website for updates coming soon.

March 12th Vaccine Clinic Panel Discussion Webinar Recording Available

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Webinar Recording Now Available

On Friday, March 12th, NCMGMA’s Advocacy Committee presented a 30-minute panel discussion with fellow NCMGMA administrators as they shared their practice’s path through COVID-19 vaccine application and distribution. Thank you to everyone who signed up and joined us for this informative webinar. A very special thank you to Melissa White and Matt Johnson for participating in the panel discussion, and Jacob Rodman for moderating.

Access the webinar recording at the button below. The passcode is &V52xRyi.
(type passcode in directly, do not copy and paste)

April 30th Peer-to-Peer Webinar Q&A Now Available

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NCMGMA Peer-to-Peer Webinar:
How North Carolina Medical Practices
are Tackling the COVID-19 Crisis

Your Questions Answered

Thank you for joining us on April 30th as we shared valuable insights, lessons learned, and best practices from fellow NCMGMA administrators from across the state and various specialties about how their practices are working through the COVID-19 crisis.

We weren’t able to get through all of your questions during the webinar, but thank you to our panelists who were able to spend a few more moments of their time to answer your questions.

Thank You to Our NCMGMA Member Panelists:

  • Tim Bell, FACHE, FACMPE, MPH, PA – Children’s Health of Carolina, PA
  • Steve DeBiasi, CMPE, FACHE – EmergeOrtho
  • Jacob Rodman, CMPE – Raleigh Neurosurgical Clinic
  • Fran Sembert, CPME – Wendover OBGYN & Infertility
  • Rita Edwards, CMPE – Cape Fear Center for Digestive Diseases, PA
  • Melissa White, Newton Family Physicians, PA
  • Moderator: Matt Johnson, MA, MBA, Wake Internal Medicine Consultants, Inc.

Questions?

For questions or more information about the information shared in the Peer-to-Peer webinar, please contact the NCMGMA offices at info@ncmgm.org; or by phone at 800-753-6462.

April 30th Webinar: How North Carolina Medical Practices are Tackling the COVID-19 Crisis

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Peer-to-Peer Webinar: How North Carolina Medical Practices are Tackling the COVID-19 Crisis

April 30, 2020 | 2:00 PM – 3:00 PM EDT

Join us as we share valuable insights, lessons learned and best practices from fellow NCMGMA administrators from across the state and various specialties who will share how their practices are working through the COVID-19 crisis.

Our NCMGMA Member Panelists:

  • Tim Bell, FACHE, FACMPE, MPH, PA – Children’s Health of Carolina, PA
  • Steve DeBiasi, CMPE, FACHE – EmergeOrtho
  • Jacob Rodman, CMPE – Raleigh Neurosurgical Clinic
  • Fran Sembert, CPME – Wendover OBGYN & Infertility
  • Rita Edwards, CMPE – Cape Fear Center for Digestive Diseases, PA
  • Melissa White, Newton Family Physicians, PA
  • Moderator: Matt Johnson, MA, MBA, Wake Internal Medicine Consultants, Inc.

Registration

This webinar is complimentary for NCMGMA members and for non-members. Space is limited so make sure to register early! After you register, you will receive an emailed confirmation with webinar and phone-in instructions. Please note: We’ll be recording this webinar, so even if you can’t make it, go ahead and register anyway! You’ll receive the recorded version after the webinar.

Questions

For questions or more information please contact the NCMGMA offices at info@ncmgm.org; or by phone at 800-753-6462.

NCMGMA Boasts Largest Advocacy Days Ever!

With over 115 attendees in-house on Wednesday, NCMGMA celebrated our largest-ever Advocacy Days event. Our speaker lineup this year included Attorney General Josh Stein; Chip Baggett, NCMS; Cody Hand, NCHS; NC State Treasurer Dale Folwell; Dr. Mandy Cohen, DHHS; and a panel that include four of the newest Medicaid Managed Care payors. Our speakers and panelists brought our attendees up-to-date on everything from the State Health Plan to the latest happenings with Medicaid Managed Care.

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And just this morning, over 40 members set out to meet with their representatives at the North Carolina General Assembly to discuss important healthcare issues including:

  • Joint HHS Appropriations Committee for Medicaid Managed Care and the importance of awareness of the additional requirements now shifting to the providers due to multiple types of Insurance Carriers. Additionally, changes to the Fee for Service contracts moving to value-based care contracts and the administrative burden shifting to providers.
  • The Save Act asking providers not to vote for this bill as supervision from physicians is necessary to maintain the highest quality of care for our NC residents.
  • HB184 – Study of State Health Plan Design, asking to keep the bill as it currently is until more definite options are in place for quality and cost savings for the members and tax payers.
  • S886 – In favor of the Small Business Healthcare Act reducing employees from 26 to 12.

Thank you to all who came out for this year’s Advocacy Days, and a big thank you to Melissa White and Cam Cox, NCMGMA’s Advocacy Days co-chairs, for all their hard work in putting this event together for our members!

2019 NCMGMA Annual Conference

ac19-themepic300aDon’t forget to join us in Wilmington, May 8-10, 2019, for NCMGMA’s Annual Conference to network and receive additional advocacy updates, including:

  • A session on the Blue Premier Update from BCBSNC’s Mark Werner
  • “The Health of Healthcare Politics in NC” from Representative Dr. Murphy and Representative Josh Dobson
  • The “State of Change” with Nathan Babcock of Parker Poe
  • And More!

Click here to view the complete list of conference sessions and to start making plans to join your colleagues in Wilmington in May.

2017 NCMGMA Impact Report

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ncmgma18-ircvr200aAs the year comes to a close, the NCMGMA board of directors would like to share with you a glimpse into what 2017 looked like for the association. To increase our transparency and to give you a better idea of the overall activity of the organization, we have put together a 2017 Impact Report which you can access at the link below.

Inside you will find a letter from our 2016-17 President, Melissa White, metrics from our various 2017 programs and events, and a glimpse into our board’s vision for 2018. Our hope is that this report will help give you a better idea of the association’s activity and health, and how the membership dollars are spent.

We look forward to another successful year in 2018, continuing our vision of being “the leaders for tomorrow’s healthcare.”