Charlotte AHEC Practice Support
May Newsletter

Resubmission for Outpatient Billing for Vaccine and Monoclonal Antibody Administration

Providers who originally submitted outpatient COVID-19 administration code claims using claims revenue code 0261 and have not received full reimbursement will need to resubmit with the revenue code 0771. Review the Special Bulletin #243 for additional details.

AHEC Scholars – Application Deadline May 15th

Charlotte AHEC Scholars Program recruits, trains, and supports a diverse group of students enrolled in health professions programs across an 8 county region in North Carolina. We seek individuals committed to improving health and health care through community engagement and team-based care.

Selected applicants participate in a 2-year educational program and will receive a $2000 stipend ($1000 per year). Scholars will also receive 40 hours of clinical observation that will give them an enhanced perspective of healthcare. To learn more or to apply, visit AHEC Scholars.

MIPS PI Guide and Scoring Tool Now Available

AHEC Practice Support has developed a tool for practices to help guide them through Medicare QPP/MIPS process related to Promoting Interoperability. Charlotte AHEC Practice Coaches can assist you through the tool to maximize your score and ensure compliance. The tool is available here.

Vaccine Counseling Code – Extension of the Public Health Emergency

On April 16th, 2022, Health and Human Services Secretary Becerra extended the public health emergency (PHE). The PHE correlates to an extensive list of flexibilities within the healthcare system. These flexibilities include the reimbursement of the vaccination counseling code 99401. For details and a refresher of how to bill the code, see the Special Bulletin #240. Providers are encouraged to counsel Medicaid Beneficiaries on the benefits and risks of the Covid-19 vaccine.

Medicaid Managed Care Performance Improvement Projects

NC Medicaid requires the Medicaid health plan to offer Performance Incentive Payment opportunities to AMH Tier 3 practices and encourages the plans to offer incentive payments to practices in AMH Tiers 1 and 2. The three NC Medicaid PIPs are:

• Childhood Immunization Status (Combination 10) for ages 0-2 years
• Diabetes Management (A1C testing and results)
• Timeliness of Prenatal and Postpartum care

Charlotte AHEC offers direct support to practices to succeed as and AMH. Charlotte AHEC practice support coaches can assist you with workflow redesign, EMR optimization, telehealth, standardizing your approach to quality improvement, identifying data for your patient population, setting realistic goals (including AMH Tier status), etc. To learn more and access our tip sheets, visit the NC AHEC page or contact your practice coach.

Provider Reverification Requirements to be Reinstated

The NC Medicaid reverification process will resume based on the end of the public health emergency. Beginning Summer of 2022, providers will begin receiving reverification notices again based on approaching reverification due dates, as well as those whose reverification was suspended during the PHE. For more information, please review the notice from NC Medicaid.

Update to Enrollment Requirements for Primary Care and Public Health Taxonomies

Providers currently enrolled with one or both taxonomies will be required to submit the required accreditation with the next full manage change request or at re-verification. Providers are encouraged to submit a managed change request now to update the record with the appropriate accreditation to avoid future issues with their enrollment. See the NC Tracks notification here.

Provider Relief Fund – Request to Report Late Due to Extenuating Circumstances

The Provider Relief Fund (PRF) Request to Report Late Due to Extenuating Circumstances process is intended for providers who were required to report in an applicable reporting period, but extenuating circumstances prevented them from submitting a report by the required deadline. Period 2 requests will have a deadline announced in the coming weeks.

Request to Report Late Due to Extenuating Circumstances | Official web site of the U.S. Health Resources & Services Administration (hrsa.gov).

Charlotte AHEC Practice Support – Helping you meet the challenges!

In this time of great transition in health care practices need to position themselves for new payment models, incentive programs, and other health care reforms while refocusing on patient-centered care. Charlotte AHEC is currently able to provide these direct, individualized services at no cost.

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