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NC Medicaid: Ready or Not, the Onsite Reviews Have Started; Are You Ready?
Planning for the inevitable is smart. And it is inevitable if you are a provider and you accept Medicaid that you will undergo some sort of review, whether it is onsite or database checks, in the near...
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Mass Medicare and Medicaid Payment Suspensions Increase Based on “Credible...
One way in which President Obama pushed the Affordable Care Act (ACA) through Congress was the promise that the ACA would, basically, fund itself by the increase in recoupments from providers for...
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Right Wing, Left Wing: Does It Equal a More Balanced Senate Bill 744?
Our Senate put forth Senate Bill 744 with radical and shocking changes to our Medicaid system. However, one section of our General Assembly cannot create law. Both sides,the Senate and the House, much...
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Will Heated Disagreements over Medicaid Expansion Cause the Eradication of...
Over last few months, I have noticed multiple examples of a state government attempting to silence opposing views, especially when it comes to Medicaid expansion/reform. Two of them, from Louisiana and...
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Medicaid Mishaps Cause Tempers to Flare
Here is an interesting article… Article from Carolina Journal Online by Dan Way: RALEIGH — With $2 billion in cost overruns the past four years, Medicaid continues to be North Carolina’s most volatile...
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NCTracks’ One-Year Anniversary Is Celebrated with a Newly-Released, NCTracks,...
Happy Anniversary, NCTracks!!!! Tomorrow is the one-year anniversary of NCTracks going live. DHHS TV released a video touting the wonderful success of NCTracks, despite its, admittedly, rocky start...
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Compelling Personal Care Workers to Pay Union Dues Violates Our Freedom of...
I live in a community that requires homeowner association monthly dues. We have a homeowner association (HOA). More than once I have complained at the high cost of these monthly dues and the absurd...
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Our Medicaid Budget: Are We Just Putting Lipstick on an 800 lbs. Pig?
Too often, I have heard an analogy about the Medicaid budget and a pig wearing lipstick. Normally it goes like this: “Are we just putting lipstick on an 800 lb. pig?”…and the Medicaid budget is the 800...
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NC Medicaid Providers: Do Not Be a Cockey Lockey! Know Your Due Process...
An acorn falls on Chicken Little’s head. His first immediate thought is, “The sky is falling. The sky is falling.” So Chicken Little begins his travels to tell the king that the sky is falling. Along...
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NC State Auditor Releases New NCTracks Audit: Unresolved Risks Could Delay...
This just in!!!! Our State Auditor Beth Wood just released a new audit entitled, “Department of Health and Human Services-NCTRACKS-Federal Government Certification Status.” More to come…
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Our Medicaid Budget Does More Than Allocate Money; It Places the Burden of...
Are you a health care provider in NC? Are you wonderful enough to help Medicaid patients but accept low Medicaid reimbursements? Are you dedicated to helping our most needy? Well, guess what???? YOU...
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Can DHHS Do Anything Right? State Auditor Finds DHHS’ Provider Eligibility...
A new audit by the State Auditor shows ANOTHER problem at DHHS. This comes on the heels of another audit earlier this month finding that NCTracks is problematic. Here is the link: State Audit More...
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NC State Auditor’s Findings May Cause Overzealous Oversight
Ok, so it took me a couple of days to free up some time to discuss the most recent Performance Audit by our State Auditor. This time of year is CRAZY! We had to get our daughter ready for the 4th...
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The (Recent) History of PCS Rates and Why There Is Parity of Rates Between...
Think of this blog as a history lesson… As I was preparing my Power Point for speaking at the NC Association of Long Term Care Facilities (NCALTCF), I ran across a number of interesting issues on which...
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Prior To Means BEFORE: An Amendment to N.C. Gen. Stat 108C-5(i) and...
The way it works with our three, separate branches of government is that if the court system determines that a statute should be interpreted as ‘A,’ and the legislative branch does not appreciate the...
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Haven’t Fixed Medicaid Yet…But I Haven’t Gotten Bucked Off Yet
There are a number of federal regulations that, if I were in charge, would be immediately amended. Obviously, I am not in charge, so despite my best blogging efforts, my blogs do not change federal...
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Another Win for the Good Guys! Williams Mullen Succeeds in Overturning Yet...
Getting placed on prepayment review is normally a death sentence for most health care providers. However, our health care team here at Williams Mullen has been successful at overturning the...
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DHHS reviews options for Medicaid expansion
From the News & Observer: RALEIGH, N.C. — North Carolina’s health secretary said Wednesday her agency is collecting information for Gov. Pat McCrory to offer him possible ways to expand Medicaid...
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Williams Mullen Hosts “The State of the State of Health Care” Panel Discussion
Williams Mullen is hosting a free panel discussion on “The State of the State of Health Care.” Please see below! The panelists will be Rep. Nelson Dollar, Steven Keene, General Counsel to the NC...
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PCS Medicaid Reimbursement Rates Are TOO LOW to Maintain Adequate Quality of...
I recently spoke at the Association for Hospice and Home Care (AHHC) and the NC Association for Long Term Care Facilities (NCLTCF) conferences. At issue at both conferences was the reimbursement rate...
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