Billing Beat

One Percent (1%) Rate Reduction

November 30, 2015

A one percent (1%) rate reduction was enacted by the N.C. General Assembly, Session Law 2014-100, Section 12H.14A. Pending CMS approval, most providers will be subject to a 1% fee schedule reduction effective Jan. 1, 2015. The impacted services/providers are: Labs & X-Rays and Physician Services. DMA will also do a systematic re-processing of all claims with a date of service of January 1, 2015 through the date the new rates are implemented in NCTracks. The date of the systematic adjustment will be communicated to provider groups prior to implementation.

Source: https://ncdma.s3.amazonaws.com/s3fs-public/documents/files/November 2015 Medicaid Bulletin_0.pdf

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