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Welcome to your daily briefing on healthcare developments in North Carolina. Today we're covering 9 key stories including updates on north carolina healthcare headlines, north carolina healthcare updates, background & context. Let's dive in.
5 stories
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NCIOM has compiled a directory of state and federal health departments and divisions with brief descriptions of their respective responsibilities.
Healthcare professionals in NC can use this resource to understand which agencies oversee specific health functions and navigate intergovernmental health structures more effectively.
The North Carolina Department of Health and Human Services (DHHS) is responsible for ensuring the health, safety and well-being of all North Carolinians.
Healthcare professionals across NC rely on DHHS guidance, regulations, and programs that shape clinical practice and patient care statewide.
The North Carolina Medical Board has introduced a new online verification system allowing users to search for licensed healthcare practitioners.
NC healthcare professionals can now quickly verify credentials, check license status, and confirm compliance requirements through a centralized digital platform.
The North Carolina Medical Board was established to regulate the practice of medicine and surgery for the benefit and protection of the people of North Carolina.
Healthcare professionals in NC should understand the board's role in maintaining practice standards that directly affect their licensure and professional responsibilities.
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1 story
NCDHHS is holding a ceremony to mark the launch of a new electronic health records system aimed at advancing patient communication and health care at state-operated facilities.
Healthcare professionals in NC should monitor this system rollout as it will affect care coordination, documentation standards, and patient data accessibility across state-run facilities.
3 stories
The MIPS cost performance category is calculated retrospectively by CMS using attributed Medicare claims; clinicians cannot directly affect what is attributed. The two attribution methods (TPCC and MSPB) capture different beneficiary cohorts. Practices that try to "manage" cost without understanding which patients are attributed to which clinician typically waste effort.
Cost is now 30% of the MIPS final score — the largest single category. Misunderstanding attribution is the leading cause of unfavorable payment adjustments in the next cycle.
A vendor is a business associate if they create, receive, maintain, or transmit PHI on behalf of the covered entity. They are NOT a business associate just because they happen to be in a building with PHI or could conceivably access it. The functional test matters, not the proximity test.
Forcing BAA execution on vendors who do not meet the functional test creates contractual bloat and weakens the negotiating position with vendors who actually do. Failing to execute BAAs with true business associates exposes the covered entity to OCR enforcement.
Covered entities must annually recertify their 340B eligibility through HRSA. Missing the recertification window pushes the entity to inactive status, which means immediate loss of 340B pricing and potentially diversion violations on previously dispensed drugs. Reinstatement requires a new application.
The discount value of 340B pricing for a covered entity often exceeds six figures annually. Letting the recertification lapse for paperwork reasons is one of the most expensive administrative errors in the regulation.
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