Welcome to your daily briefing on healthcare developments in North Carolina. Today we're covering 10 key stories including updates on north carolina healthcare headlines, north carolina healthcare updates, background & context. Let's dive in.
5 stories
The North Carolina Institute of Medicine has compiled a list of state and federal health departments and divisions, including short descriptions of their roles.
This resource helps North Carolina healthcare professionals identify the specific government entities responsible for health oversight and data within the state.
The North Carolina Department of Health and Human Services oversees the health, safety, and well-being of all state residents.
Healthcare professionals in NC should monitor the NC DHHS homepage for official guidance and updates impacting local care delivery and public health initiatives.
The North Carolina Medical Board has provided access to an online verification tool for searching licensee information.
Healthcare professionals in NC can use this resource to verify the credentials and status of fellow practitioners within the state.
The North Carolina Medical Board was established to regulate the practice of medicine and surgery for the benefit and protection of North Carolina residents.
This oversight ensures that healthcare professionals in NC adhere to established standards to protect public health and safety.
The Transformed Medicaid Statistical Information System aims to be the most trusted resource of comprehensive, quality Medicaid and CHIP data to support policy formulation, implementation, and oversight that enhances public health outcomes.
North Carolina healthcare professionals can leverage this federal data infrastructure to inform local Medicaid and CHIP program improvements, benchmark NC performance, and support evidence-based care delivery across the state.
Reach healthcare professionals
2 stories
NCDHHS is launching a new electronic health records system for state-operated health facilities, with a ceremony planned for credentialed media to mark the advancement in patient communication and care.
This system upgrade will streamline clinical workflows and improve care coordination for healthcare professionals practicing in North Carolina's state-operated facilities.
The N.C. Department of Health and Human Services Division of Health Service Regulation maintains an online Health Care Personnel Registry Section where users can verify listings.
Healthcare employers and professionals in NC can use this registry to verify credentials and check personnel listings required for regulatory compliance.
3 stories
The No Surprises Act good-faith-estimate requirement applies to all licensed providers offering services to self-pay or uninsured patients — not just hospitals or large groups. The estimate must be provided within timeframes that vary by how far in advance the appointment is scheduled.
Patient-provider dispute resolution under NSA typically defaults to the patient when the practice cannot produce a timely good-faith estimate. The penalty is the full disputed amount being struck.
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.
Three application defects routinely delay payor enrollment: incomplete work-history explanations for any gap over 30 days, a malpractice carrier-history that does not reconcile with the explanation, and CAQH attestation that has lapsed. Each forces a back-and-forth with the credentialing committee.
A new clinician without active payor enrollment cannot bill for covered services for most plans. Each month of delay is foregone revenue that does not retroactively recover.
Get North Carolina healthcare intelligence delivered to your inbox every morning.
Subscribe FreeView all past issues
Feature your brand across the U.S., Canada, and select international markets and 10 industry verticals.
Become a National Partner