NCOA is the voice of our specialty in North Carolina. Through education, communications, advocacy and professional relations, the NCOA promotes excellence in patient care and represents the interests of North Carolina's orthopaedic surgeons.
2017 NCOA Annual Meeting
Registration is now open!
2017 NCOA Annual Meeting
October 6-8 @ The Williamsburg Lodge
Program & Registration
6.5 CMEs & Superb Faculty!
- View the Program
- Online Registration
- Accommodations: Call the Williamsburg Lodge at 800-261-9530, or book your room online.
- CME Credit: The Southern Regional AHEC designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- Exhibiting Opportunities: Please share the Exhibitor Prospectus with the product and service representatives who call on your practice.
- NC Society for Surgery of the Hand, Oct. 6: The 2017 NCSSH Annual Meeting will be held in conjunction with the NCOA Annual Meeting. The NCSSH is scheduled for October 6, from 7 am to 5 pm. The NCSSH Preliminary Program and Registration are now available.
- Questions? Contact Nancy Lowe, firstname.lastname@example.org, (919) 833-3836 ext. 111.
UHC Notice Elimination of Consultation Reimbursement
The June 2017 edition of the United Healthcare Bulletin includes notification that UHC will discontinue payment of CPT codes for consultation services (99241-99245 and 99251-99255). The change is effective October 1, 2017. A copy of the notice appears below. I wanted you to be aware in the event this change will impact your practice.
In taking this action, UHC will become the first major carrier to stop paying for consultation codes. Recognizing the detrimental impact that this change will have on patient access to specialty care, the NCSOHNS and the North Carolina Medical Society, along with several other state medical and specialty societies, have signed on to a letter urging UHC to reconsider the policy change or, at the least, to delay implementation until providers have adequate time to properly prepare for the policy change.
UnitedHealthcare Commercial Reimbursement Policies
Revision to the Consultation Services Reimbursement Policy
Effective for claims with dates of service on or after Oct. 1, 2017, UnitedHealthcare will reimburse the appropriate evaluation and management (E/M) procedure code which describes the office visit, hospital care, nursing facility care, home service or domiciliary/rest home care reported in lieu of a consultation services procedure code. This notification will be the first of several communications to clarify this change in reimbursement strategy supporting our commitment to the Triple Aim of improving health care services, health outcomes and overall cost of care.
UnitedHealthcare will align with the Centers for Medicare & Medicaid Services (CMS) and no longer reimburse consultation services represented by CPT codes 99241-99245 and 99251-99255. At the time of the original CMS decision to no longer recognize these consultation services procedure codes, UnitedHealthcare began pursuit of data analysis and trending to better understand the use of consultation services codes as reported in the treatment of our commercial members. Similar to CMSs findings, our extensive data analysis has revealed misuse of consultation services codes for this population.
The current Relative Value Unit (RVU) assignments reflect numerous changes made during recent years to both E/M codes and other surgical services creating an overall budget neutral experience supporting this strategy as a more accurate reflection of services rendered.
The North Carolina Orthopaedic Association (NCOA) is a statewide membership organization dedicated to serving the profession, representing patients interests and advancing musculoskeletal health. Through advocacy, education and public relations, the NCOA is committed to representing the best interests of orthopaedic surgeons and their patients.
NCOA | PO Box 27167 | Raleigh, NC 27611 | Phn: 919-833-3836 | Fax: 919-833-2023 | email@example.com