Join NCPEDS | Join AAP | Print Page | Sign In
News & Press: NCPeds News

NCPeds News Net -- October 2018

Monday, October 29, 2018  
Share |
NCPeds News Net
October 2018

 

Vaccine Administrative Action Update

Good news! Practices who see Medicaid patients and had attested physicians/NPs in 2013 and 2014 should have received a check (likely substantial) earlier this month correcting an underpayment on vaccine administrative fees that occurred during the ACA years.

NCPeds, our Pediatric Council and the North Carolina Academy of Family Physicians (NCAFP) advocated together for the NC Division of Medicaid to correct a significant underpayment on administrative fees for immunizations provided to Medicaid recipients under the Vaccines for Children program in 2013 and 2014.

 

After discussions urging NC Medicaid to correct these underpayments proved unsuccessful, NCPeds and NCAFP joined eight private pediatric practices to retain a lawyer and began an official administrative action.

 

In October 2017, the judge ruled in our favor and instructed NC Medicaid to reprocess the payments with an extra $6.74 per affected vaccine without any additional work by providers.The court documents are available on the NCPeds member website (must be logged in as a member to view).

 

NCPeds would like to thank the people who made this undertaking possible.We are especially grateful to Graham Barden III, MD, FAAP at Coastal Children's Clinic, who identified the underpayment and related issues, and Christoph Diasio, MD, FAAP at Sandhills Pediatrics, who together dedicated countless hours to this effort which truly would not have happened without their involvement.

 

NCPeds would also like to thank our attorney, Joey Ponzi at Brooks Pierce who served as a spectacular advocate on our behalf. He is also, very deservedly, this year’s Good for Kids Awardee.

 

Significantly, this effort could not have proceeded without generous financial support from eight private pediatric practices who felt strongly enough about this issue to take the risk of funding the initial legal costs:

 

Blue Sky Pediatrics

Burlington Pediatrics

Cary Pediatric Center

Coastal Children's Clinic

Goldsboro Pediatrics

Haywood Pediatric and Adolescent Medicine Group

KidzCare Pediatrics PC

Sandhills Pediatrics

 

NCPeds would also like to thank to the practices that have donated since the ruling to help us retire our legal bills. And finally, we would like to thank our members because membership dues and donations keep NCPeds strong and helped make this work possible.

 

It was a great honor to represent North Carolina’s amazing pediatric community in this effort!

 

To support NCPeds work, donate on our secure NCPeds secure giving portal.

 

 

 

NCPeds Career Days

On Oct. 3 and 17, we held our fall NCPeds Career Days for PL3 and PL2. Both events had great turnouts, and we enjoyed seeing all of the practices and residents in attendance!

PL3 Career Day: Oct. 3

 

PL2 Career Day: Oct. 17

 

 

Meet NCPeds' Leaders
YunBoylston, MD, FAAP
Board Member

 

Be a Partner Practice!

Updates to the NCPedsPartner Practice Program


Yun Boylston joined the NCPeds board in the fall of 2018 after having been active in the organization for nine years.

“I am so inspired by the mission of the society and its members in advocating for children, our communities, and the pediatric profession,” she said.“The networking opportunities to connect with colleagues across the state, share experiences and best practices is a valuable part of the membership experience.”

 

Yun is the Managing Partner at Burlington Pediatrics and Mebane Pediatrics where she’s worked for nearly 10 years.

 

“I enjoy being engaged in the changing healthcare environment and working with my fellow physicians and leadership team to guide the future success of our practice. I love being part of this community and the opportunity to forge relationships with families who’ve come to see me as a vital team member in their children’s health and wellness journey,” she said of her experience at Burlington Pediatrics and Mebane Pediatrics.

 

Yun graduated magna cum laude from Harvard University and currently serves on the Board of Directors for the Harvard Alumni Association. In addition, she graduated from the Baylor College of Medicine where she completed a pediatrics residency.

 

She lives in Elon, N.C. with her husband and three children. Outside of the office, you’ll find her sailing and traveling to new cities where she might be trying out escape rooms.



Don’t miss your chance to become an NCPeds Partner Practice!

When all pediatricians in a practice are members of the NC Pediatric Society, practices and their members can enjoy:

--Special recognition, including at in-person events
--Member discounts to NCPeds’ events
--Priority on waitlists
--First invitation to participate in special initiatives
--List of renewal dates for all pediatricians for both AAP and NCPeds provided to one staff person of practice’s choice

Not sure if all of your pediatricians are members? Simply email a list of pediatricians at your practice to Kathryn Carroll (Kathryn@ncpeds.org), and she will let you know if any members are not members of NCPeds or AAP, plus upcoming expiration dates.

Once all your pediatricians are signed up as members of at least NCPeds, submit your application. All practices who submit a correct application by Dec. 15, 2018 will be recognized as Partner Practices starting at the January Open Forum. Partner Practice status is free (with paid membership for all pediatricians) but must be renewed every year.

We’ve made it even easier to sign up as a Partner Practice by decoupling it from Practice Manager Membership ($100 annual fee). If you have any questions on how to renew your Practice Manager Membership or set it up to auto-bill, please email Kathryn.

The application to be a Partner Practice is here: https://www.ncpeds.org/page/2019PartnerPractice



 

Dates to Remember

Mark your calendars for these upcoming NCPeds events.

  • 2019 Winter Open Forum, Saturday, January 26, 2019 at the Winston-Salem Marriott
  • 2019 Practice Manager Retreat, Thursday, February 28, 2019 at the Embassy Suites Crabtree Valley Mall inRaleigh
  • 2019 Spring Open Forum, Saturday, April 6, 2019 atthe Hilton Garden Inn Raleigh/Crabtree Valley
  • 2019 Annual Meeting, Friday, August 16 - Sunday, August 18, 2019 at the Omni Grove Park Inn in Asheville

 

Contact NCPeds
919-839-1156
www.ncpeds.org


 

 


 This email was sent to Username: '@@email@@' from NCPeds. If you wish to stop receiving all emails from NCPeds, you can simply remove yourself by visiting: @@unsubscribe_url@@