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Liberty Healthcare Corp of NC

Liberty Healthcare Corp of NC. PCS Stakeholder Meeting October 24, 2013. Updates. Transition Update Report from Focus Group Assessment Conducted and Results Meditations and Appeals Future Reporting. Transition Update. Web Page

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Liberty Healthcare Corp of NC

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  1. Liberty Healthcare Corp of NC PCS Stakeholder Meeting October 24, 2013

  2. Updates • Transition Update • Report from Focus Group • Assessment Conducted and Results • Meditations and Appeals • Future Reporting

  3. Transition Update • Web Page • www.nc-pcs.com available for use with basic information. • Additional phases with more in-depth information coming soon. • Customer Support Center • Hours of Operation: 8:00 a.m. to 4:30 p.m. • Some Changes Coming to Menus and Recordings • Independent Assessors • Extensive three day training completed 9/20/13 • Staff Utilizing Tablets to Record Assessments • First 30 Days 100% Review of Completed Assessments by Regional Managers

  4. Transition Update • Mediations and Appeals • Public Contracting Group (PCG) data indicates high numbers of Appeals are outstanding in varying stages of completion • DMA will convene a work group to analyze the work flows and design improved efficiency and tracking processes

  5. Provider Focus Group • Meetings every other Wednesday • Focus has been on Transition • Re-evaluating Group’s Function Going Forward • Agendas and Minutes Available from Focus Group Members or upon Request

  6. Assessments Conducted Since October 1 • 1,765 Requests Processed • 3,469 Assessments Scheduled • 2,908 Assessments Uploaded to QiRePort

  7. Mediations and Appeals • 609 Results of Mediation Entered (Resulting from Adverse Determinations prior to 10/1/13) • Approximately 8,000 Appeals on PCG List: About half of those stayed by the Court; others under investigation as to true status

  8. Future Reporting • Liberty Healthcare and VieBridge are developing report templates • What kinds of data and reports would be most helpful for providers to see each month?

  9. Thank you! Questions?

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