Scathing audit reveals persistent problems with N.C. Medicaid payments
The new North Carolina program that reimburses doctors for Medicaid patients missed major milestones to earn federal certification, has unresolved risks that could further delay certification, has unresolved defects and contains incorrect data, according to a state audit released Thursday.
The system is called NCTracks and has been the scourge of doctors throughout the state since going live on July 1, 2013. A group of doctors filed a lawsuit against the N.C. Department of Health and Human Services, which runs NCTracks, that outlines flaws in the system. Lawyers with Williams Mullen, which represents the doctors, plan to argue against DHHS soon.
When doctors see North Carolina Medicaid patients – a group of 1.5 million mostly women, children and disabled people who cannot afford medical care– they bill N.C. DHHS through NCTracks. In North Carolina, those bills combine for more than $12 billion in annual payments to 77,000 providers across the state; the federal government covers two-thirds of those costs, but the billing process goes through DHHS and NCTracks. Computer SciencesCorporation designed and built the NCTracks system with a $484 million contract and is expected to serve as the state fiscal agent for Medicaid through 2020.
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