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Not so happy three-month-iversary for NC Tracks

Officials at the state Department of Health and Human Services officials predicted a three months of bumpy road for the new Medicaid bill-paying system called NC Tracks.

NC Tracks has been in use for three months as of Tuesday, and it looks like smooth road is not yet in sight for some providers.

DHHS sent out a press release marking 90 days of NC Tracks that uses the words "proactive" or "proactively" six times. As in the department is "proactively reaching out" to providers who need help.

Here's a sample from DHHS information technology chief Joe Cooper: "We have also been working proactively with associations of providers and provider groups to help them transition to the new system.

The N.C. Hospital Association sent Cooper a letter dated Tuesday that details four problems hospitals are having getting money out of NC Tracks.

These issues impact hospital operations and "also will affect the state's cash flow in the Medicaid budget if not resolved with dispatch," association President William Pully wrote.

1. Claims are being denied because the system requires information/codes not in existence.

2. All inpatient claims are currently being paid improperly.

3. Design of the Office Administrator function does not allow providers to operate efficiently.

4. The call center needs improvement.

"Although our joint efforts have enabled our member hospitals to resolve some of the issues, hospitals and other providers continue to experience serious problems with NC Tracks," he wrote. "We look forward to continuing to work together to address those problems."

Update: DHHS spokesman Ricky Diaz said DHHS Secretary Aldona Wos met with Pully and other hospital association reps on Monday.


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