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Doctors Suing NC DHHS Over New Medicaid Computer System

6:55 PM, Jan 16, 2014   |    comments
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GREENSBORO, NC -- The federal government has put our state's Department of Health and Human Services on notice for not fixing computer systems that deal with everything from food stamps to Medicaid.

Thursday, doctors and health care providers joined in  filing a lawsuit claiming the state's "dysfunctional system" cost them time, money and patients.

According to our News Partners, WRAL the lawsuit includes a group of seven physican practices. At this time, there are nearly 70,000 Medicaid providers.

The Triangle Business Journal believes the cost of damages could exceed $100 million. The lawsuit is a more than 40-page document and was filed in Wake County.

The suit also names DHHS, Computer Sciences Corp., Maximus Consulting Services and SLI Global Solutions as defendants.

"The compensation to those doctors' practices is sue, but also the system needs to be fixed," said Camden Webb, an attorney for the doctors. "One aspect of the lawsuit that we point out is the software system has caused the state of North Carolina to be out of compliance with Medicaid reimbursement rules."

WRAL contacted  Joe Cooper, chief information officer for DHHS. He declined to comment on the lawsuit, but he said NCTracks has processed more than $5.5 billion in claims in the last six months, outperforming the system it replaced.

"As with any implementation of an IT system of this size and complexity, the transition has not been without challenges," Cooper said in a statement. "DHHS continues to address provider issues as they arise and will not rest until every provider is fully transitioned to the new system."

The Medicaid process provides health insurance to low-income people and some with disabilities. They go to a certified medical provider who then bills the government and gets reimbursed.

Doctors across the state have complained since the NCTracks roll out that delays or denials of expected reimbursements have put them behind, forcing some clinics to stop accepting Medicaid patients and even to close their doors.

 

 

 

 

 

 

 

 

 

 

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