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  Practice Support Newsletter
  February 2026

American Heart Month

February has been designated as American Heart Month. It is a time to bring awareness to cardiovascular health, as heart disease remains the leading cause of death for men, women and people of most racial and ethnic groups in the United States . 

United States by the Numbers – the following facts are highlighted by the
Centers for Disease Control and Prevention
  • 919,023 people died from cardiovascular disease in 2023. That is the equivalent of 1 in every 3 deaths. 
  • One person dies every 34 seconds from cardiovascular disease
  • Heart disease costs about $417.9 billion from 2020 to 2021. This includes the cost of health care services, medicines, and lost productivity due to death.
Healthcare professionals should work to improve common measures associated with the prevention, treatment, and management of heart health/disease: 
  • Controlling High Blood Pressure
  • Preventive Care and Screening for High Blood Pressure and Follow-Up Documented
  • Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescent
  • Preventive Care and Screening: Tobacco Use – Screening and Cessation Intervention
The CDC, American Heart Association, and National Institute of Health (NIH) have a wealth of resources and tools that can be used within your practice as you work to improve heart health outcomes of patients in the communities you serve. The NC Quitline is also a valuable coaching and support resource. The NC Quitline has helped more than 55,000 North Carolinians quit tobacco over the past two decades. This has resulted in an estimated $537 million in healthcare savings.

Changes to the U.S. Childhood
Immunization Schedule

On January 5, 2026, the U.S. Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) updated the U.S. Childhood Immunization Schedule. This overhaul aims to reduce the number of recommended vaccinations for only 11 diseases instead of 17. 

Some components of the updated CDC immunization schedule include:
  • More flexibility, choice and shared clinical decision-making
  • Reduced number of vaccines
  • Continued insurance coverage for pediatric vaccine
​​​​ At this time, North Carolina’s vaccine schedule remains unchanged and is in alignment with the recommendations by the American Academy of Pediatrics (AAP) . 

To read specifics associated with the changes, see the
HHS press release.

 

Coding Corner:
Updated Coverage for Psychiatric Collaborative
Care Management

On December 30, 2025, NC Medicaid released an update regarding Psychiatric Collaborative Care Management. This bulletin announces the discontinuation of HCPCS code G0512, effective December 31, 2025, and provides new billing guidelines. It explains the collaborative care model, including the responsibilities of health care professionals, psychiatric consultants, and behavioral health care managers (BHCM). The update also lists specific codes now required for reporting these services. 

“Per Centers for Medicare & Medicaid Services (CMS), Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) will be required to report Collaborative Care Model (CoCM) services using one or more of the individual codes that previously comprised G0512 (99492, 99493, 99494, G2214)." 

Psychiatric Collaborative Care Coding
  • 99492 – Initial psychiatric collaborative care management, first 70 minutes in the first calendar month
  • 99493 – Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities
  • G2214 – Initial or subsequent psychiatric care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified healthcare professional
  • 99494 – Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month, up to four 30-minute sessions allowed per month.
Please see the NC Medicaid Bulletin here for full details.

Regulatory Reminders:
Equipment Maintenance: Best Practices for Patient Safety

Proper equipment maintenance is essential for informed clinical decision-making and is a vital component of patient safety. Key practice considerations include:
  • Establish clear policies to provide guidelines for maintenance procedures, management responsibilities, and implementation steps.
  • Do not assume! Follow manufacturer guidelines for requirements and maintenance frequency.
  • Train staff for proper use and maintenance of devices and verify quality control measures for any device/equipment.
  • Know what you have! Keep inventory of all equipment.
  • Prioritize high-risk devices on your inventory list. 
  • Clearly label equipment. This avoids confusion and makes it easy to identify maintenance dates.
  • When calibrating equipment, document the in-house testing and calibration for accuracy.
  • If the equipment is leased, review the lease agreements for maintenance provisions and request services when needed. 
  • Seek out and use reputable vendors for document retention and maintenance
For additional guidance:
  • FDA Medical Device Safety – recalls and alerts on medical equipment
  • Medline – medical device safety information
  • The Joint Commission – high-risk medical equipment maintenance strategies

Rural Health Transformation

North Carolina has been awarded $213 million for 2026 from the Centers for Medicare & Medicaid Services (CMS) for the Rural Health Transformation Program (RHTP). All 50 states will receive awards. Funds are geared towards improving health care delivery and access to care in rural communities. More information will be made available soon. Please review the CMS press release and the NC press release in the interim. See also NC specific RHTP resources. 
  
AHEC Class Spotlight

Handling Challenging Conversations through Strategic Communication to Promote De-escalation and Influence

South Piedmont AHEC is hosting an hour-long live webinar on March 10, 2026, led by Connie Curtis, M. Ed. This course can be beneficial for members of the healthcare team that are faced with having challenging conversations. For a nominal fee, participants can learn valuable ways to effectively communicate and constructively de-escalate high-pressure situations with their teammates and patients.
 

Improving Blood Health for All: Eliminating Gender-Based Disparities through Optimal Patient Blood Management

Advocate Health will host a free webinar on February 27, 2026, from 8am – 9:30, led by Sherri Ozawa, MSN, RN. Open to all healthcare professionals, this session will address gender disparities in blood health and the role of Patient Blood Management in closing care gaps. In this session, participants will explore evidence-based strategies to optimize transfusion practices, improve outcomes, and promote equitable care across the healthcare continuum. Register at the link above to secure your spot!
 

Professional Growth Series:
Connecting Across Generations in Healthcare

Piedmont AHEC will be hosting a professional growth webinar series for nurses and other healthcare professionals. The next two installments of the series will be held in May and August. The registration fee is $5. The May session will focus on Defining Your Value (Nurses Week Special), while the August session will highlight Leading Remote Teams. See the link above for more information and to register!
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