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HealthCare News

March 1, 2018
  Do not wait until the last minute!    March 31st is the last day Eligible professional may report MIPS measures and avoid 4% negative payment adjustments in 2019!    Merit Based Incentive Payment System (MIPS) eligible providers who fail to collect and report a minimum amount of 2017 performan...
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March 1, 2018
  Effective 4/1/2018, Universal Billing Codes for Home Care and Adult Day Health Care Services will be required!      The New York State Public Health Law has been amended to require universal standards for coding of payment for home and community based long term care services claims. Specifical...
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March 1, 2018
EmblemHealth Payment Reductions on Medicare Claims!   In 2013, the Centers for Medicare & Medicaid Services (CMS) reduced premium payments to health plans, providers and suppliers by two percent as a result of cuts in federal spending. This reduction is known as sequestration. EmblemHealth did no...
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February 1, 2018
  New HIPAA guidance clarifies Sharing Information Related to Mental Health    In the guidance, were addressed some of the more frequently asked questions about when it is appropriate under the Privacy Rule for a health care provider to share the protected health information of a patient who is b...
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February 1, 2018
  Attention Medicare Physical Therapists (PT), Occupational Therapists (OT),  Speech and Language Pathologists (SLP)   CMS is committed to implementing the Medicare program in accordance with all applicable laws and regulations, including timely claims processing.  Several Medicare legislative pr...
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January 9, 2018
Medicare Deductible, Coinsurance, Premium Rates and Therapy Cap Values for Calendar Year 2018    Background Beneficiaries who use covered Part A services may be subject to deductible and coinsurance requirements. A beneficiary is responsible for an inpatient hospital deductible amount, which is ...
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January 9, 2018
MIPS Reporting Countdown: Act Now to Avoid Penalties   Merit Based Incentive Payment System (MIPS) eligible providers who fail to collect and report a minimum amount of 2017 performance data by March 31, 2018, could face a four percent negative payment adjustment on Medicare reimbursements in 20...
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December 5, 2017
  New York State Workers’ Compensation Board: New Registration Requirement   Recently, health care providers have started receiving letters from the New York State Workers’ Compensation Board. Workers’ Compensation Board has initiated a registration process to update and maintain a list of medica...
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December 5, 2017
  The Merit-based Incentive Payment System (MIPS) Updates for 2018 Have Been Released   Patients Over Paperwork  CMS has recently launched the “Patients Over Paperwork” Initiative, a cross-cutting, collaborative process that evaluates and streamlines regulations with a goal to reduce unnecessary...
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November 1, 2017
  Attention Managed Care Network Providers! New York State now requires all Healthcare providers to enroll with Medicaid.   Effective January 1, 2018, Federal law requires that all Medicaid Managed Care and Children´s Health Insurance Program network providers to be enrolled with State Medicaid p...
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November 1, 2017
  Important reminder for Physicians who bill Certification and Recertification of Home Health Services to Medicare   Physician’s services involved in physician certification (and recertification) of Medicare-covered home health services may be separately coded and reimbursed.  It is important to ...
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October 3, 2017
  New Prior Authorization Program Effective 10/1/2017 at Fidelis Care   Fidelis Care has engaged eviCore Healthcare (eviCore) to implement a new prior authorization program effective October 1, 2017.   Prior authorization will be required for the following services: Outpatient high-tech Radiol...
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August 18, 2017
Prolonged Services Without Face-to-Face Contact Now Separately Payable   Beginning January 1, 2017, prolonged services without face-to-face contact are now separately payable under the Medicare Physician Fee Schedule. Prolonged services without face-to-face contact do not require face-to-face time...
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August 18, 2017
2017 Quality Payment Program Hardship Exception Now Available   The Quality Payment Program Hardship Exception Application for the 2017 Merit-Based Incentive Payment System (MIPS) transition year is now available. Certified electronic health record technology (CEHRT) is required to participate in...
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July 20, 2017
Increase in Documentation Submitted Without a Valid Provider Signature Affects Payments   National Government Services (NGS) is reporting an increase in documentation submitted without valid provider signature identification. This leads to claim denials that require time-consuming appeals. All me...
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WCH NEWS
  New tool iSmart Monitor:  Claims’ payment info transparency!     To keep control of the situatio...
Important Info
  Do not wait until the last minute!    March 31st is the last day Eligible professional may rep...
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WCH NEWSLetter
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Medical Billing Assistance
Phone: (718)312-8068
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Shabbat Time
Shabbat is the seventh day of the Jewish week and a day of rest in Judaism.