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HealthCare News

July 20, 2017
All Providers Must Revalidate Medicare Enrollment Information under Affordable Care Act Criteria Every Five Years; WCH Can Help With Provider Enrollment Revalidation – Cycle 2   In order to maintain Medicare billing privileges, all enrolled providers and suppliers must resubmit and recertify the ...
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July 20, 2017
Evaluation and Management: Correct Coding Crucial for Compliance   In a study report about how “Improper Payments for Evaluation and Management Services Cost Medicare Billions in 2010,” the Office of the Inspector General (OIG) noted 42 percent of claims for Evaluation and Management (E/M) servi...
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July 20, 2017
Modernized National Plan and Provider Enumeration System More Responsive and Secure   The Centers for Medicare & Medicaid Services (CMS) has modernized the National Plan and Provider Enumeration System (NPPES) with a unified login for type 1 and type 2 providers which increases security, provides...
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June 28, 2017
Differentiated Coding for Expanded Problem Focused, and Detailed Levels of Evaluation and Management, No Longer Mandatory as of July 1 Differentiation in examination requirements for Expanded Problem Focused (EPF, 2-5) and Detailed (6-7) levels of service developed by the National Government Service...
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June 28, 2017
New Medicare Cards Offer Greater Protection to More than 57.7 Million Americans New Medicare cards, which will begin mailing in April 2018, will no longer include Social Security numbers. This Centers for Medicare & Medicaid Services (CMS) fraud prevention initiative will help combat identity theft ...
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June 28, 2017
Providers Must Report Enrollment Information Changes By Dictated Deadlines All providers must report enrollment information changes to their Medicare Administrative Contractor (MAC) within 30 days for a change in ownership, an adverse legal action, or a change in practice location, or 90 days for al...
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June 28, 2017
 Telehealth Service Coverage Guidelines: A Brief Guide Effective January 1, 2016, the New York telehealth coverage law prohibited commercial insurers and health maintenance organizations from “excluding from coverage a service that is otherwise covered under an enrollee contract because the service...
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May 28, 2017
Upcoming Request for Medicaid Provider Documentation Under the Payment Error Rate Measurement (PERM) Program Effective July 1, 2017, the Centers for Medicare & Medicaid Services (CMS), in partnership with the New York State Office of the Medicaid Inspector General (OMIG), will be measuring improper ...
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May 28, 2017
  Medicare Part C Reimbursement Reminder  Retroactive to July 1, 2016, Medicaid will no longer reimburse the full Medicare Part C copay or coinsurance amount.Pursuant to 2016 changes to Social Services Law, the New York State Department of Health has revised the Medicaid reimbursement methodology fo...
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May 28, 2017
  Free Online Opioid Prescriber Training Program Available Which Meets the Mandatory Prescriber Opioid Education Requirements in New York State Prescribers licensed under Title Eight of the Education Law in New York to treat people, and who have a Drug Enforcement Administration (DEA) registration t...
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May 28, 2017
  Electronic Prescribing Update - New Blanket Waiver for Exceptional Circumstances Approved The Commissioner of Health has approved a new blanket waiver with respect to the electronic prescribing requirements of Public Health Law (PHL) § 281 and Education Law § 6810. Effective March 26, 2017, this w...
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April 28, 2017
Medicare EHR Incentive Program Hardship Exception Application due July 1 Eligible professionals (EP) who are not meaningful users of certified electronic health record (EHR) technology under the Medicare EHR Incentive Program may be exempt from Medicare penalties if they can show meaningful use woul...
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April 28, 2017
  2017 Eligible Professionals Transitioning to MIPS May Submit Hardship Form by October 1 An eligible professional who has never successfully attested to meaningful use under the EHR Incentive Program, and is transitioning to the MIPS in Program Year 2017, may submit this EP Hardship Application (Tr...
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April 28, 2017
New Cognitive Assessment Code Likely to Become Permanent in 2018 In January 2017, the Centers for Medicare & Medicaid Services (CMS) approved payment for a new G-code, G0505, which describes assessment and care plan services for patients with cognitive impairment. This code will likely be converted ...
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April 28, 2017
  All Providers Must Revalidate Enrollment with State Medicaid Agencies Every Five Years to Ensure Payment of Claims The New York State Department of Health has determined that many providers are at risk for not being paid for their services because the ordering/prescribing/referring (OPR) provider ...
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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
Need Help
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.