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credentialing application

medicaid dentist medicare physician new medicare reassignment medicare-provider_supplier enrollment application metroplusinc multiplan new jersey medicaid indiv. new york neighbor...

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real time eligibility

medicaidamc - alaska electrical health & welfare fundamc - american general life and accidentamc - health futureamc - poly americaamc - touchstone psoamerican community mutualamerican family insurance...

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real time eligibility

medicaidassurant health - john alden insurance company (jalic)assurant health - time insurance company (fic)assurant health - union security insurance company (fbic)aultcareavmed health plansbcbs of a...

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real time eligibility

medicaid (medi-cal)capital district physicians’ health plan (cdphp)carefirst - federal employee programcarefirst blue cross blue shieldcareplus health plancaresource healthcariten healthcarecariten se...

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real time eligibility

medicaidchc - coventry health care carenetchc - coventry health care federalchc - coventry missourichc - coventryonechc - delawarechc - diamond plan (maryland medicaid)chc - georgiachc - group health ...

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real time eligibility

medicaidillinois medicaidindependence administratorsindiana medicaidinland empire healthinter valley health planiowa medicaidjackson memorial hospital health planjefferson pilotjohn hopkins health pla...

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real time eligibility

medicaidmassachusetts medicaidmedcost benefit servicesmedicamedical mutual of ohiomega life (chesapeake national life)mega life (mid-west national life)mega life (oklahoma city)mega life (transamerica...

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real time eligibility

medicaidmutual of omahanationwide health plansnehen - harvard pilgrim health carenehen - neighborhood health plansnehen - tufts associated health planneighborhood health partnershipnevada medicaidnew ...

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real time eligibility

medicaidphcs savility payersphoenix health planphysicians mutual insurance companypittman and associatespreferred health systemspreferredoneprincipal financial group (nippon life)priority health care ...

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real time eligibility

medicaidthree rivers health plans (unison health plan)trustmark insuranceucare of minnesotaunited healthcare plan of river valleyunity health plansuniversal care of californiauniversity family careuni...

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medical billing faq

medicaid guidelines, the date of service should always match the date that the psychological or neuropsychological testing took place. if time was taken to prepare the report on a day other than the d...

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frequently asked questions

medicaid takes approximately two days, commercial insurances may be billed right after.

12. who is on the team ...

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fees

medicaid: price idtf   dme price individual enrollment or pc $2,500 individual $1,500...

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healthcare news

medicaid services (cms) five-year review of the psychotherapy codes conducted by the american medical association (ama).the apa practice organization (apapo) has represented the psychology practitione...

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patient management billing operating system pmbos

medicaid.  in addition, our software for medical billing, (pmbos), is recognized by most major insurance companies such as ghi, blue cross blue shield and value options.   pmbos is an abbreviation of ...

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provider credentialing

medicaid:855i - $700.00 individual - $500.00855b - $700.00 group - $600.00855r - $150.00 any update - $150.00cms 460 - $150.00 add to group - $75.00588 eft - $200.00 set up eft - $100.00    reinsta...

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provider credentialing service

medicaid: independent diagnostic testing facilities (idtf) dme: 855i $480 individual $480 mobile ...

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second opinion audit

medicaid and private insurance claims every year. we know that billers without appc and hbma certifications frequently make mistakes due to lack of knowledge or carelessness that deprive providers of ...

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we can help

medicaid organization for all states! all providers opening their private practice, single/multi specialty group, pharmacies, durable medical supplies, civil surgeon, idtf and dental groups. sched...

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prolonged services without face-to-face contact now separately payable

medicaid services (cms) may issue additional guidance on these codes and their associated parameters and documentation requirements in the future. we will share information with providers as it become...

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mips reporting countdown: act now to avoid penalties

medicaid services (cms) in may. but practitioners shouldn’t breathe easy just yet. “the break is only for certain providers and it only applies for 2017, which was slated to be a transition year anywa...

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increase in documentation submitted without a valid provider signature affects payments

medicaid services (cms) signature requirements for all paper and electronic medical records:   missing or illegible signatures/signature requirements   posted on www.ngsmedicare.com, 6/8/2017) cms iss...

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all providers must revalidate medicare enrollment information under affordable care act criteria every five years; wch can help with provider enrollment revalidation – cycle 2

medicaid services (cms) information on medicare providers/ suppliers enrollment revalidation. 2. if you have a due date listed, cms encourages you to submit revalidation within six months of the due d...

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modernized national plan and provider enumeration system more responsive and secure

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 new surrogacy f...

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differentiated coding for expanded problem focused, and detailed levels of evaluation and management, no longer mandatory as of july 1

medicaid services (cms) 1995 documentation guidelines for evaluation and management services. they do not apply to services coded per the cms 1997 documentation guidelines for evaluation and managemen...

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new medicare cards offer greater protection to more than 57.7 million americans

medicaid services (cms) fraud prevention initiative will help combat identity theft and safeguard taxpayer dollars.the new cards will use a unique, randomly-assigned number called a medicare beneficia...

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providers must report enrollment information changes by dictated deadlines

medicaid services (cms) report on timely reporting of provider enrollment information changes cms report on details for title: reporting changes in ownershi...

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telehealth service coverage guidelines: a brief guide

medicaid has other requirements. wch service bureau helps providers understand medicare and commercial payer guidelines for coverage of telehealth services: medicare medicare beneficiaries are eligibl...

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credentialing: what they didn't teach you in med school

medicaid, which are always open to new providers.some offices introduce themselves to their community during this time with grand opening events featuring free flu shots, screenings, and other complem...

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wch clears surgeon’s record, reinstates insurances

medicaid and commercial insurances. when maria joined wch in december, the process had already begun, the credentialing team had written to insurance panels and they were waiting for replies. ma...

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upcoming request for medicaid provider documentation under the payment error rate measurement (perm) program

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 sta...

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medicare part c reimbursement reminder

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...

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free online opioid prescriber training program available which meets the mandatory prescriber opioid education requirements in new york state

medicaid update, page 6...

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electronic prescribing update- new blanket waiver for exceptional circumstances approved

medicaid update, page 3. ...

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committed to continuing education

medicaid services (cms) certifications in medicare fraud and abuse: prevention, detection, and reporting and diagnosis coding: using the icd-10-cm.   account representative maria chechina, cmrs maria ...

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do your billing processes need a second opinion?

medicaid and private insurance claims for processing every year. we understand the industry, know the process of billing properly and can objectively assess whether or not a practice is recording and ...

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new cognitive assessment code likely to become permanent in 2018

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 to a perm...

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all providers must revalidate enrollment with state medicaid agencies every five years to ensure payment of claims

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 ...

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we are credentialing gurus! find out why

medicaid...

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icd-10 the right way

medicaid, blue cross, value options, and others that were open to testing. moreover, we tested with associated clearing houses to avoid any unexpected rejections....

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credentialing for mental health- it is now more important than ever

medicaid managed care. this project is part of the medicaid redesign team initiative. what does it mean for oasas current clients?

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are you missing $63,750 out of your pocket?

medicaid ehr incentive payments for the available years shown below. 2016 is the last year to obtain and attest for using ehr program. we are also working with our clients to help them achieve meaning...

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nys omig december annual certification 2014

medicaid providers. here is what you need to know about wch compliance program.   the mandatory compliance law was established by the new york state office of the ­medicaid inspector general (omig), w...

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intensive outpatient service (ios)

medicaid billing limitsintensive outpatient treatment is a time-limited service and should not exceed 6 weeks without clinical justification. programs may not bill for more than 6 weeks of intensive o...

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overwiew of recent webinar on close panels!

medicaid programtips on how to fight to get into a closed panel: show your practice uniqueness in service demonstrate the need of the community in your services review the network to identif...

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ehr incentive programs still available

medicaid and medicare incentive program deadline approaching soon. with incentive program deadline is almost here the medicare and medicaid meaningful use incentive program is approaching a deadline. ...

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wch opinion: patients now know how medicare pays their doctor, what’s next?

medicaid services (cms) has prepared a public data set, the medicare provider utilization and payment data. the us government made public data about medicare payments to doctors, providing details suc...

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your practice deserves only the best!

medicaid and medicaid billing guidelines we heavily invest in education of our staff we educate our clients and their staff we provide ceu credits we create monthly newsletters with curren...

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get your ehr incentive payment

medicaid eligible providers, earn up to $63,750 in total incentive payments.medicare eligible providers, get up to $24,000 in total incentive payments. beware! cms penalties will apply in 2015 for not...

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get thousands of incentive payments with ismart ehr

medicaid eligible provider, do not miss the opportunity to receive f...

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what an amazing end to a great year

medicaid enrolled providers (md/do), don’t lose your chance to receive $21,250 in 2015 from the medicaid program for using certified ehr. the program registration for incentive ends on december 31, 20...

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wch service bureau’s ismart ehr receives onc-acb certification by drummond group

medicaid and top commercial insurance carriers in the tri-state area and other states also recognize wch service bureau as a vendor.  the company is affiliated with numerous industry associations incl...

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the first and only aapc certified cpb in brooklyn, new york.

medicaid and top commercial insurance carriers in the tri-state area and other states also recognize them as a vendor. wch is affiliated with numerous industry associations including the american heal...

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tips for successful, timely provider credentialing

medicaid plan, he or she can still submit claims, but the doctor may not be paid unless the patient has out-of-network benefits.begin the paperworkthe process starts with the credentialing form—some 2...

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tips for successful, timely provider credentialing

medicaid plan, he or she can still submit claims, but the doctor may not be paid unless the patient has out-of-network benefits.begin the paperworkthe process starts with the credentialing form—some 2...

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wch smart emr is on its way!

medicaid services (cms).    wch ismart emr is more than 50% complete and is currently being further developed. in the near future we are planning to get certified by dr. first(e-prescribing vendor) to...

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wch introduces new brand image

medicaid and top commercial insurance carriers in the tri-state area and around the country. wch is a proud member of aapc, amba, ahima and other professional organizations. our professional affiliati...

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credentialing and the new graduate

medicaid, that covers part or all of their medical visits, procedures, prescriptions and hospitalization costs. if a doctor is not "credentialed" by the patient's insurance company, medicare, or medic...

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wch october bulletin

medicaid primary-care payments boostenjoy!...

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provider enrollment revalidation effort

medicaid services (cms) has recently added to their list of frequently asked questions (faqs) specific to the revalidation effort. here are just some of the questions you can expect to find answers fo...

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service-specific prepay audit being conducted for physical and occupational therapy services billed by physicians

medicaid services (cms) internet-only manual (iom) publication 100-2, medicare benefit policy manual, chapter 15, sections 230.1 (1 mb), the services of a physical therapy assistant (pta) cannot be bi...

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doc groups blast $320b medicare, medicaid cuts in 2013

medicaid, fearing repercussions for hospitals and their patients.first announced in september, the federal plan targets $3.8 trillion in fiscal year 2013, which calls for $268 billion cuts to medicare...

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cms starts immediate recoupment for overpayments

medicaid services (cms) is implementing an immediate recoupment process for demanded overpayments. as it stands, medicare contractors begin recoupment of an overpayment on day 41 from the date of the ...

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upcoming medical record audits for 2012

medicaid services (cms) and new york state department of health (nysdoh) regulatory requirements and to meet national committee for quality assurance (ncqa) standards of patient care.here are some of ...

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horizon medicare blue totalcare (hmo snp)

medicaid coverage.this $0 premium plan is designed to provide more focused and specialized health care to this population and includes coverage for:• all medically necessary and preventive care servic...

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open meetings for local coverage determinations

medicaid services (cms) directive to include information and opinions from members of the general public as part of the local coverage determination (lcd) process, national government services will ho...

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WCH NEWS

Single Screen EHR Template for Multiple Specialties: WCH iSmart Does it All!   WCH made a multi-s...

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Important Info

Prolonged Services Without Face-to-Face Contact Now Separately Payable   Beginning January 1, 2017...

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Payment Options

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WCH NEWSLetter

Summer 2016 Bulletin

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