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credentialing application

medicare physician new medicare reassignment medicare-provider_supplier enrollment application metroplusinc multiplan new jersey medicaid indiv. new york neighborhood new york eld...

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real time eligibility

medicare part a and part bmvp health care (new york)national association of letter carriers (nalc)oxford health plansprincipal financial group (principal life)tricare-all regionsunicare (anthem wellpo...

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medical billing

medicare’s (cms) local coverage determination (lcd) and other insurance medical billing guidelines.we successfully appeal denials, follow up on outstanding claims and help achieve 100% reimbursement w...

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medical billing faq

medicare records, what should i do?

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frequently asked questions

medicare, the process takes approximately seven days to set you up with our wch submitter id. to bill medicaid takes approximately two days, commercial insurances may be billed right after.

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fees

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

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healthcare news

medicare. the fundamental services underlying these new codes will not change. this transition is a result of the centers for medicare and medicaid services (cms) five-year review of the psychotherapy...

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medical billing

medicare’s (cms) local coverage determination (lcd) and other insurance medical billing guidelines.   we successfully appeal denials, follow up on outstanding claims and help achieve 100% reimburseme...

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patient management billing operating system pmbos

medicare & 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 abbre...

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provider credentialing

medicare enrolment specialist. new enrollment changing information with all payers eft setup participation re-assignment of benefits prices are per insurance / organization / health pl...

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provider credentialing service

medicare enrolment specialist. new enrollment changing information with all payers eft setup participation re-assignment of benefits  credentialing fees for medical professionals an...

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provider-credentialing-service-faq

medicare enrollment application (i.e., paper cms-855) to: submit an initial medicare enrollment application view or change your enrollment information track your enrollment application throug...

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real time eligibility

medicare beneficiaries)  eliminate time-consuming phone calls  over 300 payers accessible through a single sign-on  print eligibility info directly from the site  verify eligibility on every bill to p...

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second opinion audit

medicare, 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 pro...

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wch events

medicare effective immediately. these changes will affect your reimbursement and ordering/referring services for medicare beneficiaries...

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wch news

medicare effective immediately. these changes will affect your reimbursement and ordering/referring services for medicare beneficiaries.beginning july 6, 2010 - medicare requires that all referring/...

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we can help

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

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

medicare physician fee schedule. prolonged services without face-to-face contact do not require face-to-face time with the patient, and may be rendered in an office, outpatient, hospital and nursing f...

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mips reporting countdown: act now to avoid penalties

medicare access and chip reauthorization act) compliance from the centers for medicare & medicaid services (cms) in may. but practitioners shouldn’t breathe easy just yet. “the break is only for certa...

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increase in documentation submitted without a valid provider signature affects payments

medicare & medicaid services (cms) signature requirements for all paper and electronic medical records:   missing or illegible signatures/signature requirements   posted on www.ngsmedicare.com, 6/8/20...

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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

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, a...

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evaluation and management: correct coding crucial for compliance

medicare billions in 2010,” the office of the inspector general (oig) noted 42 percent of claims for evaluation and management (e/m) services were incorrectly coded and 19 percent lacked documentation...

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modernized national plan and provider enumeration system more responsive and secure

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 new ...

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

medicare & 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 an...

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

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...

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providers must report enrollment information changes by dictated deadlines

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 all other changes. failure to do so could r...

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telehealth service coverage guidelines: a brief guide

medicare and self-funded plans. medicaid has other requirements. wch service bureau helps providers understand medicare and commercial payer guidelines for coverage of telehealth services: medicare me...

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

medicare and 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 ...

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wch clears surgeon’s record, reinstates insurances

medicare, 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 repl...

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

medicare & medicaid services (cms), in partnership with the new york state office of the medicaid inspector general (omig), will be measuring improper payments in the medicaid and state child health i...

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medicare part c reimbursement reminder

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 ...

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committed to continuing education

medicare & 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, ...

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do your billing processes need a second opinion?

medicare, 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 reco...

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medicare ehr incentive program hardship exception application due july 1

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 medic...

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new cognitive assessment code likely to become permanent in 2018

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 converte...

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we are credentialing gurus! find out why

medicare and medicaid...

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do you know what specific specialties medicare (ngs) is auditing?

medicare - ngs that provides coverage for state of new york, currently is reviewing claims for specific billed services. a more detailed summery of their target is located by the following this link: ...

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icd-10 the right way

medicare, 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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medical chart review services by wch

medicare and others. send your charts for review today! for more details visit: www.wchsb.com/medical-chart auditin...

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using an ehr is no longer a choice, it is an obligation!

medicare fee schedule -1% penalties of medicare payments in 2015  -2% in 2016, -3% in 2017. the penalties are expected to grow incrementally up to 5% in the coming years. other efforts to drive medica...

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stop the credentialing madness on the payers side!

medicare credentialing department:• errors in application processing: closing application incorrectly, assigning wrong provider numbers, linking providers to wrong groups, closing pecos applications w...

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medicare covers an annual wellness visit. are you seeing patients for wellness visit in january 2015?

medicare covers an annual wellness visit (awv) providing personalized prevention plan services (ppps). medicare covers the awv for beneficiaries who are not within the first 12 months of their first p...

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providers, are you speaking with your billers? learn why you cannot avoid that conversation?

medicare requested medical records to support the global billing. as a result physician was placed on prepayment review.regular communication between providers and billing staff adds many benefits tha...

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urology we have you covered, find out what our clients are getting!

medicare billing including incident to, teaching situations, shared visits, consultations and global surgery expertise in coding of ancillary procedures performed in a urology practice such as urin...

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ehr incentive programs still available

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. with limited ...

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

medicare & 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 ...

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introducing ismart ehr packages

medicare providers need to attest in order to avoid penalty in 2015.learn more about the ismart ehr packages that are available and chose the right one for your practice:**all approved licensed ehr us...

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wch interview with healthcare it news

medicare penalties starting in 2015 than wrestle with a difficult-to-use ehr. romanychev says some vendors have built user bases not by delivering good products, but by undertaking successful marketin...

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wch wins

medicare hmo plan, has not been reimbursing medical claims for services provided dating back to 2011 and 2012. the several years of unpaid claims have resulted in a loss of a substantial amount of mon...

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icd-10 testing week done!

medicare contractors, as a result test claims received the 277ca acknowledgement which confirmed that the claim were appropriately accepted in to the medicare system. wch aapc certified professionals ...

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get your ehr incentive payment

medicare eligible providers, get up to $24,000 in total incentive payments. beware! cms penalties will apply in 2015 for not adapting, implementing or upgrading to a certified ehr technology. get the ...

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get thousands of incentive payments with ismart ehr

medicare eligible provider, don't miss the opportunity to receive fo...

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

medicare, 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 associa...

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educational conference in october.

medicare wellness program. the event also included a prize giveaway at the end of the program.  we proudly present to you the winners of our great prizes! larisa likver md        3 free records chart ...

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реформа медицины: кто помогает докторам

medicare, рассказал, как уплывают в карманы мошенников миллионы долларов налогоплательщиков, как ненужные тесты приводят порой к тяжелым и необратимым последствиям для пациентов, и какую серьезную про...

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

medicare, 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 ame...

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aleksandr romanychev named a vip member of worldwide who's who for excellence in medical billing services.

medicare and insurance medical billing guidelines. wch is well versed in all hippa guidelines, and its hipaa privacy officer ensures that all procedures in practice billing are tailored to specified i...

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wch ismart ehr is now certified by drfirst.

medicare penalties for not using e-prescribing software! ·         1% payment cut in...

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wch conference was a great success!

medicare wellness program. the event also included a prize giveaway at the end of the program.we proudly present to you the winners of our great prizes! larisa likver md                          3 fre...

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wch ismart emr is now certified by dr.first!

medicare penalties for not using eprescribing software! 1% payment cut in 2012 for not using electronic prescriptions 1.5% payment cut in 2013 2% payment cut for 2014 and beyond for not auto...

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tips for successful, timely provider credentialing

medicare, or 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 credentialin...

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tips for successful, timely provider credentialing

medicare, or 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 credentialin...

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wch smart emr is on its way!

medicare and 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-prescribi...

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medicare may deactivate a provider's medicare billing privileges

medicare may deactivate a provider's medicare billing privileges if the provider does not report a change to the information supplied on the enrollment application within a specified time. in order to...

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wch introduces new brand image

medicare, 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...

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wch service bureau appoints olga khabinskay as chief operating officer

medicare, wch is working with its clients to ensure they are conforming to regulations.read more

credentialing and the new graduate

medicare and 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, medic...

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revocation of billing privileges in medicare

if the individual or organization reports a change in practice location more than 30 days after the effective date of the change, the contractor shall not revoke the supplier’s billing privileges on t...

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february 28 deadline for medicare ehr incentive payment quickly approaching

medicare eligible professionals must register and attest participation in the 2012 medicare electronic health record (ehr) by thursday, february 28. for more information, go to www.cms.gov/regulations...

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advantages of using pecos application

medicare enrollment at your fingertips. learn more webinar.wchsb.com/registerclient.asp...

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ama: last-minute action to avert cuts to physicians shows the need for meaningful medicare changes

medicare patients on january 1. this patch temporarily alleviates the problem, but congress’ work is not complete; it has simply delayed this massive, unsustainable cut for one year. over the next mon...

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6 new g-codes provide revenue opportunities for physicians in 2013

medicare patients only, though some non-medicare payers may decide to require them.source: part b new...

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webinar: dos & donts of medicare part b enrollment of new york & new jersey

medicare part b enrollment of new york and new jersey from leading credentialing experts. 90 minutes webinar includes a live discussion with the presenters, access to presentation materials, and the o...

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cms introduces easy way to start pqrs reporting, avoid 2015 payment cuts

medicare payments? sign up for the administrative claims-based reporting option in 2013, the only year it’s available. cms will pull the data from your claims, and you’ll avoid the 1.5% payment adjust...

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medicare adds modifiers 24, 57 to correct coding initiative bypass list

medicare’s cci edits. two global period modifiers – 24 (unrelated e/m service by the same physician during the post-operative period) and 57 (decision for surgery) – will be added to the list of cci-a...

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new dme face-to-face requirement adds more documentation, time to e/m visits

medicare physician fee schedule. the dme face-to-face requirement is the latest affordable care act-mandated effort to reduce fraud and waste among dme prescribers and suppliers.source: part b new...

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physician fee schedule: payment modifier applies only to large groups in 2015

medicare physician fee schedule. the modifier will adjust all physicians’ payments depending on how they improve care and reduce costs compared with others in their region and specialty. source: part ...

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cardiology, ophthalmology, group practices suffer blow from newest mppr cuts

medicare physician fee schedule.source: part b new...

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wch october bulletin

medicare is considering removing the ssn from their id 2013 cpt coding changes for psychiatrists and behavioral health providers important note to physicians ordering dme 2013 erx hardship ex...

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deactivation of clinical education e-mail box and telephone line

medicare numbers·    social security numbers·    personal/beneficiary medical information·    confidential informationplease complete the customer care online inquiry form in its entirety. we will res...

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provider enrollment revalidation effort

medicare & 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...

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reminder: technical component of advanced diagnostic imaging accreditation requirements effective sunday, january 1, 2012

medicare learning network (mln) matters (mm) article mm7177, http://www.cms.gov/mlnmattersarticles/downloads/mm7177.pdf  for further information on claims processing....

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medicare physician fee schedule 2012 update.

medicare physician reimbursement scheduled to take effect on january 1, 2012. despite the “delay”, your fee schedule will change. a slightly modified conversion factor of $34.0376 will be utilized to ...

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

medicare.  the medicare therapy benefit allows for physical and occupational therapy services to be provided by physicians, nonphysician practitioners (npps), or incident-to the...

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27.4% cut has been postponed by medicare for 10 months

medicare payments by 10 months, and the president released his 2013 proposed budget, which requests a slight increase for health programs.congress passes sgr dealthe house of representatives voted 293...

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

medicare and 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 cut...

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cms starts immediate recoupment for overpayments

medicare & 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 d...

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medicare updates hep b admin code guidance

medicare claims processing manual was not updated at chapter 18, section 10.2.1 to reflect the correct billing instructions.claims processed incorrectly prior to july 2, 2012 should be brought to the ...

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upcoming medical record audits for 2012

medicare and 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...

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horizon medicare blue totalcare (hmo snp)

medicare blue totalcare (hmo snp),to new jersey residents who are eligible for both medicare and medicaid coverage.this $0 premium plan is designed to provide more focused and specialized health care ...

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open meetings for local coverage determinations

medicare & 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 servi...

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cms proposes coverage for obesity counseling in seniors

medicare patients. the counseling will involve a weekly primary care office visit in the first month, one office visit every other week in the second to sixth months, and one office visit for every re...

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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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