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HealthCare News

Thursday, 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 performance data by March 31, 2018, could face a four percent negative payment adjustment on Medicare reimbur...
  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. Specifically, it requires these codes to be based on universal billing codes approved by the Health Department...
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 not implement the reductions across the board to all providers at that time. Instead, EmblemHealth beg...
  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 being treated for a mental health condition.  The guidance clarifies when HIPAA permits health care p...
  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 provisions affecting health care providers and beneficiaries recently expired, including exceptions to...
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 deducted from the amount payable by the Medicare program to the hospital, for inpatient hospital ser...
Tuesday, 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 2019 — with increasing penalties in the future. You can check MIPS eligibility by entering your indivi...
  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 medical providers who are authorized to treat injured workers.  Authorized providers are required to regis...
Tuesday, 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 burden, increase efficiencies, and improve the beneficiary experience. This effort emphasizes a com...
Wednesday, 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 program. Enrollment applications must be submitted to the Medicaid by December 1, 2017. Providers hav...

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WCH NEWS

  New tool iSmart Monitor:  Claims’ payment info transparency!     To keep control of the situatio...

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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

January 2018 Bulletin

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