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...
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...
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...
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...
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...
Medicare Deductible, Coinsurance, Premium Rates and Therapy Cap Values for Calendar Year 2018
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 ...
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...
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...
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...
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...
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 ...
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...
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...
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...
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.
WCH can help your practice in your credentialing needs! Using a credentialing specialist with the knowledge, expertise and connections that can help position your practice ahead of time. Let us help you today! During credentialing process WCH becomes your external credentialing department for all communications, submissions, follow up and any other questions that will come up during the process.
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Urgent Care, Labs, DME, Pharmacy,
Article 28, 32, 31
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