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medical billing

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 we make every...

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medical billing faq

cms publication 100-04, medicare claims processing manual, chapter 5, section 10.2.

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frequently asked questions

cms, by the u.s. department of health services. our plan is based on “professional requirements for service bureau per title 18 – department of health rules and regulations” (section 504.9 – service b...

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healthcare news

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

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medical billing

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 we make e...

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patient management billing operating system pmbos

cms, lmpr and hipaa. maintains providers' ids, tax id, and network status with the insurance company. view history, resubmit claims, monitor payment and create follow up dates. creating an...

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provider credentialing

cms 460 - $150.00 add to group - $75.00588 eft - $200.00 set up eft - $100.00    reinstatement - $500.00update cms - $200.00 provider id request - $100.00idtf:1-2 equipment - $3,000.003 and more equi...

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provider credentialing service

cms 460 $100 add member to group $180 update $800-2000 10-15 insurance plans $550 per/contract 5...

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provider-credentialing-service-faq

cms-855) to: submit an initial medicare enrollment application view or change your enrollment information track your enrollment application through the web submission process add or c...

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the merit-based incentive payment system (mips) updates for 2018 have been released

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...

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the secret behind your practice high reimbursement

cms and amba is vital part of our education development internal program. wch invests into staff education and it has become one of our top priorities. medical billers and coders professionals in this...

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important reminder for physicians who bill certification and recertification of home health services to medicare

cms) does not require a specific form or format for the certification as long as a physician certifies that the following five requirements, outlined in 42 cfr section 424.22(a)(1), are met: the ...

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

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 becomes available. read ...

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2017 quality payment program hardship exception now available

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 i...

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mips reporting countdown: act now to avoid penalties

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 anyway. physicians who w...

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increase in documentation submitted without a valid provider signature affects payments

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 issued revised change ...

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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

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 date or when you rec...

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evaluation and management: correct coding crucial for compliance

cms medical learning network, go to mlnconnects.      ...

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modernized national plan and provider enumeration system more responsive and secure

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 functionality, has a...

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

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 management services.the ngs ...

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

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 beneficiary identifier (mbi)...

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providers must report enrollment information changes by dictated deadlines

cms 855 paper enrollment application.for more information on compliance with 42 code of federal regulations (cfr) section 424.516(d) go to: office of inspector general report on medicare: vulnerab...

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telehealth service coverage guidelines: a brief guide

 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 “exclud...

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

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 insurance programs under the pa...

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committed to continuing education

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 specializes in mult...

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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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2017 eligible professionals transitioning to mips may submit hardship form by october 1

  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...

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new cognitive assessment code likely to become permanent in 2018

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 permanent cpt code, app...

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oct. 1 changes make smoking cessation easier — but watch out for denial traps

cms tells part в news.      the codes you’ve been using for symptomatic patients — 99406 (smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes) and...

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ismart ehr clinical quality measures (cqm)

cms. wch ismart ehr currently has 29 cqm features that are certified for meaningful use. the following lists the cqm measures that ismart ehr currently features:  in addition to  these clinical qualit...

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

cms. in general, patient volume is calculated by dividing the provider’s encounters with medicaid-enrolled patients over the provider’s total number of service encounters. note: eps should include ind...

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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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ehr incentive programs still available

cms.gov or contact wch specialists (718) 934 6714(718) 934 6714, 888-wchexperts callsend smsadd to skypeyou'll need skype creditfree via skype...

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

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 such as the procedures...

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tips for successful medical billing

cms1500 and ub04 forms or the electronic equivalents 837p and 837i. the type of form submitted significantly effects claims processing. a solid understanding of a practice type is required to receive ...

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icd-10 testing week done!

cms conducted a national testing week for current direct submitters to provide the opportunity to submit edi test claims on march 3rd-7th in efforts to be fully prepared for the icd-10 transition in o...

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get your ehr incentive payment

cms penalties will apply in 2015 for not adapting, implementing or upgrading to a certified ehr technology. get the incentive payment while you still can to avoid a reduction in medicare payments.isma...

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get thousands of incentive payments with ismart ehr

cms penalties will apply in 2015 for not adapting, implementing or u...

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obama care for your patients

cms.gov

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countdown to icd-10, wch is ready, are you?

cms myth and fact sheet implementation planning should be undertaken with the assumption that the department of health and human services (hhs) will grant an extension beyond the october 1, compliance...

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

cms068v3; cms075v2; cms125v2; cms126v2; cms134v2; cms155v2; cms156v2; cms161v2; cms165v2additional software used: drfirst rcopiaprice transparency: this certified product may require a one-time setup ...

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wch efforts in preparing and implementing th icd-10

cms to be interviewed by their contracted market research consultants alan newman research on the icd-10. olga khabinskay provided on in-depth look of how wch is internally and externally preparing fo...

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wch smart emr is on its way!

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 meet one of the ne...

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revocation of billing privileges in medicare

cms manual syste...

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icd 10-wch interviewed by cms research team

cms to be interviewed by their contracted market research consultants alan newman research on the icd-10. it was a great honor and privilege to be one of the chosen vendors for this interview. olga kh...

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february 28 deadline for medicare ehr incentive payment quickly approaching

cms.gov/regulations-and-guidance/legislation/ehrincentiveprograms/index.htm...

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

cms to do all of the work to satisfy physician quality reporting system (pqrs) requirements for you – helping you avoid a 1.5% cut to your medicare payments? sign up for the administrative claims-base...

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

cms’ final 2013 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...

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

cms states in the final 2013 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...

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

cms latest expansions to the multiple procedure payment reduction (mppr) in the final 2013 medicare physician fee schedule.source: part b new...

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wch october bulletin

cms details medicaid primary-care payments boostenjoy!...

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major therapy reimbursment changes starting october 1st, 2012!

cms by letter and contractor websites regarding which phase they are included in. full article read in our blog wchsb.blogspot.com and newsletter...

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provider enrollment revalidation effort

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 for:·    is a revalid...

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

cms.gov/transmittals/downloads/r380pi.pdf  or medicare learning network (mln) matters (mm) article mm7177, http://www.cms.gov/mlnmattersarticles/downloads/mm7177.pdf  for further information on claims...

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medicare physician fee schedule 2012 update.

cms instructed contractors to hold all 2012 claims for ten business days (until jan. 17). watch your medicare website for the short-term fee schedule applicable to your locale.the uncertainty of the f...

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

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 billed as services in...

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cms starts immediate recoupment for overpayments

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 initial demand lett...

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upcoming medical record audits for 2012

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 the audits you can ...

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open meetings for local coverage determinations

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 host open, public mee...

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cms proposes coverage for obesity counseling in seniors

cms is proposing to offer coverage for behavior modification and weight-loss counseling among older, highly obese medicare patients. the counseling will involve a weekly primary care office visit in t...

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WCH NEWS

WCH Removed Physician from the OMIG Exclusion List   The Office of the Medicaid Inspector General...

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Important Info

  New York State Workers’ Compensation Board: New Registration Requirement   Recently, health car...

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WCH NEWSLetter

Summer 2016 Bulletin

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