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HEALTHCARE NEWS

Stay Informed: Latest Updates and Insights in Healthcare!

Systemic Barriers to Healthcare Access

10/2/2024
While the U.S. has made strides in reducing uninsurance rates, access to quality healthcare remains a complex challenge. We decided to explore the systemic barriers that hinder access to care, the crucial role of research in addressing these issues, and the potential of emerging trends to improve he...
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UnitedHealthcare Gold Card Program

9/12/2024
To simplify the healthcare experience and reduce the administrative burden on healthcare providers, UnitedHealthcare is introducing a groundbreaking initiative: the National Gold Card program. Set to officially launch on October 1, 2024, this program represents a major step forward in modernizing th...
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Leveraging Policy to Address Social Determinants of Health: A Strategy for Healthcare Reform

8/29/2024
Healthcare organizations have increasingly focused on addressing social determinants of health (SDOH) to improve patient outcomes and reduce healthcare costs. SDOH refers to non-medical factors like income, education, environment, employment, and social networks that heavily influence a person’...
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Humana’s $90 Million Settlement: Lessons for Healthcare Providers

8/22/2024
On August 16, 2024, Humana Inc. agreed to a $90 million settlement after a whistleblower lawsuit claimed the company overcharged Medicare for prescription drugs. Filed by former Humana actuary Steven Scott, the lawsuit exposed major issues within Medicare Part D and highlighted important takeaways f...
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New HHS Accessibility Rules in Healthcare

8/15/2024
Digital Accessibility Matters The digital age has transformed the way we interact with healthcare. However, for millions of Americans with disabilities, accessing essential health information and services online remains a significant challenge. Recognizing this critical gap, the U.S. Department...
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AI Solutions In the Financial Future of American Healthcare

7/25/2024
The American healthcare system, once a beacon of innovation, finds itself precariously perched on a financial precipice. Rising costs fueled by advancements in medical technology, an aging population with increasingly complex needs, and stagnant funding from public and private insurers create a suff...
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EHR Systems: Enhancing Interoperability and Usability in Healthcare

7/11/2024
In the fast-paced world of healthcare, Electronic Health Records (EHR) systems have become indispensable. These digital versions of patients' paper charts offer a comprehensive view of patient histories, improving the efficiency and quality of care. However, as the demand for better healthcare servi...
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How to Get Credentialed with Insurance Companies

6/4/2024
Getting credentialed with insurance companies is an essential step for healthcare providers who wish to accept insurance from patients. This process involves verifying a provider’s qualifications and ensuring they meet the standards set by the insurance company. Here’s a step-by-step gui...
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Provider Credentialing with CredyApp: A Guide to Efficient Provider Verification Credentialing software

5/31/2024
Credentialing processes in healthcare organizations are continually evolving to ensure patient safety and quality care delivery. Here are some updates and best practices:Digital Transformation:  Many healthcare organizations are transitioning from manual, paper-based credentialing processes to ...
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Effective 4/1/2018, Universal Billing Codes for Home Care and Adult Day Health Care Services will be required!

3/1/2018
 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 and be con...
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Do not wait until the last minute!

3/1/2018
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....
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EmblemHealth Payment Reductions on Medicare Claims!

3/1/2018
 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 ...
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New HIPAA guidance clarifies Sharing Information Related to Mental Health

2/1/2018
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 ...
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Attention Medicare Physical Therapists (PT), Occupational Therapists (OT), Speech and Language Pathologists (SLP)

2/1/2018
 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 the outpat...
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MIPS Reporting Countdown: Act Now to Avoid Penalties

1/9/2018
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 futur...
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WCH News

May 08, 2025
AAPC Tashkent Chapter Launch
WCH Service Bureau Celebrates Our Leaders at the Helm of New AAPC Chapter in Tashkent, Uzbekistan At WCH Service Bureau, we are immensely proud to announce that our esteemed colleagues are taking...
May 08, 2025
Alina Mineyli Webinar Highlight
Alina Mineyli Shines as Guest Speaker at Healthcare Training Leader Webinar!  We are bursting with pride for our Senior Credentialing Specialist, Alina Mineyli, who was invited as a guest sp...

Healthcare News

May 08, 2025
Prior Auth Communication Fixes
Communication Strategies to Overcome Prior Authorization Tech Hurdles  Prior authorization (PA) stands out as a persistent challenge, bogging down providers with administrative complexities ...
May 01, 2025
Republican Lawmakers Press CMMI on Spending and Rural Health
Republican Lawmakers Demand CMMI Prioritize Cost Savings, Transparency, and Rural Healthcare Republican lawmakers on the House Ways and Means Committee have issued a forceful call for the Center ...

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