HEALTHCARE NEWS
Stay Informed: Latest Updates and Insights in Healthcare
Medicare Part C Reimbursement Reminder
2/7/2023
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 Law, the New York State Department of Health has revised the Medicaid reimbursement methodology for ...
Upcoming Request for Medicaid Provider Documentation Under the Payment Error Rate Measurement (PERM) Program
2/7/2023
Upcoming Request for Medicaid Provider Documentation Under the Payment Error Rate Measurement (PERM) Program Effective July 1, 2017, the Centers for Medicare & Medicaid Services (CMS), in partnership with the New York State Office of the Medicaid Inspector General (OMIG), will be measuring improper ...
Telehealth Service Coverage Guidelines: A Brief Guide
2/7/2023
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 “excluding from coverage a service that is otherwise covered under an enrollee contract because the service ...
Providers Must Report Enrollment Information Changes By Dictated Deadlines
2/7/2023
Providers Must Report Enrollment Information Changes By Dictated Deadlines All providers must report enrollment information changes to their 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 al...
Differentiated Coding for Expanded Problem Focused, and Detailed Levels of Evaluation and Management, No Longer Mandatory as of July 1
2/7/2023
Differentiated Coding for Expanded Problem Focused, and Detailed Levels of Evaluation and Management, No Longer Mandatory as of July 1 Differentiation in examination requirements for Expanded Problem Focused (EPF, 2-5) and Detailed (6-7) levels of service developed by the National Government Service...
Modernized National Plan and Provider Enumeration System More Responsive and Secure
2/7/2023
Modernized National Plan and Provider Enumeration System More Responsive and Secure
The Centers for 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, provide...
All Providers Must Revalidate Medicare Enrollment Information under Affordable Care Act Criteria Every Five Years; WCH Can Help With Provider Enrollment Revalidation – Cycle 2
2/7/2023
All Providers Must Revalidate 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, all enrolled providers and suppliers must resubmit and recertify t...
Medicare EHR Incentive Program Hardship Exception Application due July 1
2/7/2023
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 Medicare EHR Incentive Program may be exempt from Medicare penalties if they can show meaningful use woul...
New Cognitive Assessment Code Likely to Become Permanent in 2018
2/7/2023
New Cognitive Assessment Code Likely to Become Permanent in 2018 In January 2017, the Centers for 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 converted ...
Medicare Covers an Annual Wellness Visit. Are you seeing patients for Wellness visit in January 2015?
2/7/2023
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 Part B coverage period and have not received an Initial Preventive Physical Examination (IPPE) or AWV...
Obama Care for Your Patients
2/7/2023
Health insurance was always a major issue in the US. As of January 1, 2014 more than 1million people, that never had insurance before, are now covered by health insurance plans.The Affordable Care Act, also known as Obamacare allows everyone to enroll into a health insurance plan of their choice. Th...
New Medicare Cards Offer Greater Protection to More than 57.7 Million Americans
6/28/2017
New 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 Medicare & Medicaid Services (CMS) fraud prevention initiative will help combat identity theft ...
2017 Eligible Professionals Transitioning to MIPS May Submit Hardship Form by October 1
4/28/2017
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, and is transitioning to the MIPS in Program Year 2017, may submit this EP Hardship Application (Tran...
All Providers Must Revalidate Enrollment with State Medicaid Agencies Every Five Years to Ensure Payment of Claims
4/28/2017
All Providers Must Revalidate Enrollment with State Medicaid Agencies Every Five Years to Ensure Payment of Claims The New York State Department of Health has determined that many providers are at risk for not being paid for their services because the ordering/prescribing/referring (OPR) provider ha...