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HEALTHCARE NEWS

Stay Informed: Latest Updates and Insights in Healthcare!

Telehealth Service Coverage Guidelines: A Brief Guide

6/28/2017
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 is delivered via telehealth.” (NY State Pu...
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Upcoming Request for Medicaid Provider Documentation Under the Payment Error Rate Measurement (PERM) Program

5/28/2017
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 payments in the Medicaid and State Child Health Insurance programs under the Payment Error Rate Measureme...
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Free Online Opioid Prescriber Training Program Available Which Meets the Mandatory Prescriber Opioid Education Requirements in New York State

5/28/2017
Prescribers licensed under Title Eight of the Education Law in New York to treat people, and who have a Drug Enforcement Administration (DEA) registration to prescribe controlled substances—as well as medical residents who prescribe controlled substances under a facility DEA registration numbe...
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Medicare Part C Reimbursement Reminder

5/28/2017
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 claims containing Medicare Part C (Medic...
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Electronic Prescribing Update- New Blanket Waiver for Exceptional Circumstances Approved

5/28/2017
The Commissioner of Health has approved a new blanket waiver with respect to the electronic prescribing requirements of Public Health Law (PHL) § 281 and Education Law § 6810. Effective March 26, 2017, this waiver replaces and supersedes the prior blanket waiver, issued by letter dated Mar...
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Medicare EHR Incentive Program Hardship Exception Application due July 1

4/28/2017
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 would result in a significant hardship.To be considered for an exemption and ...
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All Providers Must Revalidate Enrollment with State Medicaid Agencies Every Five Years to Ensure Payment of Claims

4/28/2017
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 has not complied with a federal regulation which requires state Medicaid agencies to revalidate enrollment of all pro...
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2017 Eligible Professionals Transitioning to MIPS May Submit Hardship Form by October 1

4/28/2017
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 Click here for instructions.  
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New Cognitive Assessment Code Likely to Become Permanent in 2018

4/28/2017
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 to a permanent CPT code, approved by the CPT Editorial Panel,...
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Medicare Covers an Annual Wellness Visit. Are you seeing patients for Wellness visit in January 2015?

10/19/2014
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...
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Obama Care for Your Patients

1/21/2014
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 choic...
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2013 CPT Coding Changes for Psychiatrists and Behavioral Health Providers

10/28/2012
 2013 brings big coding changes for prescribers and non-prescribers alike.  On the psychiatry front, perhaps the most notable change is the elimination of the med-management code 90862.   The 908XX psychiatric code series (90807 and 90817, for example) which covered therapy with ...
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Major Therapy Reimbursment Changes Starting October 1st, 2012!

7/30/2012
Starting October 1, 2012, claims for patients who meet or exceed $3,700 in therapy expenditures will be subject to a manual medical review. For outpatient therapy services that exceed $3700 there will be an advanced approval process that will be implemented in three distinct phases. Providers will b...
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Service-Specific Prepay Audit Being Conducted for Physical and Occupational Therapy Services Billed by Physicians

5/6/2012
INTERNET - 9/8/2011National Government Services, Inc. is currently conducting a service-specific prepayment review for Physical Therapy and Occupational Therapy Services being performed by specialties other than Specialty 65 (Physical Therapist billing independent) and 67 (Occupational Therapist bil...
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Non-Specific Procedure Code Description Requirement for HIPAA Version 5010 Claims

5/6/2012
 The Office of E-Health Standards and Services (OESS) announced on November 17, 2011, that although the 5010/D.0 compliance date of January 1, 2012 will not change, HIPAA enforcement of compliance with the standards will be deferred until March 31, 2012. The 5010 versions of ...
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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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