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Healthcare News

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An important update by the New York State Workers’ Compensation Board

11/2/2021
The NY State Workers' Compensation Board has ruled out that effective July 1st, 2022, providers would need to use the CMS-1500 claim form for medical bills submission. This decision has been made to simplify this process and relieve providers from a significant portion of the paperwork. ...
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ICD-10-CM updates for the Fiscal Year 2022 are out

10/31/2021
Centers for Medicare & Medicaid Services has recently released an updated version of the ICD-10-CM for the fiscal year 2022. An updated set of diagnosis codes came to an effect on October 1st, 2021.The current edition includes 159 additions, 25 deletions, as well as 27 revisions. Here ...
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ICD-10-CM updates for the Fiscal Year 2022 are out

10/31/2021
Centers for Medicare & Medicaid Services has recently released an updated version of the ICD-10-CM for the fiscal year 2022. An updated set of diagnosis codes came to an effect on October 1st, 2021.The current edition includes 159 additions, 25 deletions, as well as 27 revisions. Here ...
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Getting to know Medicare CBR

10/27/2021
CBR stands for Comparative Billing Report. Medicare CBRs are sent to healthcare providers whose billing or prescribing pattern differs from their peers within the same specialty state- and nationwide. Such reports are aimed at notifying and educating healthcare providers of significant divergence. F...
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The CMS has announced Quality Payment Program Updates for 2021

10/25/2021
CMS is determined to lessen the administrative burden associated with participating in the Merit-based Incentive Payment System (MIPS) so that healthcare providers can focus on ensuring patients get the best quality of care. Thus, the following changes were made for next year an...
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COVID-19 Vaccines and Monoclonal Antibodies

5/12/2021
CMS has released a set of toolkits for providers, states, and insurers to help the health care system get ready to swiftly administer the COVID-19 vaccines and certain monoclonal antibodies once they become available. The resources are designed to increase the number of providers tha...
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Medicare Telehealth Frequently Asked Questions

2/28/2021
Medicare issued a waiver for telehealth services for the public health emergency. But which services are allowed, and who are permitted to furnish them? Keep reading to find answers to these and many more questions!   Question: What services can be offered via tele...
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HISTORIC CHANGES TO STARK LAW AND ANTI-KICKBACK STATUTE REGULATIONS BY OIG AND CMS.

2/1/2021
CMS has finalized changes to outdated federal regulations, such as the Stark Law, which have saddled health care providers with more administrative costs and impeded the advancement of the health care system toward value-based reimbursement. To know more about these changes and Anti-Kick...
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Improving Patient Flow and Growing Health Care Capability with Mind Booster Art

12/9/2020
In health care settings, fear of uncertainty, preoccupation, and anticipation of unpleasant sensations create a communication barrier between healthcare providers and the recipients of services. Mind Booster Art serves as a form of strategic, non-verbal communication that allevi...
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Don’t Be Penalized for COVID-19 Non-Compliance!

11/16/2020
With the gradual reopening of businesses in New York State, there are guidelines for businesses that wish to reopen their workplaces. Familiarizing yourself with these guidelines will help you avoid the accompanying penalties. Keep reading to find out more about what steps your busin...
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NY Medicaid EHR Incentive Program Pre-validation Period: Sep 14 – Dec 14

10/26/2020
Are you aware that EPs or a group of EPs that have already selected their reporting period and calculated their patient volume before the MEIPASS attestation system is opened for the payment year can now complete a Pre-Validation? For more details about this, read along.Are you aware? EPs or a group...
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Why Periodic Audit of Records is Vital?

10/26/2020
Many medical practitioners are yet to understand and key into record auditing, especially now that the Department of Health and Human Services’ Office for Civil Rights (OCR) conducts periodic audits to ensure that covered entities and their business associates comply with the requi...
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CMS: Increased Options and Reduced Costs for Surgeries Proposed

10/4/2020
For 2021, CMS proposes to expand the numberof procedures that Medicare would pay for in the hospital outpatient setting byeliminating the “Inpatient Only list,” which includes procedures for whichMedicare will only make payment when performed in the hospital inpatientsetting. This proposed change wo...
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Medicaid EHR Incentive program. Pre-Validations for 2020 Payment Year

10/4/2020
The above will be acceptedfrom September 14th up to December 14th, 2020, and allowspractices so submit their patient volume data for evaluation and acceptancebefore attestation.If EPs or a group of EPs have alreadyselected their reporting period and calculated their patient volume prior tothe Medica...
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CMS: Implementation of new ABN Form

10/4/2020
The Office of Managementand Budget (OMB) has approved the ABN, Form CMS-R-131. The deadline for usingthe new ABM has been extended by CMS. The ABN, Form CMS-R-131, and instructionshave been approved by the Office of Management and Budget (OMB) forrenewal. Due to COVID-19 concerns, CMShas expanded th...
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WCH News

June 29, 2022
5 reasons to consider franchising
Ever wondered why some entrepreneurs are more successful than others? Yes, persistence, innovation, and a good investment capital are important, but acquiring a business from an established model ensu...
June 28, 2022
New service for home care agencies
The WCH credentialing team has gained so much recognition in the Home Care industry over the recent years. With growing experience and an extensive new list of clients in this area from New York State...
June 26, 2022
Why you need to check your insurance contracts
All participating providers should be aware of their contracted fee schedule with health insurance payers and ensure that their contracted rate is up-to-date. As credentialing experts, we often see th...
June 22, 2022
How WCH helps healthcare providers to succeed in their business
Managing a medical practice in this extraordinary is a challenge by itself. Not only do healthcare providers have to deal with maximizing their cash flow, but most of you constantly sacrifice your fin...

Healthcare News

June 28, 2022
Contractual obligations for out-of-network providers
WCH is committed to the success of our clients. For over 20 years, we have been resolving thousands of claim denials and underpayments directly with various insurance companies and other payers. At th...
June 26, 2022
How to work on denied claims
In recent months, our experts have witnessed a significant increase in claim denial rate of our prospective and existing clients. Insurance carriers have taken up a tendency of denying payment for ser...
June 22, 2022
5 simple steps to make your claims paid in full
At some point, many of us have wondered if there is "a secret formula" that eliminates all claim denials and instantly rises a reimbursement rate to 100%.The truth is – there is none. Ho...
June 19, 2022
The future of telemedicine: CMS prospective
Since the early days of the COVID-19 pandemic, telemedicine has become an essential way to render health care to everyone in need all over the world. By implementing various virtual care solutions, he...

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