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Cost-share waiver indication for COVID-19 testing

11/9/2021
Pursuant to regulation by the US Department of Health and Human Services (HHS) on COVID-19 testing cost-share waivers issued on March 13th, 2020, outpatient healthcare providers are required to indicate a cost-share waiver in their claims for services performed on Medicare Part B patients.Namely, th...
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A temporary fee-for-service increase for adult Private Duty Nursing (PDN) services by NY Medicaid

11/7/2021
Starting from November 1st, 2021, NYSDOH has increased fees for PDN services for eligible beneficiaries aged 23 or older. This increase is temporary and is planned to be waived on March 31st, 2022. The following services are affected:S9123 - Nursing care, in the home by a registered nurse, per ...
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The CMS has authorized coverage for COVID-19 vaccinations for patients aged 5 through 11

11/4/2021
Following a recent FDA approval of the Pfizer-BioNTech COVID-19 vaccine for children 5 through 11 years of age, the CMS has determined that it is now covered for eligible individuals. Namely, individuals insured under Medicare, Medicaid, the Children's Health Insurance Program, as well as under...
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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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WCH News

January 18, 2023
WCH Accomplishments 2022
AT THE BEGINNING OF THE NEW YEAR, IT IS CUSTOMARY TO  SUMMARIZE THE RESULTS OF THE PREVIOUS ONE. WE THANK YOU FOR YOUR TRUST AND SHARE OUR ACCOMPLISHMENTS WITH YOU.Creden...
December 26, 2022
Professionalism is Not Afraid of Obstacles
Professionalism is Not Afraid of Obstacles WCH is always happy to share its success stories with you. This month, we want to feature a recent story about the journey of our pharmacy specialty cus...
November 07, 2022
NEVER STOP LEARNING
“Education is the most powerful weapon which you can use to change the world”, Nelson Mandela. We are glad that people who gathered at the WCH team share this opinion and are proud that th...
August 09, 2022
Introducing WCH CredyApp
Introducing WCH CredyAppWCH Credentialing team knows all challenges of handling credentialing internally. WCH has done credentialing for over 20 years, helping healthcare providers of various specialt...

Healthcare News

January 18, 2023
Get $26,000 per Employee with Federal ERC Credits
Get $26,000 per Employee with Federal ERC CreditsLike the PPP/EIDL, there is no repayment as it is a tax credit of up to 26,000 per W-2 worker you employed in 2019/2020.It is no secret that the Corona...
December 26, 2022
Cuts in Physician Payments Will Reduce Access to Care
Cuts in Physician Payments Will Reduce Access to Care The MGMA’s data shows that 90% of medical facilities reported likely declines in access to care following the 2023 payment cuts in the ...
November 29, 2022
LockBit Ransomware Campaign: New Suspect
Lockbit ransomware campaign, the variant that has been known to target healthcare in the past, is back on the radar. Thus, the Department of Justice reported that on November 15, 2022, the alleged cha...
November 04, 2022
Warning about the threat of imprisonment for breaking the HIPPA Law
If prosecutors find that providers disregarded PIR (protected information rules) in a way that warrants more punishment than fines and penalties - the doctor faces up to a year in prison on charges of...

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WCH can help your practice in your credentialing needs! Using a credentialing specialist with the knowledge, expertise and connections that can help position your practice ahead of time. Let us help you today! During credentialing process WCH becomes your external credentialing department for all communications, submissions, follow up and any other questions that will come up during the process.

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Periodic medical chart auditing is vital for any healthcare provider and medical practice. Let the professionals evaluate your coding, billing, and documentation practices! Our auditors are AAPC-qualified CPMAs (Certified Professional Auditors) and CPCs (Certified Professional Coders). We perform comprehensive Chart Auditing. We can do the following services for you:

  • Identify areas of risk leading to upcoding or downcoding and medical coding accuracy;
  • Ensure that coding practices are compliant with the regulations set forth by private and government payers;
  • Evaluate Incident to guidelines and services performed on collaborative premises;
  • Perform Analysis of Denials/Duplicate billing /Appeal process/Modifier usage;
  • Review Front Desk work including but not limited to: Eligibility verification/Benefit maximums verification/Excluded services verification/Authorization process/Patient responsibility (deductibles, copays, coinsurance)/Coordination of benefits;
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