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Healthcare News

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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CMS has finalized changes to outdated federal regulations, such as the Stark Law, which have saddled health care providers with more administrative costs and impeded the advancement of the health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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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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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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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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Medicare Administrative Contractors are reinstating medical reviews

10/4/2020
As of August 17th, MAC's havereopened medical reviews of services provided prior to March 1st,2020.To protect the Medicare Trust Fund againstinappropriate payments, Medicare Administrative Contractors (MACs) are resumingfee-for-service medical review activities. Beginning August 17, the MACs haveres...
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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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Do you qualify for 2020 MIPS exception?

7/15/2020
Despite a global public health crisis, healthcare providers still need to think about Merit-Based incentive Payment System (MIPS) reporting. We know it’s been a tough time, and some providers may experience strong difficulties while collecting the information required for MIPS, as well as fitting in...
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WCH News

May 12, 2023
Important Reminder for IPA Affiliated Providers: Compliance with Billing Procedures
We are reaching out to emphasize the critical importance of adhering to proper billing procedures and contractual obligations within the Independent Practice Association (IPA). It is cruci...
May 12, 2023
The Vital Role of a Medical Director: Managing, Understanding, and Complying
By embracing vital aspects of the medical director role, including managing, understanding, and complying, you can effectively fulfill your responsibilities and contribute to the success and quality o...
May 12, 2023
Navigating the Credentialing Challenges with Optum Health: WCH Team's Commitment to Your Success
As a leading credentialing vendor for United Healthcare, representing specific plans and specialties, Optum Health plays a crucial role in the healthcare industry. We understand that the c...
May 08, 2023
WCH Uncovers Discrepancy in NY Physician Assistant Supervision Requirements
WCH's recent findings regarding the discrepancy between the New York State Education Department and the New York Medicaid program have brought to light the need for greater collaboration and&#...

Healthcare News

May 25, 2023
Optimize Your Medical Insurance Coverage: Unlock Savings with 5 Essential Strategies
As a medical professional, staying informed about the array of discounts and benefits offered by medical insurance companies is crucial. At WCH, we specialize in empowering doctors to seiz...
May 12, 2023
Important Notice: Changes in Medicare Enrollment Timeframes
We would like to bring to your attention an important update regarding the Medicare enrollment process. In recent times, we have observed a noticeable shift in the timeframes set by Medica...
May 12, 2023
Resolving the Discrepancy: Clarity on PA Supervision Rules
In one of our previous articles, we highlighted the discrepancy between the New York State Education Department and the New York Medicaid program regarding the supervision of physician ass...
April 21, 2023
Bogus Billing Over COVID-19 Medical Expenses Resulted in $490 Million in Fraud
The COVID-19 pandemic has had a severe impact on people's finances, and unfortunately, some individuals have taken advantage of this situation to commit fraud, resulting in millions of dollars of loss...

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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:

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