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Healthcare News

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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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COVID-19 Claims payment to healthcare providers for Testing and Treatment of Uninsured

6/23/2020
Since the beginning of this terrible pandemic,healthcare providers have been risking their lives and money to save the country from the modern beast – novel coronavirus COVID-19. Every healthcare professional involved in the saga of saving the people from the virus is a superhero who needs to be rew...
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Provider Relief Funds for Medicaid providers.

6/17/2020
We arepleased to inform you that you can get help during these difficult times!Distribution of funds to Medicaid providers will supply relief to our superheroes without capes.Here'ssome information: On 06/09/2020, the Department of Health and Human Services announced a start of funds release of ar...
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NEW ANNOUNCEMENT ON Laboratory Data Reporting Guidance for COVID-19 Testing

6/16/2020
Effective June 04,2020, there is new guidance approved by HHS. It specifies details on the additional data which has to be reported to HHS by laboratories along with COVID-19 test results.Which entity isrequired to report the data?All laboratories,testing locations operating as temporary overflow or...
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Summary of Medicare policies in 2020. Public Health Emergency Interim Final Rules.

6/9/2020
Telehealth. More services are covered. Medicare now pays healthcare providers for more Telehealth services, such as: Initial inpatient and nursing facility visits; Emergency department visits; Initial/subsequent observation service...
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Can I hire an acupuncturist to my practice and earn a fortune?

6/2/2020
Acupuncture is a treatment that involves inserting thin needles through a person's skin at specific points on the body. This type of service is normally performed in the sphere of pain management. Covered or non-covered, acupuncture is a great tool for helping your patients ...
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NY State Medicaid Payment Reductions

5/31/2020
Effective April 2, 2020, and each State Fiscal Year thereafter, all non-exempt Department of Health state funds Medicaid payments will be reduced by 1.5%. All fee-for-service payments will receive a decrease to checks and EFTs for dates of services on or after April 2, 2020, in...
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Medicare coverage of COVID-19 laboratory tests.

5/31/2020
Medicare covers certain COVID-19 laboratory tests, which can be billed by health care facilities and laboratories. The below HCPCS codes are covered for dates of service on or after February 4, 2020. U0001 – “CDC 2019 Novel Coronavirus (2019-...
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Making sure our heroes get what they deserve!

5/6/2020
On April 30, Centers for Medicare & Medicaid Services issued more waivers and rule changes to make your life easier. Here are some main principles of this boost:1) Removing barriers for healthcare providers to be readily hired from the local community or other states;2) Say “No!” to overwhelming...
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Ready to get more benefits?

4/30/2020
Providers who have already received the initial, automatic HHS payment may now apply for additional funds.Being a superhero should always pay-off! Effective April 24, HHS has begun distribution ofadditional fundsto Medicare providersimpacted by COVID-19. Providers will need to apply to receive these...
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How can the new CARES act make your life easier during the pandemic?

4/22/2020
2020 has been quite atough year for everyone on the globe. Coronavirus disaster has an impact onevery working man in every country. From farmers to politicians andbillionaires – there’s hardly even a person worldwide whose business has notyet faced any challenges. This situation looks like a real-li...
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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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Dear Provider,
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;
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  • 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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