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Healthcare News

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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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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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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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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 Organizes Webinar on Practice Reopening after COVID-19 pandemic.

4/21/2020
On April 22, Wednesday at 11:00 am EST, we invite you to visit our webinar. Whenquarantine ends, we must come up to scratch.You Will Learn: ·Summary of Government Programs ·How to return your patients back to the office ·New way of prescreening patients ·Safety protocol for in-office staff·Audit rul...
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WCH News

September 15, 2023
Charting Your Path to a Successful Medical Practice: Guidance from WCH
For medical providers venturing into the world of private practice, the journey begins with crucial decisions that set the course for their business. One of the most pivotal choices is det...
September 15, 2023
Insurance Company Letters: The Importance of Professional Consulting
Receiving a letter from an insurance company can often be a daunting experience for healthcare providers. These letters can encompass a wide range of topics, from audit requests to clarifi...
September 08, 2023
Finding the Right Billing Company: Key Steps for Practice Growth
For many healthcare practitioners, the quest to find the ideal billing company is a critical step in ensuring practice growth and financial success. Doctors often wonder how to identify th...
September 01, 2023
The Power of a Second Opinion in Medical Billing
In the world of healthcare, seeking a second opinion is a common practice when it comes to our physical well-being. We rely on professionals to provide us with accurate evaluations and tre...

Healthcare News

September 15, 2023
Changes in Pharmacy Enrollment: Medicaid Compliance and Medicare Approval
Changes in pharmacy enrollment requirements have significant implications for providers, particularly in states like New York and potentially others. These changes necessitate a shift from...
September 08, 2023
Buying vs. Starting a Durable Medical Supply Company: A Strategic Perspective
For business entrepreneurs venturing into the world of durable medical supplies, a common dilemma arises: Should you buy an existing DME (Durable Medical Equipment) company or start a bran...
September 08, 2023
The Complexity of CCM and RPM Billing: Understanding Insurance Company Policies
Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) services have become essential components of patient care and revenue generation. However, the path to reimbursement for these...
September 01, 2023
Demystifying Medicare Enrollment: What Providers Need to Know
Medicare enrollment is a fundamental step for healthcare providers looking to serve the senior population effectively. However, the process can seem daunting, with numerous requirements and st...

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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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What we offer is not just excellent professional billing and collection services. We also stand as guardians of your reimbursement and compliance with federal, state laws and regulations as well as private insurance policies and procedures.

 

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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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