Checking Patient Eligibility with WCH iSmart Just Got Smarter
The WCH iSmart EHR just got smarter. A new feature lets providers connect to any insurer to verify patient eligibility instantaneously. Read more
DOCTOR FOR DOCTORS MIPS Reporting Countdown: Act Now to Avoid Penalties
By Nargiza Nurlybaeva, WCH Billing Group Supervisor
It's been six months since the MIPS (Merit-based Incentive Pay System) program began. Do you know what you need to do to comply in 2017? Or if you even need to start reporting quality and improvement measures yet? WCH can help sort through all of the information, figure out what to report and how. Read more
REGULATORY UPDATES Increase in Documentation Submitted Without a Valid Provider Signature Affects Payments National Government Services (NGS) is reporting an increase in documentation submitted without valid provider signature identification. This leads to claim denials that require time-consuming appeals. WCH reminds providers of long-standing Centers for Medicare & Medicaid Services (CMS) signature requirements for all paper and electronic medical records. Read more
All Providers Must Revalidate Medicare Enrollment Information under Affordable Care Act Criteria Every Five Years; WCH Can Help With Provider Enrollment Revalidation – Cycle 2 In order to maintain Medicare billing privileges, all enrolled providers and suppliers must resubmit and recertify the accuracy of their enrollment information every five years under new enrollment screening criteria required by Section 6401(a) of the Affordable Care Act. WCH can help! Read more
Evaluation and Management: Correct Coding Crucial for Compliance In a study report about how “Improper Payments for Evaluation and Management Services Cost Medicare Billions in 2010,” the Office of the Inspector General (OIG) noted 42 percent of claims for Evaluation and Management (E/M) services were incorrectly coded and 19 percent lacked documentation. Read more
Modernized National Plan and Provider Enumeration System More Responsive and Secure The Centers for Medicare & Medicaid Services (CMS) has modernized the National Plan and Provider Enumeration System (NPPES) with a unified login for type 1 and type 2 providers which increases security, provides new surrogacy functionality, has a more responsive user interface (UI) and a streamlined NPI application process. Read more
WCH ACCOMPLISHMENTS WCH Nearly Doubles Reimbursements to 95 Percent in Only A Month When a dermatology clinic came to WCH with too many zeros on their EOBs (explanation of benefits), WCH Account Representative Alla Keinig quickly analyzed their in-house billing and turned reimbursements around from less than 50 percent to 95 percent in one month. Read more
ASK THE EXPERT!
Why is my superbill being returned? What information am I missing to make it complete? Read more
MEET WCH Meet Billing Department Specialist Elizaveta Bannova WCH Account Representative, biller and auditor Elizaveta Bannova is now a quintuple threat. This spring, she added certified professional compliance officer (CPCO) and certified professional medical auditor (CPMA) to her long list of credentials. She is also a certified professional coder (CPC), certified family practice coder (CFPC) and certified medical reimbursement specialist (CMRS).