Newsletter 2017 July

7/19/2017

FEATURE FOCUS

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

Start iSmart

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.
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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!
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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.
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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.
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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?
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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).