FEATURE FOCUS WCH i-Smart is getting Smarter. i-Smart EHR introduces comprehensive, productive, easy and user-friendly MIPS-dashboard. Today the new MIPS-dashboard gives an opportunity to manage and track performance data on each MIPS (Merit Based Incentive Pay System) program category Quality, Improvement activities and Advancing care information.
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DOCTOR FOR DOCTORS WCH Revenue Text is already in operation We are pleased to announce that WCH Revenue Text service was successfully launched this month. Read More
REGULATORY UPDATES New Prior Authorization Program Effective 10/1/2017 at Fidelis Care Fidelis Care has engaged eviCore Healthcare* (eviCore) to implement a new prior authorization program to manage outpatient high-technology Radiology services, NonObstetrical Ultrasounds, diagnostic Cardiology services, and Radiation Therapy services being rendered on or after October 1, 2017. Read more
New Codes Requiring Prior Approval in EmblemHelth Effective December 1, 2017, certain Orthopedics , Vascular Surgery, Urology, Cardiology, Cardiothoracic Surgery procedures will require prior approval in certain EmblemHelth Networks.
Lear more on EmblemHealth Fewer Physicians Could Face Audits Under CMS Program The government is taking another step to reduce the regulatory burden on physicians this time with fewer, more targeted Medicare audits. Fewer physicians will undergo audits under a new Medicare claims review process, according to the Centers for Medicare & Medicaid Services announcement. Read More
ASK THE EXPERT! Please specify the number of total measures, activities, or entire categories that an individual must report if he/she has special status in MIPS
Read More Does the provider's special Non-Patient Facing status exclude him/her from the MIPS program or an exclusion is being applied only to a specific performance category?
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WCH ACCOMPLISHMENTS WCH recognized and cancelled an incorrect overpayment request Many providers, when receive overpayment notices from commercial insurance payers, start investigating the reasons, digging into the old documentation, writing appeals or some providers just pay the balance. Billing department specialist Alla Keinig, knows the first and very important step that primarily must be taken before any other process has begun.
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MEET WCH Meet WCH: Credentialing Specialist Julia Ponamareva WCH Credentialing Specialist Julia Ponamareva enjoys investigating difficult cases to find resolution. Everyday challenges give me invaluable experience says Julia, who never accepts negative decision from insurance companies, as a final.
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Services: Billing Credentialing EHR Medical Chart auditing SmartBill app
1 CEU Credit earned for reading each issue. Email kantort@wchsb.com for certificate.