WCH Issue September 2019

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Information For Providers

Attention Medicare Part B MIPS Eligible providers! Availability of Merit-based Incentive Payment System (MIPS) Exception Application As a smart healthcare provider, you should have a general idea regarding exception applications when it comes to the 2019 Quality Payment Program. Know more about how you can apply by reading more! Why You Should Submit and Process Your Claims with Time to Spare You should submit your superbills for processing with time to spare to avoid invalidity. Read more to know the general timeframe when it comes to processing claims for major payers in NJ and NY.

Wch Accomplishments

iSmart Patient Invoicing And Received Checks Monitoring

New features have been implemented for the iSmart system that will help providers to control their incoming payments as well as create and manage patient billing process. These features are the Received Checks Monitoring and Patient Billing functions.

What’s new

Fida Program To Close Dec. 31, 2019

The FIDA program is set to be closed in the current year, after five years of activity. New enrollments into the FIDA plans have been canceled as of the first of July 2019. Know more and advise your FIDA patients on choosing a new plan.

Introducing the Horizon BCBSNJ Chiropractic & Physical Medicine Services Program with American Specialty Health Group

Horizon Blue Cross Blue Shield of New Jersey has contracted with American Specialty Health Group, Inc. which will administer Chiropractic & Physical Medicine Services Program beginning on January 1, 2020.

NEW MODIFIERS TO IDENTIFY SERVICES FURNISHED BY PTA/OTA COMING SOON!

As of the first of January 2020, new changes implemented by the CMS will be coming into play. These new modifiers will be serving to identify those services which are provided by a PTA or an OTA.

Your Questions Answered

Medical providers should be up to date regarding the rules that govern Medicaid patients billing. Read more to know more about when you should and shouldn’t bill your patients!

Expansion of Telehealth for Medicare and Medicaid this 2019

This 2019, policy changes have improved telehealth delivery to Medicare and Medicaid patients. Make sure that you are in the loop with these changes to better serve your telehealth patients as you read along

Business Corner

Revisit Insurance Contracts to Renegotiate Better Rates

If you previously negotiated a contract agreement with your insurance company for your medical practice, now would be the best time to renegotiate your rates. Depending on your client base and service history, you might get even better rates today compared to what you had before. Read on to find out more about renegotiating better rates with your insurance company!