Healthcare

CHANGES IN REPORTING AND PAYMENTS – OHIO BUREAU OF WORKERS’ COMPENSATION (BWC)

BWC has transitioned to a prospective billing process for private employers. In the past, employers would file and pay premiums semi annually. Under the revised BWC reporting, employers are now paying estimated premiums for the policy year 2015. Employers were notified by BWC in August 2015 of their estimated premium and had a choice of […]

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2016 Medicare Part B Fee Schedules & Industry Updates

This article was originally published on January 8, 2016. That same day, CMS issued an “Emergency Update to the CY 2016 Medicare Physician Fee Schedule” that affected the therapy and radiology fee schedules. The changes resulted in minor reductions to the fee schedules for a majority of the therapy and radiology codes.  Most of the codes […]

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Important Year End Reminders for Nursing Facilities

As the year winds down, the Principals and employees of HW&Co. wish you, your staff and your residents the best during this holiday season.  With only three weeks left in 2015, we’d like to remind you of a few key issues impacting your operations. In this issue: Preferences for Everyday Living Inventory (PELI) July 1, […]

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Ohio Medicaid is Moving to RUG-IV… Are You Prepared?

In this issue: Ohio Medicaid is Moving to RUG-IV Estimating 7/1/16 Medicaid Rates HW&Co. Benchmarking Reports can assist with budgeting ICD-10 diagnosis codes required effective 10/1/15 Note: Since publishing this article, ODM has finalized its decision to use the RUG-IV, 57 group model for establishing Medicaid case mix scores for December 2015 quarterly case mix […]

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PointClickCare Users: ICD-10 Codes Effective 10-1-15

The following reminder is for all PointClickCare Users: All claims with dates-of-service on or after October 1, 2015 must be submitted using ICD-10 diagnosis codes. Therefore, all Medicaid and Medicare claims submitted for October must contain these ICD-10 codes. Claims with dates of service prior to October 1, 2015, must continue to be submitted with […]

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