Oct 5, 2016 | Uncategorized
nnNew Plan InformationnOn October 31, 2016, Hewlett Packard Enterprises (HPE) will assume fiscal agent operations on behalf of Health First Colorado (Colorado’s Medicaid program) and Child Health Plan Plus (CHP+). These operations include the transition to the Colorado interChange (a new claims payment system) and a new provider Web Portal.nnClaims Payment DelaysnDuring the transition to the new Colorado interChange, there will be a delay in payments for ALL providers. The length of delay will depend on the type of claim you’re submitting. The Department recognizes that payment delays can create challenges for providers, which is why we’re providing this information now so you can plan accordingly. Unfortunately, these delays are unavoidable and no exceptions can be made.nnFind more detail about these dates on the Provider Resources web page.nnPaper pharmacy or medical claims (i.e. all paper claims)n
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- The last day Xerox will accept paper claims is 10/7/16
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- These claims will be processed (as usual) and paid the week of 10/11/16 or 10/18/16 (as usual)
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- Claims that don’t make this deadline will be held and processed on or after 10/31/16
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- If you only submit paper claims, you will not receive another payment until the week of 11/7/16
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nElectronic medical claims (and encounters)n
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- The last day Xerox will accept electronic medical claims is 10/21/16
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- These claims will be processed (as usual) and paid the week of 10/24/16 (as usual)
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- Claims that don’t make this deadline will be denied and will need to be resubmitted on or after 10/31/16
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- If you only submit electronic medical claims, you will not receive another payment until the week of 11/7/16
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nElectronic pharmacy claims (and encounters)n
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- The last day Xerox will accept electronic pharmacy claims is 10/30/16
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- Claims submitted before 10/21/16 will be processed and paid (as usual)
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- Claims submitted between 10/22/16 and 10/28/16 will be paid the week of 11/7/16 (one-week delay)
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- Claims submitted 10/29/16 or 10/30/16 will be paid the week of 11/7/16 (as usual)
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- Claims submitted on or after 10/31/26 will be processed and paid (as usual)
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nProvider IDs and Portal LoginsnYour Provider ID number will be changing. Starting on October 31, 2016, claims must be submitted using your new provider ID number. Your new provider ID number will be sent out via email on October 15, 2016.nnYour provider Web Portal login information will be changing. The new provider Web Portal will be launching on October 31, 2016. You will receive additional instructions for Web Portal registration when you receive your new Provider ID on October 15, 2016.nnNote: You will NOT need the password you used to submit your application for revalidation/enrollment or your 5-digit application tracking number.nnYour batch claims submitter MUST apply for a new Trading Partner ID (TPID). To avoid any delay in claims submission, ensure your submitter starts their Trading Partner enrollment soon. Your submitter can learn more information about applying for a new TPID on the EDI Support web page.nnImportant Dates and Training OpportunitiesnPlease visit the Provider Resources web page for a list of important dates, training availability for the new provider Web Portal, and additional information.
Oct 5, 2016 | Uncategorized
Demigods…nWe want and seek the best in ourselves and in others. nnOur own demigodery often clouds our vision.nStay tuned for more Todd’s Tips!nn
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About R. Todd Welter • MS, CPCnFounder and President of Welter Healthcare Partners
nMr. Welter has over 25 years of healthcare industry experience assisting physicians and other providers, hospitals and other facilities with the business side of medicine. Through strategic planning and analysis, Mr. Welter’s main focus is to strategically increase revenues and profitability in this radically changing health care environment.
Mr. Welter has a Masters Degree in Organizational Leadership from Regis University in Denver where he has had an appointment as affiliate faculty in the School for Professional Studies for over ten years. In addition, Mr. Welter holds a faculty appointment at the University of Denver’s University College. In the Health Care Leadership program he teaches Macro Economics in Health Care and Innovative Strategies and Change in Health Care to graduate students.
Oct 5, 2016 | Uncategorized
Amendment 69 will create a first-of-its-kind, untested, government run health care system that will not work as intended.n
nNo other state in the country has a health care system in place like the one proposed in Amendment 69 so there is no model to look to for how this will play out in Colorado. Vermont explored a similar plan but its governor, a single payer champion, ultimately pulled the plug on his own proposal stating, “In my judgment, the potential economic disruption and risks would be too great to small businesses, working families and the state’s economy.”n
Is ColoradoCare FREE Health Care?n
nOf course not!nnIt’s clear to anyone who has studied the bill that Amendment 69 is not only not free — it would cost Colorado’s economy way too much!nnThe measure would give Colorado the highest income tax rate in the country, would sacrifice our health care coverage to a panel of politicians and would DOUBLE the size of state government!nnColorado cannot afford the risks associated with Amendment 69!nnThis article originally posted on ColoradansforColoradans.com.
Sep 23, 2016 | Uncategorized
It is, after all, a service industry and a very very big one. To be so we need and have customers. Customers provide value to us in return for the services we provide to them. In turn, we are also a customer seeking services, providing value in return for it. It is the latter that is often lost and therefore not used to proper advantage in the noise of the moving parts of this two-trillion dollar industry.
nStay tuned for more Todd’s Tips!nn
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About R. Todd Welter • MS, CPCnFounder and President of Welter Healthcare Partners
nMr. Welter has over 25 years of healthcare industry experience assisting physicians and other providers, hospitals and other facilities with the business side of medicine. Through strategic planning and analysis, Mr. Welter’s main focus is to strategically increase revenues and profitability in this radically changing health care environment.
Mr. Welter has a Masters Degree in Organizational Leadership from Regis University in Denver where he has had an appointment as affiliate faculty in the School for Professional Studies for over ten years. In addition, Mr. Welter holds a faculty appointment at the University of Denver’s University College. In the Health Care Leadership program he teaches Macro Economics in Health Care and Innovative Strategies and Change in Health Care to graduate students.
Sep 23, 2016 | Uncategorized
Accounting, Bookkeeping, and Financial Controls are now available at Welter Healthcare Partners!nnOur clients’ financial success is our number one priority! We understand that having up-to-date and accurate financial information is critical to running a successful business. More so, understanding the financials allows for good and thoughtful execution of ideas.nnWe offer personalized accounting services designed to help you identify opportunities for increased profitability and growth. Our experienced team of accountants and bookkeepers, superior customer service and overall financial management knowledge, allow our clients and business owners to focus on what they do best—being successful in their chosen field!n
We work in a variety of industries including:
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- Healthcare and Physician Practices
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- Energy
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- Direct to Customer Service Organizations
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- Financial Services
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- Marketing and Graphic Design
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We will work with you to customize a package of accounting services and solutions based on your specific needs, including:
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- Accounting Software Selection and Implementation
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- Accounting Clean Up for books that are inaccurate or not current
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- Financial and Business Consulting
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- Financial Analysis including cash flow, budgeting and forecasting
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- Financial Reporting (P&L’s that are actionable!)
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- Full Bookkeeping Services including A/P, A/R, journal entries, etc.
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- Payroll Services
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- Sales Tax Services
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- 401k and other benefit management and distributions
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- Monthly reconciliation of bank statements and credit card statements
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- Maintenance of business, payroll, and vendor files
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- Prepare and issue annual 1096/1099 to vendors
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- Coordination with your tax accountant for annual tax preparation
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Sep 2, 2016 | Uncategorized
Ensure Your Practice is Compliant! The ACA requires you to! Contact Welter Healthcare Partners today for a Coding and Documentation Audit!
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More than three dozen just-released audits reveal how some private Medicare plans overcharged the government for the majority of elderly patients they treated, often by overstating the severity of certain medical conditions, such as diabetes and depression.nnThe Center for Public Integrity recently obtained, through a Freedom of Information Act lawsuit, the federal audits of 37 Medicare Advantage programs. These audits have never before been made public, and though they reveal overpayments from 2007 — money that has since been paid back — many plans are still appealing the findings.nnMedicare Advantage is a privately run alternative to standard Medicare; it has been growing in popularity and now enrolls more than 17 million seniors. In 2014, Medicare paid the health plans more than $160 billion.nnBut there’s growing controversy over the accuracy of billings, which are based on a formula called a risk score; it is designed to pay Medicare Advantage plans higher rates for sicker patients and less for people in good health. In a series of articles published in 2014, the Center for Public Integrity reported that overspending tied to inflated risk scores has cost taxpayers tens of billions of dollars in recent years.nnIn May, a Government Accountability Office report called for “fundamental improvements” to curb excess charges linked to faulty risk scores. In addition, at least half a dozen health-industry insiders have filed whistleblower lawsuits that accuse Medicare Advantage insurers of manipulating risk scores to boost profits.n
CLICK HERE TO READ MORE
nThis article originally posted on NPR.org.
