Primary Care Fund Application Certification
Colorado’s Primary Care Fund provides grants to healthcare providers who care for underserved populations and meet specific qualifications. The funds are generated from the collection of tobacco taxes in accordance with Section 21 of Article X (Tobacco Taxes for Health Related Purposes) of the State Constitution.nnThe Primary Care Fund application process requires that providers must use a formula to submit the percent of unduplicated users/patients served by the applicant agency who are enrolled in Medicaid and CHP+ or medically indigent. This data must be certified (or verified) by an outside entity prior to the submission of the application.nn Welter Healthcare Partners is qualified as an outside entity to complete the certification of the numbers of unduplicated user/patient counts for the Primary Care Fund application. If you need assistance with your Primary Care Fund application, contact Welter Healthcare Partners immediately at 303-534-0388.nnFor more information, visit http://www.colorado.gov/cs/Satellite/HCPF/HCPF/1214812846117
Did you know that Medicare is having ALL providers re-validate over the next 2 years? This has to be done right, on-time, even with the proper color ink! Don’t leave this to chance or to someone who does not have experience. Failure to do it right and on-time will cause your payments to stop. You will drop out of Medicare if this is not done properly!
We have found that CPC Certification NOW will allow for a much easier transition to ICD-10 than waiting for ICD-10 to be incorporated into the CPC exam. If you are thinking about becoming certified – do it today!
Gone are the days where we used to sit on opposite sides of the table and throw rocks at each other. The payers need the providers and the providers need the payers! We can work together. It still takes a clear understanding of data, timing and leverage to make for a good business relationship. Learn more…
Payers make mistakes – If you find that you are swimming in appeals, payment errors, loading issues, late payments, improper adjustments, etc. it may be a Credentialing issue, it may be a bad contract. We have solutions.
Award winning MicroMD version 7.6 is ready! If you are on MicroMD PM and/or EMR and not on version 7.6 please call our sister company Medical Data Management Group at 
As you may already know, the ICD-10 deadline has been extended for possibly up to one year. Listen to Todd Welter, president of Welter Healthcare Partners, to discover how often you use ICD-9 codes and to learn how to effectively teach your team the significance of ICD-10.nn
There is another delay in the works! Looks like October 1, 2014 is now the go-live date. This is bigger than Y2K! Don’t wait to get ready, start working on it now! This change will affect every part of your practice, facility and the relationships you have with ALL you medical provider partners in your medical community.
nnMedical coding and billing has come a long way over the past 20-plus years and is currently one of the most vital pieces to a smooth-running medical facility. AAPC, which will hold its 20th national conference from April 1 to 4 at the Rio Hotel and Convention Center in Las Vegas, has helped expand the industry since its inception and is always looking to push the industry into the future with hot topics such as ICD-10.nnThe annual conference addresses the “hot button” issues in our arenas as well as reviews the concepts that are basic to the industry. This year, the lineup includes more physician presenters than ever before as well as a host of business and industry professionals who are experts in their field.nnConference attendees begin the festivities with the annual AAPC president’s address with Chairman and CEO Reed Pew. Following the president’s address is the keynote presentation “Got Magic.” After the two general sessions conclude to open the conference on Monday, each attendee heads to his or her specific breakout sessions for three days filled with education, networking, and fun. Each day holds incredible information and learning opportunities in many areas of healthcare. The AAPC conference website (www.aapc.com/medical-coding-education/conferences/national/lasvegas/index.aspx) has the entire speaking agenda and activities for the week.nnWith the implementation of ICD-10 just around the corner, the conference’s signature session, the Anatomy Expo, has never been more valuable. In this three-hour session, attendees will gather to celebrate the wonders of the human body. This fast-paced event offers an in-depth look into this complex machine. Here, participants have a chance to learn the various parts of human anatomy, taught exclusively by physicians to small groups. The eight physician presenters will use anatomical models, devices, and videos to provide instruction as each group moves from station to station. Attendees will get from an insider’s look at the anatomic and physiologic nuances of the human body. Whether attendees are novices or experts, the Anatomy Expo is fun, informative, and always a highlight for conference goers.nnFor the first time, there also will be a track of sessions focused on EMRs and revenue cycle management, a track of sessions on auditing and compliance issues, and a full track focused on outpatient hospital facility coding. As always, AAPC offers a wide variety of sessions dedicated to different coding specialties and general healthcare issues.nn— Melanie Mestas is director of conferences for AAPC.nnSource: 2012 
officials may be able to use knowledge of these trends as an early indicator of emerging health issues and a warning of public health emergencies in a community.nnThe U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Preparedness and Response (ASPR) today issued the challenge, a developers’ contest called Now Trending – #Health in My Community. The online challenge runs through June 1, 2012.nnSocial media trends can be powerful indicators of community health issues. However, current Web-based apps look backward, collating social media data to show how trends developed. The ASPR challenge would create a Web-based app to use social media data as an advance signal of a public health emergency.nn“When we looked back at the H1N1 pandemic, we saw that, in some cases, social media trends provided the first clues to flu outbreaks,” said Dr. Nicole Lurie, assistant secretary for preparedness and response and a rear admiral in the U.S. Public Health Service. “Based on that 2009 pandemic experience, local health officials asked for our help in developing a Web-based tool that could make social media monitoring useful as part of the surveillance systems in place now to identify new diseases early.”nnWith early identification, health officials can respond quickly, including advising people how to protect their health and minimize the spread of the disease. Minimizing the spread of disease could help the community bounce back quickly from an outbreak or a public health emergency – or potentially prevent a public health emergency, such as a pandemic, from occurring.nnTo win the challenge, the application must be innovative, scalable, dynamic, and user-friendly. The app must use open-source Twitter data to deliver a list automatically of the top five trending illnesses over a 24-hour period in a specified geographic region. The application must be able to send the data to state and local health agencies. These agencies, in turn, can cross-reference the data with traditional biosurveillance systems, build a baseline of trends, determine emerging public health threats, and advise the public on how to protect their health.nnThe person or team developing the best application will receive $21,000 from ASPR as well as a $1,000 travel stipend to attend an event announcing the winner. In addition, the winner will be invited to present the winning tool at a Fusion Forum, a discussion series sponsored by ASPR’s Fusion Cell for state and local health officials to help identify pioneering ways to move from open source information into use as a public health response. The winning application will be made available to state, territorial, tribal and local health agencies across the nation for use in their communities.nnTo register to participate in the Now Trending – #Health in My Community Developer Challenge, visit 
The HIPAA Privacy Rule provides federal protections for personal health information held by covered entities and gives patients an array of rights with respect to that information. At the same time, the Privacy Rule is balanced so that it permits the disclosure of personal health information needed for patient care and other important purposes.nnThe Security Rule specifies a series of administrative, physical, and technical safeguards for covered entities to use to assure the confidentiality, integrity, and availability of electronic protected health information.nnSource – Learn More Here: 
WHPelter Managed Care consultants are currently working with national payers to create Episodic Care/Bundled Payment programs. We are currently in the Pilot Project phase and have been given the green light to expand into several different specialties.
Susan Whitney is currently teaching a CPC Certification course here at the classroom facility at WHPelter headquarters. 25 newly minted CPC’s will be ready for the coding universe in the early summer of 2012. We will soon have a CPC Certification Course on-line.
nnLearn more about medical billing and how the services of AMRS can help improve your revenue.nnAdvanced Medical Revenue Specialists (AMRS) is a total access billing and revenue service for physicians offering an unparalleled level of experience, support, reporting and client access to real time data. It has been designed from the ground up to be a high touch, detail oriented revenue service primarily focused on specialty medicine. AMRS purposely accepts a limited number of clients so as to concentrate their efforts on every detail of billing, revenue collections, appeals and above all, customer service.
What is a Medical Billing Software?
Medical Billing Software is a computer application that manages the financial and administrative functions of a healthcare organization. This usually includes patient management, insurance management & billing, patient & insurance statements, reporting, scheduling, electronic billing and collections. This customizable software with many user definable features enables the office manager and billing staff to also check in/check-out patients, verify eligibility, submit claims. To support this workflow, the system will maintain a comprehensive set of payor rules and policies.
What are some of the questions that you can ask the vendor?
If you are considering purchasing an EMR in the near future, ensure to work with a software vendor that also offers a Medical Billing Software system. Also keep in mind some of the below questions prior to your purchase:nn n
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