Community Health Plan of Washington Medicare Advantage Plans Community Health Plan of Washington Medicare Advantage Plans

Archive for the ‘Bulletin Board’ Category

Provider Newsletter

Friday, March 22nd, 2024

Our latest Provider Newsletter highlights provider and staff training and the new provider directory.

Scammers impersonating state regulators

Monday, March 11th, 2024

Scammers are targeting health care practitioners in Washington state

Secondary Option for Claims Submissions

Monday, February 26th, 2024

CHPW is offering a secondary option for electronic claims submissions

2023 Formulary Changes

Wednesday, October 25th, 2023

Our Medicare formularies are updated monthly and last approved date is 10/01/2023

Health & Housing Toolkit

Wednesday, October 11th, 2023

Resource for community partners who are working to advance health and housing partnerships

Payment for OTP Services

Wednesday, August 23rd, 2023

Medicare is the primary payer for dual-eligible beneficiaries who receive Opioid Treatment Programs services

CMS PDGM Payment Methodology

Wednesday, July 5th, 2023

Since January 1, 2020, CMS has used PDGM to reimburse home health agencies that provide home health services.

CMS SNF Payment Model

Wednesday, July 5th, 2023

Read about CMS’s Patient-Driven Payment Model (PDPM), for reimbursing Skilled Nursing Facilities (SNF) stays.

Medical Records for Post Payment Review

Monday, April 24th, 2023

Providers need to provide complete and accurate records timely for post payment review

Determining New or Established Patients

Tuesday, April 11th, 2023

How to use evaluation and management (E/M) codes for “new patients” vs. “established patients”.

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