Providers need to provide complete and accurate records timely for post payment review
READ MOREHow to use evaluation and management (E/M) codes for “new patients” vs. “established patients”.
READ MORENew members are receiving Consumer Assessment of Healthcare Providers and Systems survey soon.
READ MORE2023 PA List and Utilization Guidelines (effective: Jan 1, 2023)
READ MOREOur latest Provider Newsletter highlights provider and staff training and the new provider directory.
READ MOREOur new prior authorization code lookup tool is coming soon, learn more.
READ MOREOur November 2021 Pharmacy Preferred Newsletter is now available.
READ MORECHPW’s clearinghouse has been rejecting any claims submitted without valid billing and/or rendering taxonomy codes.
READ MOREShingrix Vaccine is recommended in adults age 50 and older.
READ MORECHPW identified claims for definitive urine drug testing performed on the same day as presumptive urine drug testing.
READ MORELearn about the new provider search tool coming in July.
READ MOREBeginning January 1, 2020, CMS will use PDGM to reimburse home health agencies that provide home health services.
READ MOREThe enrollment process is all electronic and does not require a fee to register or enroll.
READ MORENew enriched benefits and reduced cost-sharing for chronic conditions
READ MORERead about CMS’s new Patient-Driven Payment Model (PDPM), for reimbursing Skilled Nursing Facilities (SNF) stays.
READ MORECommunity HealthFirst Medicare Advantage is now Community Health Plan of Washington Medicare Advantage
READ MOREThis CMS guide shows recommendations for improving access and quality of care for patients with disabilities.
READ MORENew Add Change forms are available online. Use this form to notify us of changes in your information.
READ MOREThis guide goes over patient rights and services that clinics must provide for patients with disability.
READ MORECHPW willl follow a new process to submit Medicare claims to CMS.
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