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Colorado Providers – New Credentialing Standards for Pinnacol Assurance!

As part of the ongoing effort to educate providers about the most effective treatment protocols for workers’ compensation, Pinnacol Assurance is amending their SelectNet network credentialing standards for nurse practitioners and physician assistants practicing in the following urban counties:  Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, El Paso, Elbert, Garfield, Jefferson, Larimer, Mesa, Pueblo, and Weld. Mid-level providers in…

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Colorado Medicaid Begins Provider Credentialing Revalidations!

Colorado Medicaid and CHP+ Provider Revalidation & Enrollment Begins September 15, 2015 New federal regulations established by the Centers for Medicare and Medicaid Services (CMS) require enhanced screening and revalidation for all Medicare, Medicaid, and CHP+ providers. Beginning September 15, 2015, all Colorado providers who want to continue, or begin, providing services to Medicaid and…

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Please, Do Not Feed the Wildlife…

S61.451A — Open bite of right hand, initial encounter W55.81XA — Bitten by mountain lion Y93.01 — Activity, hiking In preparation for the upcoming deadline for ICD-10 implementation, RT Welter presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation…

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Grilling Season Mishaps

T22.112A — Burn of first degree of left forearm, initial encounter X08.8XXA — Exposure to fire, initial encounter Y93.G2 — Activity, grilling In preparation for the upcoming deadline for ICD-10 implementation, RT Welter presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the…

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SCOTUS: Same Sex Couples Can Legally Marry

SCOTUS rules: Regardless of your politics, it’s the law of the land.  Same sex couples may now legally marry in all 50 states.  Be sure your forms and procedures for spousal notification, sharing of information, etc. are up to date and accurate!   These societal shifts seem to always follow with high profile missteps and mistakes. …

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CMS is Preparing to Update Eligible Professionals

The Centers for Medicare & Medicaid Services is preparing to update eligible professionals and group practices on its plans for 2017 Medicare payment adjustments in an upcoming Medicare Learning Network (MLN) Provider Call on September 24. The call scheduled for later this month — Medicare Quality Reporting Programs: 2017 Payment Adjustments — will focus on…

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ICD-10 Post-Implementation Flexibilities Clarified

Below, you will find clarification regarding ICD-10 flexibilities for post-transition (as scheduled for October 1, 2015) from the Centers for Medicare and Medicaid Services (CMS.) CMS intended last week’s frequently asked questions (FAQs) on these flexibilities to provide clarification for healthcare organizations and providers. Apparently, two FAQs in particular did not do the trick and…

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