WCH Medical Billing Franchise: Insights from Industry Conference

Our team recently attended the fourth annual “Ask a MMCP” Billing Panel hosted by the Managed Care Technical Assistance Center (MCTAC) in Albany on June 11. This valuable conference provided a wealth of insights on current billing trends and best practices in Medicaid Managed Care. 

Key Takeaways for WCH Medical Billing Franchisees: 

  • Staying Up-to-Date on CFR: The New York State Office of Mental Health (OMH) provided updates and resources on Consolidated Fiscal Reporting (CFR) requirements. 
  • Programmatic and Billing Updates: The Office of Alcoholism and Substance Abuse Services (OASAS) shared the latest information on billing and program models for outpatient care. 
  • Recent Billing Changes: MCTAC offered an overview of recent program-specific billing changes and requirements, ensuring our services stay compliant. 
  • Plan-Specific Billing Strategies: Representatives from Medicaid Managed Care Plans (MMCPs) – including Capital District Physicians’ Health Plan (CDPHP), Excellus, United Healthcare, and Wellpoint/Highmark BCBS – provided valuable insights into their specific billing expectations and tips. 
  • Enhanced Billing Processes: The conference explored strategies to improve billing processes and revenue cycle management, allowing us to optimize our services for your practice. 

Medicaid Managed Care Plan Panelists: 

  • Capital District Physicians’ Health Plan (CDPHP) 
  • Excellus 
  • United Healthcare 
  • Wellpoint/Highmark BCBS 

Additionally, representatives from several MMCPs were present to answer questions and network with attendees. These included: 

  • Anthem Blue Cross and Blue Shield (formerly Empire BCBS Healthplus) 
  • Fidelis Care 
  • MVP Healthcare 
  • Healthfirst 
  • EmblemHealth 
  • Molina Healthcare 

By attending industry conferences like this, the WCH Medical Billing team stays at the forefront of regulatory and billing best practices. It ensures we can provide you with the most up-to-date and effective billing solutions for your medical practice. 

Contact WCH Medical Billing today to learn more about how we can help you navigate the complexities of billing and optimize your revenue cycle. 


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