medical billing NY WCH Service Bureau, Inc
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(718)312-8068

Email:billingonline@wchsb.com

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Ilya Mirolyubov

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(718)934-6714 ext 1111

Email:wchtech@wchsb.com

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real time eligibility

claimsrocky mountain health plansan francisco health plansan joaquin health plansanta clara valley health and hospitalscott&white health plansenior care action network (scan) hmosouth carolina medicai...

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medical billing

claims to the proper insurance carrier and ensure timely submission of each claim. our company policy is to submit claims within 5 business days of superbill receipt from our clients. each claim is p...

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medical billing faq

claims, but also check eligibility for my patients. is there a remote receptionist service?

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e-superbill

claims for incorrect claim submission, raising fewer red flags and thus protecting the providers from future audits. it also, eliminates unnecessary work of personal and saves enormous amount of mone...

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frequently asked questions

claim is “denied” by the payer, how is the issue resolved?

we don’t take “no” for an answer and we’re accustome...

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medical billing

claims to the proper insurance carrier and ensure timely submission of each claim. our company policy is to submit claims within 5 business days of superbill receipt from our clients. each claim is p...

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medical chart auditing

claims. in fact, the most frequent errors in claim processing can be attributed to improper coding and/or a lack of necessary documentation. it may seem simple, but with today’s ever-changing medic...

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end user license agreement

claims, suits, losses or actions against wch arising from, related to or in connection with any violation by licensed user of any applicable law, rule or regulation governing appropriate use of pmbos....

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patient management billing operating system pmbos

claim the best front office management tool; robust billing fraud prevention appointments can be made in the same medical billing software everything starts at the front desk! the appointmen...

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patient management billing operating system

claims. this page is used to work with all claims of practices. you can use different filters to find those claims you would like to work with. you can sort claims by practice name, status, date of se...

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real time eligibility

claims and reimburses the service that you provided. with this application, you can check patients’ eligibility easily   with the insurances that you need.  just enter the basic information and receiv...

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second opinion audit

claims are being denied, you could be leaving many thousands of revenue dollars on the table every year. a wch second opinion helps multi-location, multi-specialty practices and single office provide...

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software and web development

claims along with payments from the convenience of your office or home any time, any day. •  time management program time cards are history! begin using computerized programming to count salary, manag...

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start using ismart ehr

claims. our monthly, subscription-based service, which starts at only $245 per month, requires no significant cost outlay. contact: olga mirolyubova olgam@wchsb.com 718-934-6714 x 1220 ...

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switching billing companies: the risks of falling for an intro promotion

claims and practice data and run reports? how do they communicate?    research: what are professional magazines and publications saying about billing issues and concerns? does the company you’re c...

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one click: checking patient eligibility with wch ismart just got smarter

claim paid if it is denied due to lack of coverage. this one click feature will make it so much easier for front office staff and billers to get the information they need up front to ensure coverage.”...

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mips reporting countdown: act now to avoid penalties

claims attestation web portal   picking your pace   cms established three options to help providers, participating as either a group or individual provider, start transitioning to mips reporting ...

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wch trains practice staff and nearly doubles reimbursements

claims for patients even after the insurance company said they weren’t covered anymore. the in-house biller was also missing opportunities for recouping revenue because she wasn’t familiar with the pa...

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increase in documentation submitted without a valid provider signature affects payments

claim denials that require time-consuming appeals. all medical records must have either a written or electronically entered provider signature. when that signature is not legible, records should be su...

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evaluation and management: correct coding crucial for compliance

claims for evaluation and management (e/m) services were incorrectly coded and 19 percent lacked documentation. this included both upcoding, with a number of physicians increasing billings of higher l...

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wch advocates for healthcare billing reform

claims every year.during the healthcare business management association’s (hbma) legislative fly-in day, may 25, wch chief executive officer aleksandr romanychev, olga khabinskay, chief operating offi...

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wch reinstates and recovers claims for clients disenrolled from uhc in error

claims for clients disenrolled from uhc in error when two podiatrists were terminated from united healthcare (uhc) without reason, wch account representative and medical biller yuliya ogay got them bo...

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profitable news for providers

claims continue to be reimbursed without delay.watch for registration information for an upcoming wch webinar with more details addressing provider questions.fidelis care opens new york urgent care pa...

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new medicare cards offer greater protection to more than 57.7 million americans

claim number (hicn) currently used on medicare cards. cms will begin mailing new cards in april 2018, with a congressional deadline for replacing all medicare cards by april 2019.read about the multi-...

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introducing wch revenue text

claims created, claims sent to insurance, claims modified and payments posted. providers can personalize when and how frequently they receive updates – at a specific time of day, weekly, or whenever. ...

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meet account representative and biller timur miftahutdinov

claims every day and has resolved several challenging cases in his less than a year and a half with wch.timur joined wch in december 2015. with a degree in economics, and experience working in busines...

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upcoming request for medicaid provider documentation under the payment error rate measurement (perm) program

claims will be requested by chickasaw nation industries (cni) advantage, llc, the new cms review contractor. for more information, read the april 2017 medicaid update, page 8...

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medicare part c reimbursement reminder

claims containing medicare part c (medicare advantage or medicare managed care) co-payment and/or co-insurance liabilities. retroactive to july 1, 2016, medicaid will no longer reimburse the full medi...

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tiptoe into technology with wch’s e-superbill: it’s quick, easy, and efficient

claim filed. and bills can be processed faster with fewer mistakes. “a client who manages his wife’s medical office told us she spends hours every friday catching up on a week’s worth of paperwork,” ...

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committed to continuing education

claim forms and more. she is preparing to take the cpc exam this summer, followed by the cpma.  she won’t stop there. “i want to earn all of the certifications i can,” says maria, “i’m proud to be par...

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do your billing processes need a second opinion?

claims that are filed with undercoding, upcoding or other errors that may be denying your practice legitimate reimbursement.  these inaccuracies could result in legal action if discovered by third par...

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how long do i have to keep patient records and do i have to maintain the entire record?

claims may potentially be made against you and having the record may be your best defense.  i had a client with a patient with hepatitis claim an illnesses spreading 20 years and a complaint was made ...

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all providers must revalidate enrollment with state medicaid agencies every five years to ensure payment of claims

claims the new york state department of health has determined that many providers are at risk for not being paid for their services because the ordering/prescribing/referring (opr) provider has not co...

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unspecified icd-10 leads to audit

claims when the grace period is over for not being prepared. please make sure that you are practicing how to implement icd-10 codes to the best of your ability so that when the grace period ends, you ...

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unspecified icd-10 leads to audit

claims when the grace period is over for not being prepared. please make sure that you are practicing how to implement icd-10 codes to the best of your ability so that when the grace period ends, you ...

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new cmrs on staff...

claims paying process from the time a service is rendered by a healthcare provider until the balance is paid.•    become more knowledgeable in icd-9, icd-10, cpt4 and hcpcs coding.•    are knowledgeab...

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the insurance industry promised they would be ready for icd-10. what happened?

claims for both icd-9 and icd-10 depending on the date of service of the claims. unfortunately, we have to report that several insurances have had technical difficulties accepting claims in october wi...

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why i love working at wch

claims and bill the patients. i enter patient demographic and insurance information into the medical claims software. then we submit and follow up on any claims in order to receive payments on time fo...

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wch service bureau will help you to increase your revenue 40% in the next year.

claims to medical insurances for treatments, which your compromised patients so desperately need but cannot afford while their dental payers deny coverage, is not only necessary for providing a proper...

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no fault insurances accepting claims with icd-10

many of our wch clients have asked if no fault insurances will continue accepting icd-9 codes, or they will also switch to icd-10. to answer the question, we have contacted many insurances  and they h...

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do you know what specific specialties medicare (ngs) is auditing?

claims for specific billed services. a more detailed summery of their target is located by the following this link: linkhere is the extract of the most recent :1. providers in downstate and queens, ny...

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why i love working at wch

claims to insurance carriers.  this process is called billing, and its is very important to apply all my knowledge and experience to get maximum reimbursement for providers. i take my responsibilities...

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icd-10 the right way

claims using unspecified codes. we walked all of our clients from icd-9 to icd-10 codes, and created templates for each specialty. all of our aapc coders have completed icd-10 proficiency assessments....

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ismart ehr

claims, payments, patient billing, and all other financial data of your practice. our goal is to provide you with full transparency from the time you see the patient to the point of receiving payment ...

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icd 10 wake up call - how your practice will work in october?

claims falls on the medical providers, not on their biller counterparts. all medical providers need to be fully prepared to use the icd-10 codes correctly since the responsibility of diagnosing the pa...

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5 tips and tricks for negotiating better urgent care contracts

claima contract negotiation request typically involves a letter to the director of the network and provides additional information to the insurance companies. attaching additional information such as ...

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medical chart review services by wch

claims. in fact, the most frequent errors in claim processing can be attributed to improper coding and/or a lack of necessary documentation. it may seem simple, but with today’s ever-changing medical ...

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wch at nysadsa conference

claims!!!! overbilling visits billing wrong location billing for services not rendered billing for services for another adult day care center illegally solic...

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nys omig december annual certification 2014

claims for care, services or supplies for or on ­behalf of another person for which medicaid is, or should be reasonably expected by the ­provider to be a substantial portion of their business ­operat...

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new cpb and compliance officer on staff

claims in accordance with government regulations and private payer policies, following up on claim statuses, resolving claim denials, submitting appeals, posting payments and adjustments, and managing...

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avoid conflicts between your trusted billing company and your new ehr vendor

claims and plays a crucial role in its client’s reimbursement process! so, do not let your new ehr vendor dictate the work flow of your trusted billers. whether or not you are using wch ehr along with...

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intensive outpatient service (ios)

claim two group services on onevisit date. after 1/1/2011 programs may only bill forios using s9480.programs without a specific ios track are not for anydate of service permitted to bill two groups fo...

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medicare covers an annual wellness visit. are you seeing patients for wellness visit in january 2015?

claim for the awv. this document is divided into two sections: the first explains the components included in the first awv a beneficiary receives; and the second explains the components included in al...

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protect your assets or else…

claim” arose? if the claim existed prior to the transfer, the transfer will likely be considered fraudulent. sales and exchanges – did the transferor receive equivalent value back in exchange for m...

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important update to your billing agreement

claims to insurance companies. all claims must reflect the services performed at the time of the visit. buy randomly selecting to review the medical records, we are checking that the claims we submit ...

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providers, are you speaking with your billers? learn why you cannot avoid that conversation?

claim format. the duty of the medical biller is to ensure that the provided data is entered accurately, however in wch the duties of the medical biller go beyond just claim submitting. our professiona...

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ehr incentive programs still available

claimed that money. we urge all providers to start applying now so that you will be able successfully to implement the ehr in your practice. here are the details of the incentive program:eligible prac...

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important news for our clients: we updated our billing service agreement, find out what has changed.

claim has been amended to $6.79 from $4.01 for capitation and denial of submitted claims resulted from the fault of client mistake. section 28: an additional charge of $6.79 will be billed for capi...

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be protected, hire wch billing service

claim submission service; we provide you with confidence, security and comfort that your data is accurately submitted to the insurance company and deliver to you 97% - 98% reibursment on your claims. ...

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tips for successful medical billing

claims to insurance companies to receive reimbursement for services rendered by the physician and healthcare practitioners. medical billers and providers nationwide face difficulties in establishing b...

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your practice deserves only the best!

claims we follow omig, medicaid and medicaid billing guidelines we heavily invest in education of our staff we educate our clients and their staff we provide ceu credits we create month...

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wch wins

claims is unjustly unpaid. when issues do arise, wch staff goes above and beyond to fight for the claims and the rights of our clients. our personalized approach has made us very successful in dealing...

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what makes a professional biller?

claims requires knowledge of coding guidelines, insurance requirements, and state and federal regulations. additional expertise is necessary to ensure claims are properly paid. qualified medical billi...

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icd-10 testing week done!

claims. cms conducted a national testing week for current direct submitters to provide the opportunity to submit edi test claims on march 3rd-7th in efforts to be fully prepared for the icd-10 transit...

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excellent medical chart increase quality of patient care

claims. the most frequent errors in claim processing can be attributed to improper coding and/or a lack of necessary documentation.wch it to improve your office’s clinical documentation contact our co...

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closer look at inside wch chart review service

claims, bundling issues and charge captures integrate medical coding and reimbursement rule changes into a practice’s reimbursement process. normal0falsefalsefalserux-nonex-none

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what makes a professional biller?

claims requires knowledge of coding guidelines, insurance requirements, and state and federal regulations. additional expertise is necessary to ensure claims are properly paid. qualified medical billi...

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countdown to icd-10, wch is ready, are you?

claims submissions, since these details will make the initial claim much easier for payers to understand.read more

the first and only aapc certified cpb in brooklyn, new york.

claims in accordance with government regulations and private payer policies, following up on claim statuses, resolving claim denials, submitting appeals, posting payments and adjustments, and managing...

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aleksandr romanychev named a vip member of worldwide who's who for excellence in medical billing services.

claims processing. wch prepares and submits all claims to the correct insurance carrier in a timely manner. each claim is then processed by a skilled medical billing staff to ensure that each bill adh...

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wch is proud to announce that zukhra kasimova has passed the cpb exam!

claims in accordance with government regulations and private payer policies, following up on claim statuses, resolving claim denials, submitting appeals, posting payments and adjustments, and managing...

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tips for successful, timely provider credentialing

claims, but the doctor may not be paid unless the patient has out-of-network benefits.begin the paperworkthe process starts with the credentialing form—some 20-40 pages, on average. most insurers requ...

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tips for successful, timely provider credentialing

claims, but the doctor may not be paid unless the patient has out-of-network benefits.begin the paperworkthe process starts with the credentialing form—some 20-40 pages, on average. most insurers requ...

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wch efforts in preparing and implementing th icd-10

claim form, data base of our billing software (pmbos) and perform all necessary review and upload specific updates for icd-10 edi standards if any. add applications and option for selective billing us...

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wch now offering e-superbill

claims for incorrect claim submission, raising fewer red flags and thus protecting the providers from future audits.  it also, eliminates unnecessary work of personal and saves enormous amount of mone...

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congratulations to veronika mukhamedieva!

claims are in order and that they receive maximum reimbursement. once again, we congratulate veronika on her accomplishment.      ...

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wch service bureau honors its professional medical billing staff on national medical billers day, march 28, 2013

claims that are timely, accurate and approved and we are consulting extensively on billing and reimbursement issues.”sponsor of the day, the american medical billing association's (amba) goal is to pr...

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icd 10-wch interviewed by cms research team

claims, which means you will not get paid for services. wch outlined the most vital aspects of the transition process below:each practice will need: impact assessment (internal education, purchase sof...

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cms introduces easy way to start pqrs reporting, avoid 2015 payment cuts

claims-based reporting option in 2013, the only year it’s available. cms will pull the data from your claims, and you’ll avoid the 1.5% payment adjustment in 2015.source: decisionhealth.com...

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uhc dme modifier requirement in 2013

claim will be denied and returned.for those codes on uhc fee schedule that allow both rental and purchase, one of the following modifiers must be reported: rr - rental kh - initial claim, purcha...

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major therapy reimbursment changes starting october 1st, 2012!

claims for patients who meet or exceed $3,700 in therapy expenditures will be subject to a manual medical review. for outpatient therapy services that exceed $3700 there will be an advanced approval p...

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deactivation of clinical education e-mail box and telephone line

claim-specific requests at this time, due to protected health information (phi) internet security policy requirements. when completing your request, please make sure it does not include any of the fol...

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non-specific procedure code description requirement for hipaa version 5010 claims

claim implementation guides mandate that when claims use non-specific procedure codes a corresponding description of the service is now required....

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reminder: technical component of advanced diagnostic imaging accreditation requirements effective sunday, january 1, 2012

claim. the professional component claims are not affected by the accreditation requirements and must be processed as usual.refer to transmittal #380, http://www.cms.gov/transmittals/downloads/r380pi.p...

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medicare physician fee schedule 2012 update.

claims for ten business days (until jan. 17). watch your medicare website for the short-term fee schedule applicable to your locale.the uncertainty of the fee schedule also extends the participation e...

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service-specific prepay audit being conducted for physical and occupational therapy services billed by physicians

claims to medicare.  the medicare therapy benefit allows for physical and occupational therapy services to be provided by physicians, nonphysician practitioners (npps), or incid...

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medicare updates hep b admin code guidance

claims processed with dates of service on or after jan. 1, 2011, outpatient prospective payment system (opps) providers should report hcpcs level ii code g0010 administration of hepatitis b vaccine fo...

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WCH NEWS

Single Screen EHR Template for Multiple Specialties: WCH iSmart Does it All!   WCH made a multi-s...

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Important Info

Prolonged Services Without Face-to-Face Contact Now Separately Payable   Beginning January 1, 2017...

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Payment Options

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WCH NEWSLetter

Summer 2016 Bulletin

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