1. Does WCH have a compliance plan?
WCH has a fully developed effective compliance plan consistent with CMS, by the U.S. Department of Health Services. Our plan is based on “Professional requirements for service bureau per Title 18 – Department of Health Rules and Regulations” (Section 504.9 – Service bureaus). If your practice is currently using a billing company, we highly recommend reviewing their compliance plan. Medical billing companies working without a compliance plan may leave the door open for problems that can significantly impact your practice’s operations.
2. When a claim is “denied” by the payer, how is the issue resolved?
We don’t take “no” for an answer and we’re accustomed to the diversity of denials from insurance companies. Whether an insurance error or misleading patient data, we understand the process of working through denied claims within the designated time frame to ensure the highest reimbursement possible for your practice.
3. Can I or any of my staff access billing, claim, or patient information from my home computer?
Yes, WCH offers the use of our individual PMBOS program for your personal computer, in which, all of your practice’s information including billing, claims and patient is accessible. Our programs can also create appointment schedules, and provide access to useful information such as insurances’ and contact lists.
4. How do I get invoiced?
WCH clients are invoiced on a bi-weekly schedule for all payments received prior to last invoice. Invoices are e-mailed, faxed or sent with our pick-up service, one week prior to the payment due date. Clients are able to pay invoices by check or through a securely electronic transaction using PayPal.
5. What type of reporting does WCH provide for my practice? Can reports be customized?
WCH provides a number of customized reports based on client needs. Some of the customized reports include: average, patient responsibility, 1099 amount by insurance and payment provider within a practice.
Our standard reports include: amount of claims billed within a certain time frame, claim's notes, outstanding details, total visits and processed claims. Standard reporting of the billing and collection activities are provided on a weekly basis.
6. How does WCH assure the security and availability of the software and the practice’s data?
Your security is of critical importance to us. Your practice information is kept securely and will always be backed securely. During the day, including weekends and holidays, the computer sever automatically generates back-up files At the end of the day, the last back up file is automatically written to a data CD. In addition to, at the end of each week, the last back-up file is automatically written to a CD stored in a fire-proof facility. Your data is accessible at any time.
Data in our PMBOS program is securely stored and no one has access unless they are authorized by the client or WCH. We do not share your information with any outside party and everyone on our staff signs a confidentially agreement.
7. How many people will be handling my account?
Atypical practice will have three account representatives that handle billing, collection, communications, reporting and all other issues concerning the practice. In addition to the account representatives, a group consisting of the billing department manager, team supervisor and technical personnel will monitor as well as enforce proper work performance for your practice.
8. Are there any sign up fees to begin the billing process?
There are no set up fees to begin working with WCH.
9. Is there a contract that I must sign in order to begin working with WCH? If I am not satisfied, can I terminate my contract?
There is a standard contract to protect our terms and conditions. If you find that you are unsatisfied with our services, you can terminate your contract with WCH with no problem. A 30 day notice is required prior to the official termination date.
10. Are credentialing and billing service part of one service?
Our credentialing and billing services are two separate contracted services; although, if you decide to use our billing services, credentialing services will be priced at a special promotional fee.
11. How long does it take to set up all information and begin the billing process?
It takes one to three days to set up a new client in our program. Moreover, to begin submitting claims to Medicare, the process takes approximately seven days to set you up with our WCH submitter Id. To bill Medicaid takes approximately two days, commercial insurances may be billed right after.
12. Who is on the team at WCH?
The WCH team consists of 80 hardworking people that are dedicated to helping your practice by improving your reimbursement rates, easing your workload and giving you more time to see patients.
Professionals on the team include: certified professional coders, medical billers, collectors, credentialing specialists, HIPPA compliance officers, IT specialists and a management team that oversees the productivity along with the quality of the staff’s performance.