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WCH News

The Secret behind Your Practice High Reimbursement

Wednesday, November 1, 2017

The Secret behind Your Practice High Reimbursement

 

Here at WCH, OUR GREATEST ASSET is that we provide medical practices with up to 98% reimbursement on claims. We don’t only cross all “t’s” and dot all “i’s” to make this happen, we also fight back on behalf of our clients when it comes to incorrectly processed claims, policy disputes, unfair auditing decision and much more. There is a reason why WCH is often referred to being called the doctor to doctors.

 

Our formula for success:

 

Internal procedures + technology + continuing education = High Reimbursement

Internal procedures

  •  Policy and procedure manual – work manual by which all processes are controlled and processed. From clerical position in billing to management position, the manual outlines responsibilities, tasks, goals, and workflow for every single situation and more
    •     Reporting and communication processes
    •     Monitoring and internal auditing processes
    •     Investigative procedures
    •     Education and training procedures
    •     Grading system for all levels of positions in billing
  • Department of health registration as Service Bureau and our commitment to follow state regulations for billers
  • Quality assurance: We pay attention to every stage of the process of getting reimbursement for your claims.
  • Clean claim submission: Submitting only eligible claims for process, reducing incorrect billing and denials.
  • Timely collection of claims: Claims are placed into monitoring mode 48 hours after submission to insurance carriers for process.

Technology

Privately developed - PMBOS “Patient Management and Billing Operating system”.
This system is our billing program and we also make it available for our clients to have complete practice control from the client’s location.
Main program features: 

  •     Billing and coding edits
  •     Clearinghouse capability for claim submission to national carriers
  •     Client access to complete claims data, payments, reports and customized reporting, user maintenance for access limitations.
  •     Electronic superbill for real-time billing
  •     Atomization of secondary claims, electronic posting and patient billing

Continuing Education

At WHC, we understand the importance of professionalism and value it brings to our clients' practices. Healthcare industry doesn’t sleep, and WCH works hard to stay on top of all changes. Certification with AAPC, HBMA, CMS and AMBA is vital part of our education development internal program. WCH invests into staff education and it has become one of our top priorities. Medical Billers and Coders Professionals in this field must have a proper knowledge about different insurances policies and procedures that include government and commercial payers.

From internal education we developed Client training program focused on improving physician’s knowledge of coding and insurance policy requirements. This training is done through webinars, onsite training, newsletters and weekly meetings with clients.

To sum it all up – WCH strives to provide Clarity, Comfort and Security for every client.

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