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Healthcare News

̶ ̶ ̶ ̶ ̶ ̶ ̶ WCH News

Contractual obligations for out-of-network providers

6/28/2022
WCH is committed to the success of our clients. For over 20 years, we have been resolving thousands of claim denials and underpayments directly with various insurance companies and other payers. At the same time, we have helped our clients tackle issues related to their insurance contracts or absenc...
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How to work on denied claims

6/26/2022
In recent months, our experts have witnessed a significant increase in claim denial rate of our prospective and existing clients. Insurance carriers have taken up a tendency of denying payment for services for no medical necessity. Surprisingly, even regular office visits have been affected. In addi...
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5 simple steps to make your claims paid in full

6/22/2022
At some point, many of us have wondered if there is "a secret formula" that eliminates all claim denials and instantly rises a reimbursement rate to 100%.The truth is – there is none. However, there are still some effective methods that can significantly decrease your claim denials. We...
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The future of telemedicine: CMS prospective

6/19/2022
Since the early days of the COVID-19 pandemic, telemedicine has become an essential way to render health care to everyone in need all over the world. By implementing various virtual care solutions, healthcare providers have kept their businesses up and running, while also keeping their patients and ...
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Dos and don’ts of balance billing

6/15/2022
If you are an outpatient healthcare provider, you have probably collected an outstanding balance from a patient at least once. Most of such collections involve getting funds for your patients’ deductibles and coinsurance. However, in some cases, insurance payers do not reimburse for a full cha...
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Why certifications matter when looking for a medical biller

6/1/2022
Medical billers and coders are critical to revenue cycle management, thus having a skilled and high-performing workforce is critical to running your medical practice smoothly and successfully. Medical billers submit and follow up on claims with insurance companies in order to get paid for services p...
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Everything you need to know about prior authorizations

5/29/2022
Commercial payers and Medicare/Medicaid alike often require healthcare providers to ask for approval prior to rendering a service. A prior approval, or authorization, is a payer’s allowance to perform a procedure on a particular patient given to a healthcare provider. Such approvals are n...
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HIPAA awareness: how to store the medical records of your patients

5/29/2022
HIPAA stands for “The Health Insurance Portability and Accountability Act”. It is a set of standards regulating the privacy of patients’ Protected Health Information (PHI). The act was introduced by the U.S. Congress in 1996. The purpose of this federal regulation is to ensure the ...
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Common challenges of podiatry billing

4/17/2022
As it is currently with nearly all medical specialties, getting paid flawlessly is a challenge in podiatry. Newly-introduced podiatry coding guidelines, combined with an increasing number of patients, make it harder for physicians to receive fair payments for their services.Podiatry medical billing ...
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Facing insurance audits as an out-of-network provider

4/12/2022
Still have no contracts with some insurance payers? While out-of-network payment rates may be attractive, insurances are still quite “peaky” when it comes to quality assurance. However, having no enrollment contact does not mean facing no recoupments.According to internal research done b...
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Billing for split/shared evaluation and management service

4/7/2022
If you are a physician working at a private medical facility, you may be cooperating with your colleagues when it comes to determining a patient’s clinical condition and subsequent methods. Did you know that the CMS pays for split evaluation and management services perform...
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When to use other clinician's documentation for a more specific diagnosis

4/3/2022
Documenting your patients’ clinical conditions is an extremely tough, but important process. The CMS and commercial payers require you to indicate the desired medical necessity in a maximum level of detail in the medical records and on insurance claims of each patient. The latter process inclu...
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How to report behavioral health assessment

3/21/2022
Mental health is extremely important. This “umbrella” specialty of medicine deals with the issues that directly impact how we think, feel, and cope with our lives. As a result of all the stressful events currently experienced by billions of people all over the world, the dema...
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How to get the most out of your telehealth services

3/18/2022
Since the early days of the COVID-19 pandemic, telemedicine has become an essential way to render health care to everyone in need all over the world. By implementing various virtual care solutions, healthcare providers have kept their businesses up and running, while also keeping their patients and ...
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Five steps to take to master a revenue cycle management process

3/13/2022
Being a healthcare professional is a challenging mission. Every day, most of you have to balance between saving lives and dealing with the issues related to payments. With that in mind, you are obviously familiar with the aspects like claim denials, recoupments, and payer crede...
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WCH News

June 29, 2022
5 reasons to consider franchising
Ever wondered why some entrepreneurs are more successful than others? Yes, persistence, innovation, and a good investment capital are important, but acquiring a business from an established model ensu...
June 28, 2022
New service for home care agencies
The WCH credentialing team has gained so much recognition in the Home Care industry over the recent years. With growing experience and an extensive new list of clients in this area from New York State...
June 26, 2022
Why you need to check your insurance contracts
All participating providers should be aware of their contracted fee schedule with health insurance payers and ensure that their contracted rate is up-to-date. As credentialing experts, we often see th...
June 22, 2022
How WCH helps healthcare providers to succeed in their business
Managing a medical practice in this extraordinary is a challenge by itself. Not only do healthcare providers have to deal with maximizing their cash flow, but most of you constantly sacrifice your fin...

Healthcare News

June 28, 2022
Contractual obligations for out-of-network providers
WCH is committed to the success of our clients. For over 20 years, we have been resolving thousands of claim denials and underpayments directly with various insurance companies and other payers. At th...
June 26, 2022
How to work on denied claims
In recent months, our experts have witnessed a significant increase in claim denial rate of our prospective and existing clients. Insurance carriers have taken up a tendency of denying payment for ser...
June 22, 2022
5 simple steps to make your claims paid in full
At some point, many of us have wondered if there is "a secret formula" that eliminates all claim denials and instantly rises a reimbursement rate to 100%.The truth is – there is none. Ho...
June 19, 2022
The future of telemedicine: CMS prospective
Since the early days of the COVID-19 pandemic, telemedicine has become an essential way to render health care to everyone in need all over the world. By implementing various virtual care solutions, he...

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Dear Provider,
WCH can help your practice in your credentialing needs! Using a credentialing specialist with the knowledge, expertise and connections that can help position your practice ahead of time. Let us help you today! During credentialing process WCH becomes your external credentialing department for all communications, submissions, follow up and any other questions that will come up during the process.

WCH Specializes in:

  • All individual Medical specialties
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Medical billing services offered by WCH Service Bureau go far beyond the usual understanding of billing.

 

What we offer is not just excellent professional billing and collection services. We also stand as guardians of your reimbursement and compliance with federal, state laws and regulations as well as private insurance policies and procedures.

 

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Periodic medical chart auditing is vital for any healthcare provider and medical practice. Let the professionals evaluate your coding, billing, and documentation practices! Our auditors are AAPC-qualified CPMAs (Certified Professional Auditors) and CPCs (Certified Professional Coders). We perform comprehensive Chart Auditing. We can do the following services for you:

  • Identify areas of risk leading to upcoding or downcoding and medical coding accuracy;
  • Ensure that coding practices are compliant with the regulations set forth by private and government payers;
  • Evaluate Incident to guidelines and services performed on collaborative premises;
  • Perform Analysis of Denials/Duplicate billing /Appeal process/Modifier usage;
  • Review Front Desk work including but not limited to: Eligibility verification/Benefit maximums verification/Excluded services verification/Authorization process/Patient responsibility (deductibles, copays, coinsurance)/Coordination of benefits;
  • Evaluate Insurance plans participation and consistency of contracted rates;

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