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Healthcare News

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How to bill optometry & ophthalmology

7/16/2022
Thanks to the COVID-19 pandemic, most of us have started spending even more time looking at flat screens of our smartphones, laptops, and computers. No matter how hard it may sound to believe, vision care service providers are currently in exponentially increasing demand thanks to a pandemic that is...
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Billing out-of-network: a guide

7/11/2022
Are you out-of-network with the plan but still want to accept a patient?Non-contracted practitioners can be reimbursed quite well by insurance if certain conditions apply. There are several important things to know prior to performing any service in such cases.First, it is critical to check if the p...
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Talk to your biller - maximize your practice performance

7/6/2022
At WCH, we care about your practice. Our billing and credentialing experts offer an all-inclusive package of services for you to maximize your reimbursement flow. We aim to provide top-quality assistance to our clients, that is why we assign individual account representative(s) to each of you. Your ...
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Medicare Unlikely Edits

7/3/2022
MUE (Medically Unlikely Edits) is the maximum number of units of service allowed, under most circumstances, for the same provider on the same date of service for the same patient.MUEs affect hospital outpatient departments, physicians and non-physician practitioners, and durable medical equipment (D...
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Coordination of Benefits and why you need to check it regularly

7/3/2022
Insurance coverage information is often confusing. Some of your patients may have coverage with up to 4 insurances or benefit plans. For example, Mary may have an active plan with both Medicare and Medicaid, Aetna, and Empire Blue Cross Blue Shield. At the same time, Mark may be an active FidelisCar...
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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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WCH News

March 29, 2023
Medical Billing Franchise: An Opportunity to Tap into the Lucrative Healthcare Industry
Medical Billing Franchise: An Opportunity to Tap into the Lucrative Healthcare Industry A medical billing franchise is a type of business model that allows you to own and op...
January 18, 2023
WCH Accomplishments 2022
AT THE BEGINNING OF THE NEW YEAR, IT IS CUSTOMARY TO  SUMMARIZE THE RESULTS OF THE PREVIOUS ONE. WE THANK YOU FOR YOUR TRUST AND SHARE OUR ACCOMPLISHMENTS WITH YOU.Creden...
December 26, 2022
Professionalism is Not Afraid of Obstacles
Professionalism is Not Afraid of Obstacles WCH is always happy to share its success stories with you. This month, we want to feature a recent story about the journey of our pharmacy specialty cus...
November 07, 2022
NEVER STOP LEARNING
“Education is the most powerful weapon which you can use to change the world”, Nelson Mandela. We are glad that people who gathered at the WCH team share this opinion and are proud that th...

Healthcare News

March 29, 2023
The Future of Healthcare Policy after the Termination of COVID-19 Health Emergencies
The Future of Healthcare Policy after the Termination of COVID-19 Health Emergencies According to a recent Statement of Administration Policy submitted to the Rules Committee of the H...
February 22, 2023
Medical Audit: How to Avoid Problems Before They Occur
Never forget that each medical practice is subject to medical record audits. Hearing that word practices, start to worry and panic, dwelling on the painstaking, laborious process ahead of them. Howeve...
January 18, 2023
Get $26,000 per Employee with Federal ERC Credits
Get $26,000 per Employee with Federal ERC CreditsLike the PPP/EIDL, there is no repayment as it is a tax credit of up to 26,000 per W-2 worker you employed in 2019/2020.It is no secret that the Corona...
December 26, 2022
Cuts in Physician Payments Will Reduce Access to Care
Cuts in Physician Payments Will Reduce Access to Care The MGMA’s data shows that 90% of medical facilities reported likely declines in access to care following the 2023 payment cuts in the ...

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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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