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Healthcare News

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Everything you need to know about the CONNECT for Health Act, 2021

3/13/2022
The Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) is the new bipartisan regulation signed by the US Congress in 2021. This initiative aims to make telehealth regulation flexibilities permanent and expand telehealth coverage through Medicaid. More importantly...
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Protect yourself and your patients from cyberattacks

3/10/2022
As we step together into the world of metaverses, cryptocurrency and augmented reality, cybercrimes become more and more sophisticated. If in 2008 we only had to worry about our emails getting leaked, in 2022 cybercrimes can be literally life-threatening. With hackers from all over the world targeti...
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The Secrets of Maintaining a Healthy Cash Flow

3/6/2022
With the COVID-19 pandemic still at its highest, many outpatient healthcare offices are experiencing decreasing practice revenue for various reasons.Today, we would like to share a tangible strategy that can help you keep your cash flow in good order regardless of the circumstances.I. Dedicate yours...
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5 forms that can be requested by insurance payers

3/2/2022
Claim collection is an extremely complicated process. Healthcare providers and their staff constantly have to make sure that their claims are paid by insurance carriers, let alone paid appropriately. While payers rush to make their clinical reimbursement policies more and more compli...
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Proper reporting of vaccine side effects

2/28/2022
With over half a million cases currently reported in the US every day, the COVID-19 pandemic is far from being over. A constant feeling of responsibility mixed with a trivial fear of getting sick from yet another new variant of the virus has encouraged millions of Americans to get a jab.As safe as t...
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How to bill COVID-19-related services

2/23/2022
The new pandemic has had a shocking effect on an entire world. With many businesses ceasing their operations in times of a universal turmoil, healthcare providers have been those suffering the most. Not only do you risk your lives when treating COVID-19-positive patients, but some of you may have al...
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How to report advance care planning services

2/20/2022
Do you treat Medicare patients? If so, you may have heard of Advance Care Planning (ACP) services. These are voluntary treatment sessions aimed at discussing a patient’s health care wishes if they become unable to make decisions about their care in the future. For example,...
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How to credential a surgeon

2/17/2022
Did you know that insurance enrollment complicated process that can take up to 180 days to be completed? Moreover, surgeons like you have to dedicate lots of their time & effort to the preparation of each application form. The struggle always begins before the enrollment process is e...
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Maximize the revenue of your neurology practice

2/15/2022
Insurance claims billing has never been easy. At WCH Service Bureau, we know how hard it is to balance between providing top-quality services to your patients and submitting thousands of claims to benefit plans. In fact, some of our clients believe that revenue cycle management is at tim...
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Best patient engagement solutions

2/13/2022
Since early 2020, you may have experienced a shortage of patients. It is clear that millions of people nationwide, including those whom you treat, have been cautious or even afraid to visit the doctor’s office. While this fear has strongly decreased over the years, COVID-19 is still around. Mo...
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UnitedHealthcare to terminate contracts with some providers

2/9/2022
New York Providers,  This month, United Healthcare sent contract termination letters to all providers having active privileges at Northwell Health’s Hospital, effective March 2022!Those providers affected by the termination with the UHC Medicaid plan who want to remain in the network...
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Everything you need to know about The 21 Century Cures Act

2/8/2022
If you are a mental health provider, you have probably heard about the 21st Century Cures Act, signed by President Obama back in 2016. Among numerous aspects, this legislation focuses on providing greater access to mental health services. In addition, one of its main aims is to minimize healthcare i...
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NCD vs. LCD - what's the difference?

2/6/2022
Did you know that there are two types of Medicare reimbursement policies?When a Medicare Administrative Contractor makes a ruling as to whether a service or item can be reimbursed, it is known as a local coverage determination (LCD). It is always based on medical necessity and is valid only in the c...
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Regulations to look at in 2022 – an overview

2/1/2022
COVID-19 still remains a central topic of discussion among healthcare professionals today. However, there are some other aspects of equal importance that you need to look at in 2022, such as:        The No Surprises Act       New rules of info...
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Hiring new employees? Read this first

1/30/2022
Planning to expand your private practice? If so, you are probably concerned about how to find & accommodate new employees to their positions at your office. When new personnel is employed, many medical practices follow a structured procedure that lasts until the employees are socialized int...
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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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