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Healthcare News

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The Vital Connection Between Billing and Credentialing: Maintaining Control for a Successful Practice

6/23/2023
Billing and credentialing form an inseparable partnership. Just like a perfect marriage, these two aspects work hand in hand to ensure the smooth operation and financial success of a practice. It is crucial to be in control of both billing and credentialing processes, as any loss of ...
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Take Control of Your Recredentialing: Stay Ahead of Important Dates and Ensure Credentialing Continuity

6/23/2023
Recredentialing is a crucial process for healthcare providers to maintain their participation status with insurance plans. If you handle recredentialing on your own, it's essential to be proactive and stay informed about your upcoming recredentialing dates with various plans. Relying...
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Empire Cross Blueshield's Unique Plan: Connection

6/16/2023
Empire Cross Blueshield, one of the leading healthcare insurance providers, has recently introduced a groundbreaking plan called Connection. What sets this plan apart from others is its unconventional approach to doctor participation. Unlike traditional networks where doctors are aut...
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BOC Implements Unannounced Site Visits for DME Accreditation: Enhancing Quality and Accountability in Healthcare

6/2/2023
WCH is reaching out to provide you with the following information. The Board of Certification/Accreditation for Durable Medical Equipment (BOC) has made a significant change to its site visit process, effective May 11, 2023. In response to the evolving needs and demands of the indust...
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Optimize Your Medical Insurance Coverage: Unlock Savings with 5 Essential Strategies

5/25/2023
As a medical professional, staying informed about the array of discounts and benefits offered by medical insurance companies is crucial. At WCH, we specialize in empowering doctors to seize these incredible opportunities and maximize their savings potential.  Get re...
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Important Notice: Changes in Medicare Enrollment Timeframes

5/12/2023
We would like to bring to your attention an important update regarding the Medicare enrollment process. In recent times, we have observed a noticeable shift in the timeframes set by Medicare for completing enrollment procedures. This change has resulted in a significant extension of ...
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Resolving the Discrepancy: Clarity on PA Supervision Rules

5/12/2023
In one of our previous articles, we highlighted the discrepancy between the New York State Education Department and the New York Medicaid program regarding the supervision of physician assistants (PAs). This inconsistency posed challenges for physicians, PAs, and patients alike, rais...
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Bogus Billing Over COVID-19 Medical Expenses Resulted in $490 Million in Fraud

4/21/2023
The COVID-19 pandemic has had a severe impact on people's finances, and unfortunately, some individuals have taken advantage of this situation to commit fraud, resulting in millions of dollars of losses to taxpayers. The U.S. Department of Justice (DOJ) has reported that fake billing for COVID-19 me...
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The Impending Crisis: How the Healthcare Industry is Struggling to Cope with the Twin Challenges of Physician Shortage and Burnout

4/21/2023
The healthcare industry is facing a potential crisis due to a "double whammy" of pandemic burnout and an aging population of physicians. According to a recent survey by Elsevier Health, up to 75% of healthcare workers may leave the profession by 2025. Additionally, a 2020 study by the Associ...
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Timeliness is Crucial: Tips for Healthcare Providers to Prepare for CMS Audits After COVID-19

4/14/2023
As the nation continues to recover from the COVID-19 pandemic, audits are back in full swing, and Recovery Audit Contractors (RACs), Unified Program Integrity Contractors (UPICs), and other auditors are busy reviewing claims on a post-payment basis. However, the pandemic has caused a ...
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Navigating Overpayments and Reverse False Claims in Medicare: A Guide for Providers

4/4/2023
Medicare is an essential healthcare program in the United States that provides insurance coverage for seniors and people with particular disabilities. The program is administered by the Centers for Medicare & Medicaid Services (CMS) and is funded by the federal government. Provid...
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Unlicensed Persons in Medical Settings: What Tasks Can and Cannot Be Performed in New York State

4/4/2023
The Office of the Professions has recently brought to light the issue of unlicensed persons assisting in medical settings in New York State. Even though it may seem helpful to have additional support in caring for patients, you should keep in mind the limitations on the tasks that ca...
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The Future of Healthcare Policy after the Termination of COVID-19 Health Emergencies

3/29/2023
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 House of Representatives, the Biden Administration has announced plans to terminate the COVID-19 ...
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Medical Audit: How to Avoid Problems Before They Occur

2/22/2023
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. However, the audit does not need to be difficult or time-consuming. If you are doing your due diligence in...
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Get $26,000 per Employee with Federal ERC Credits

1/18/2023
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 Coronavirus has negatively impacted many businesses across the US. That is why several payroll tax credits...
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WCH News

September 15, 2023
Charting Your Path to a Successful Medical Practice: Guidance from WCH
For medical providers venturing into the world of private practice, the journey begins with crucial decisions that set the course for their business. One of the most pivotal choices is det...
September 15, 2023
Insurance Company Letters: The Importance of Professional Consulting
Receiving a letter from an insurance company can often be a daunting experience for healthcare providers. These letters can encompass a wide range of topics, from audit requests to clarifi...
September 08, 2023
Finding the Right Billing Company: Key Steps for Practice Growth
For many healthcare practitioners, the quest to find the ideal billing company is a critical step in ensuring practice growth and financial success. Doctors often wonder how to identify th...
September 01, 2023
The Power of a Second Opinion in Medical Billing
In the world of healthcare, seeking a second opinion is a common practice when it comes to our physical well-being. We rely on professionals to provide us with accurate evaluations and tre...

Healthcare News

September 15, 2023
Changes in Pharmacy Enrollment: Medicaid Compliance and Medicare Approval
Changes in pharmacy enrollment requirements have significant implications for providers, particularly in states like New York and potentially others. These changes necessitate a shift from...
September 08, 2023
Buying vs. Starting a Durable Medical Supply Company: A Strategic Perspective
For business entrepreneurs venturing into the world of durable medical supplies, a common dilemma arises: Should you buy an existing DME (Durable Medical Equipment) company or start a bran...
September 08, 2023
The Complexity of CCM and RPM Billing: Understanding Insurance Company Policies
Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) services have become essential components of patient care and revenue generation. However, the path to reimbursement for these...
September 01, 2023
Demystifying Medicare Enrollment: What Providers Need to Know
Medicare enrollment is a fundamental step for healthcare providers looking to serve the senior population effectively. However, the process can seem daunting, with numerous requirements and st...

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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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  • Urgent Care, Labs, DME, Pharmacy
  • Article 28, 32, 31
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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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