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Healthcare News

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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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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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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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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.

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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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