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Healthcare News

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Cuts in Physician Payments Will Reduce Access to Care

12/26/2022
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 Medicare physician fee schedule.After the significant changes to E/M services, we have to expect phy...
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LockBit Ransomware Campaign: New Suspect

11/29/2022
Lockbit ransomware campaign, the variant that has been known to target healthcare in the past, is back on the radar. Thus, the Department of Justice reported that on November 15, 2022, the alleged charge of involvement in the global LockBit ransomware campaign was brought against Mikhail Vasiliev, a...
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Warning about the threat of imprisonment for breaking the HIPPA Law

11/4/2022
If prosecutors find that providers disregarded PIR (protected information rules) in a way that warrants more punishment than fines and penalties - the doctor faces up to a year in prison on charges of violating the HIPPA rules. It does not happen very often, but you should concern about getting into...
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Compensation for Injured and Illness at Work

10/14/2022
Treating patients in the NYS workers’ compensation system thanks to the recent increases to medical fee schedules and adoption of the CMS-1500 universal medical billing form, more in line with conventional health care now. Nevertheless, some differences remain in the treatment of such patients...
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Recordkeeping, delayed entries, amendments - everything you need to know

8/16/2022
Medical Documentation: What You Need To Know About Recordkeeping, Amendments, and Delayed EntriesAll services are expected to be documented in the medical record at the time they are rendered. If certain entries related to provided services are not properly documented, those entries will need to be ...
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OIG Special Fraud Alert: Arrangements with Telemedicine Companies

8/14/2022
OIG Special Fraud Alert: Arrangements with Telemedicine CompaniesThe Office of Inspector General has discovered a massive fraud scheme involving healthcare practitioners and telemedicine companies. According to a recent report, virtual health providers have been encouraging practitioners to issue or...
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How to appeal a claim

8/11/2022
None of the initial claim denials are irreversible. If your claim gets denied or underpaid, there is always an option to overturn the original decision. Healthcare providers who believe that the payment for their services has been denied incorrectly may initiate a reconsideration process with the pa...
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Is it possible to start HMO enrollments when you don’t have a Medicaid number?

8/9/2022
Sometimes there is a need to launch enrollment processes with HMO plans while your Medicaid fee-for-service application is still pending. Unfortunately, our experience shows that delays in application processing for Medicaid enrollment are quite frequent regardless of a provider’s state. To se...
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Hiring a nurse-practitioner: an all-out guide

8/9/2022
Nurse practitioners (NP) are one of the most important for both private medical practices and large hospitals. As a health service provider, you should make sure that you properly select and hire your next nurse practitioner. It would be helpful to plan and define the following before you even begin...
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CLIA waivers for Medicare beneficiaries

7/26/2022
Healthcare providers who perform & bill laboratory tests on Medicare patients are subject to new CLIA-related regulations in 2022. Please keep reading to discover if this update affects your practice.The CMS now includes several new procedure codes into its list of CLIA-waived laboratory tests.&...
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Enhance your prior authorization strategy

7/21/2022
Prior authorization is an eligibility verification process, which requires health care providers to obtain approval from a health insurance provider before a specific service is delivered to the patient. Providers need to improve their prior authorization strategies to reduce cases of claims denials...
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How to report services performed outside of your regular schedule

7/19/2022
Healthcare provider has never been an easy profession. Nationwide, hundreds of thousands of medical specialists risk their lives to treat patients in these extraordinary times. Many of you value your patients’ health & satisfaction over everything else. Dear doctors, you are our genuine su...
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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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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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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;
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  • Evaluate Incident to guidelines and services performed on collaborative premises;
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  • 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;
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