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Healthcare News

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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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How to maximize the revenue of your radiology practice

1/27/2022
Did you know that 10% of outpatient radiology services are underpaid or denied? According to our internal research, services performed by radiologists are among those for which insurances request medical records most frequently. Why wouldn’t they, considering how complex and costly many i...
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Are you ready for a new CAHPS survey?

1/25/2022
Did you know that the CMS conducts various patient satisfaction surveys each year?Most of such surveys are in the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) family of surveys, overseen by the Agency for Healthcare Research and Quality (AHRQ).CAHPS surveys ask patients to r...
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WCH News

May 12, 2023
Important Reminder for IPA Affiliated Providers: Compliance with Billing Procedures
We are reaching out to emphasize the critical importance of adhering to proper billing procedures and contractual obligations within the Independent Practice Association (IPA). It is cruci...
May 12, 2023
The Vital Role of a Medical Director: Managing, Understanding, and Complying
By embracing vital aspects of the medical director role, including managing, understanding, and complying, you can effectively fulfill your responsibilities and contribute to the success and quality o...
May 12, 2023
Navigating the Credentialing Challenges with Optum Health: WCH Team's Commitment to Your Success
As a leading credentialing vendor for United Healthcare, representing specific plans and specialties, Optum Health plays a crucial role in the healthcare industry. We understand that the c...
May 08, 2023
WCH Uncovers Discrepancy in NY Physician Assistant Supervision Requirements
WCH's recent findings regarding the discrepancy between the New York State Education Department and the New York Medicaid program have brought to light the need for greater collaboration and&#...

Healthcare News

May 25, 2023
Optimize Your Medical Insurance Coverage: Unlock Savings with 5 Essential Strategies
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 seiz...
May 12, 2023
Important Notice: Changes in Medicare Enrollment Timeframes
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 Medica...
May 12, 2023
Resolving the Discrepancy: Clarity on PA Supervision Rules
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 ass...
April 21, 2023
Bogus Billing Over COVID-19 Medical Expenses Resulted in $490 Million in Fraud
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 loss...

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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.

WCH Specializes in:

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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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