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Healthcare News

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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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Behavioral health provider credentialing

1/23/2022
Are you a mental health provider planning to enroll with some insurance payers?Did you know that payer enrollment is complicated process that can take up to 180 days to be completed? Moreover, healthcare providers also have to dedicate lots of their time & effort on preparation of each applicati...
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How to indicate the difference between a new and an established patient

1/20/2022
Insurance payers want practitioners to be as precise as possible. Did you know that about 10% of claim denials for outpatient office visits occur because providers fail to indicate whether a patient has already visited their office before or not?The CPT guidebook defines a new patient as “one ...
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Out-of-network services performed during the PHE

1/18/2022
Since the beginning of the COVID-19 pandemic, many insurance payers have lifted or reversed their reimbursement policies. For example, some out-of-network services are temporary payable by various commercial, HMO and Medicare/Medicaid advantage plans. In New York, COVID-19 vaccine administration is ...
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How to report COVID-19 vaccine side effects

1/16/2022
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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Credentialing and privileging of hospitals providing telemedicine services in New York

1/11/2022
The COVID-19 pandemic has been ongoing for nearly two years already. With businesses choosing between going fully remote or bankrupt, healthcare providers opt in to perform more telemedicine services than ever. Surprisingly, hospitals are taking the lead. In 2022, treatment cooperation between so-ca...
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Psychiatrists, here is why you should pay attention to the No Surprises Act

1/9/2022
Are you a psychiatrist treating uninsured or self-pay patients? If so, you are now required to provide a good faith estimate (GFE) of costs of your services to such patients. Pursuant to the No Surprises Act, healthcare providers must reveal an estimate of expected charges for a certain service or a...
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Everything you need to know about insurance panels

1/3/2022
Enrolling with an insurance payer is quite a complicated and time-consuming process. Healthcare providers normally have to wait for up to 4 months to become a participating provider with an insurance payer. An insurance panel (or “a payer panel”, “an enrollment ...
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How to deal with the forms requested by insurance payers

12/28/2021
  Insurance claims billing and collection is an extremely complicated process. Medical providers and their staff constantly have to make sure that their payer claims are paid by insurance carriers, let alone paid appropriately. While payers rush to make their clinical reimbursement poli...
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You Can Do It: a proper indication of a place of service on claims

12/26/2021
Insurance claims billing has never been an easy process. However, while it is true that the process of claim filing is quite cumbersome because of a lot of seemingly unnecessary information that you need to specify, it is nevertheless critical. Insurance payers must be aware of all the specific...
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How the No Surprises Act of 2021 can affect your practice

12/22/2021
Did you know that the US Congress passed the largest spending bill in its history almost 1 year ago?On December 27, 2020, then-President Donald J. Trump signed into law a 5,593 pages-long bipartisan legislation entitled “The Consolidated Appropriations Act, 2021” aimed at distributing CO...
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WCH News

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...
August 09, 2022
Introducing WCH CredyApp
Introducing WCH CredyAppWCH Credentialing team knows all challenges of handling credentialing internally. WCH has done credentialing for over 20 years, helping healthcare providers of various specialt...

Healthcare News

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 ...
November 29, 2022
LockBit Ransomware Campaign: New Suspect
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 cha...
November 04, 2022
Warning about the threat of imprisonment for breaking the HIPPA Law
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...

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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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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;
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