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Healthcare News

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Ready to get more benefits?

4/30/2020
Providers who have already received the initial, automatic HHS payment may now apply for additional funds.Being a superhero should always pay-off! Effective April 24, HHS has begun distribution ofadditional fundsto Medicare providersimpacted by COVID-19. Providers will need to apply to receive these...
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How can the new CARES act make your life easier during the pandemic?

4/22/2020
2020 has been quite atough year for everyone on the globe. Coronavirus disaster has an impact onevery working man in every country. From farmers to politicians andbillionaires – there’s hardly even a person worldwide whose business has notyet faced any challenges. This situation looks like a real-li...
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WCH Organizes Webinar on Practice Reopening after COVID-19 pandemic.

4/21/2020
On April 22, Wednesday at 11:00 am EST, we invite you to visit our webinar. Whenquarantine ends, we must come up to scratch.You Will Learn: ·Summary of Government Programs ·How to return your patients back to the office ·New way of prescreening patients ·Safety protocol for in-office staff·Audit rul...
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ICD-10 Code for confirmed Covid-19.

4/21/2020
New ICD-10 CM code U07.1 was added starting from April 1, 2020CDC has provided instruction which clarifies the diagnosis coding guidelines including - the sequence of codes application;- reporting of Acute respiratory illness caused by coronavirus;- reporting of symptoms without a confirmed case of ...
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A Reminder for Healthcare Providers to Do Credentialing and Enroll with Medicaid

3/23/2020
A Reminder forHealthcare Providersto Do Credentialing and Enrollwith MedicaidDear Healthcare Providers,At the beginning of the new year, we would liketo remind all providers to make sure that yourcredentialing is in order. If you have moved oryou are planning to make any changes to yourcredentials, ...
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A REMINDER FOR NY STATE PROVIDERS: Medicaid and Medicare Part B Coinsurance Reimbursement

3/22/2020
Since July 1, 2015, Medicaid of NY no longer pays the full 20 % of the Part B coinsuranceafter Medicare pays its 80%. Medicaid may cover Part B coinsurance only in caseswhen Medicare payment is less than the Medicaid fee. In any case, the total Medicare/Medicaid payment will not exceed the amount th...
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Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging furnished to Medicare beneficiaries.

3/21/2020
Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging furnished to Medicare beneficiaries.TheProtecting Access to Medicare Act (PAMA) of 2014, Section 218(b), established a new program to increase the rate of appropriate advanced diagnostic imaging services furnished to Medicare beneficiari...
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2020 Annual Update to the Therapy Code List

3/20/2020
2020 Annual Update to the Therapy Code ListThe CPT Editorial Panel created, for CY 2020; CPT codes 97129 and 97130 to replace CPT code 97127, which CMS did not recognize. These new codes effectively replace HCPCS code G0515, which is deleted, effective January 1, 2020.These codes are designated “som...
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CPT Updates for 2020

3/19/2020
CPT Updates for 2020In 2020, there are changes to some of the existing CPT codes, new codes were added and some were deleted. As a healthcare provider, you should have an idea of what these changes are to ensure that you utilize the correct codes and get reimbursed for all the services performed. Su...
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MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) REPORTING – YEAR 4

3/18/2020
MERIT-BASED INCENTIVEPAYMENT SYSTEM (MIPS)REPORTING – YEAR 4The law required CMS to implement incentive programs that reward valueand outcomes for clinicians and other healthcare service providers. One ofthe incentive programs currently enforced is MIPS— Merit-Based IncentivePayment System.Who are e...
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CHANGES ON MEDICARE COVERAGE OF ACUPUNCTURE FOR CHRONIC LOWER BACK PAIN

3/17/2020
CHANGES ON MEDICARE COVERAGEOF ACUPUNCTURE FOR CHRONIC LOWER BACK PAINPreviously, the Centers for Medicare & Medicare Services did not cover acupuncture in their list of reimbursable medical procedures. After opening a national coverage determination (NCD) analysis to complete a thorough review,...
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What to expect for 2020 MIPS

2/25/2020
Don't miss our free webinar about MIPS reporting 2020 on Wednesday, February 26, 3 PM EST.
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Don't miss our webinar with Olga Khabinskay!

1/14/2020
Learn how to win your next contract negotiation with the insurance company lead by Olga Khabinskay. Tue, February 4, 2020 Time: 11:00 AM - 12:00 PM EST
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Don't miss our free webinar about using iSmart EHR!

12/19/2019
Do you want to know more about using iSmart EHR? Don't miss our Free Webinar, presented by Ilya Mirolyubov, hold on January 9, 2020 3:00 pm - 3:30 pm EST.Learn more about Billing Details - Dashboard and Eligibility.
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Don't miss our webinar on medical chart compliance tips on January 24, 2019!

1/9/2019
You will discover how to keep strong medical chart records. Check out our webinar from Olga and Liz.
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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.

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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