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Phone: 888-924-3973 Subscribe Pay Now iSmart Login Technical support

Medical Billing Services

From small medical practices to large diagnostic facilities –
We Can Help Everyone

Billing Service
WCH Service Bureau
Clarity
Working with credentialing payers, WCH supports absolute transparency of credentialing process for providers
We are able to provide a client with statuses for all the opened processes online, 24 hours per day. By request, we also gladly send credentialing reports including all the details and proof of pending or approved cases.
WCH Service Bureau
Comfort
WCH presents results in a timely manner
We are familiar with State Laws and Insurance Regulations. Due to long-term on the job relationships with numerous insurances, we quickly achieve positive results, and our connections are getting stronger as the years pass.
WCH Service Bureau
Security
WCH keeps all the records of providers safe
During and after credentialing process, we keep our client's information as non-disclosed for the third parties.
Medical Billing Services
that exceed your expectations
Elina
Elina Sabilova
CPC, CFPC, CPMA, CMRS,
Billing Department Supervisor
  • Fees
    Experience: Professional and successful work since 2001;
  • Reimbursement
    Reimbursement: 97-99%;
  • Professionalism
    Professionalism: National industry recognition and certifications from AAPC, AMBA, AHIMA, HBMA, LAB CORP, HCCA, PAHCOM, GSA, HHS, BBB and OIG, OMIG compliant;
  • Education
    Education: Extensive education for your staff;
  • Valuables
    Valuables: CEU credits for you and your staff;
  • Trust
    Trust: Full transparency. Full control and access to your every single claim ;
  • Individual approach
    Individual approach: Dedicated employees (Extension, Skype, messaging);
  • Profit
    Profit: Analytics and necessary reports;
WCH Contacts
Tel.: (718) 934-6714 ext 1104
Ready to start?
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→ Billing Forms
Billing Forms
Pdf file ADDENDUM TO THE BILLING SERVICES AGREEMENT
Pdf file INFORMATION REQUIRED FOR BILLING
Pdf file BILLING SERVICES AGREEMENT
Pdf file BUSINESS ASSOCIATE AGREEMENT
Pdf file Credit Card Authorization Form
Pdf file E-Check Authorization Form
Pdf file FAX FORM
Pdf file WCH BILLING FORM

Our areas
of expertise include:

All Services
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Occupational Therapy
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WCH Service Bureau Patterns
Frequently Asked Questions
Question
  • plus minus
    What is the claim’s fix price of $6.79, and in which cases do you charge set fixed price?
    As per WCH Service Bureau, INC Billing Service Agreement, the Client agrees to be responsible for providing correct information including but not limited to the correct and authorized CPT, HCPCS & ICD 10 Codes, correct patients’ information, insurance, etc. If a claim is denied due to the fault of the Client’s mistake, WCH charges the fixed rate of $ 6.79 per claim. In addition, the fixed charge of $ 6.79 per claim is being applied to all HMO capitated services. This amount is subject to change and represents a nominal fee to cover expenses for one claim creation, submission, and processing. We always ready to provide education to our clients in order to avoid and prevent any denials.
  • plus minus
    Can you check eligibility and benefits for my patients?
    WCH Service Bureau, INC is no longer provides receptionist services. We do not check patients’ eligibility and benefits, but we can offer great software tools through our EHR that can save valuable time and client’s money and make the process automated. WCH Real-Time Patient Insurance Eligibility tool that has the ability to check eligibility for more than 300 payers under one access. This application eliminates the need for searching for multiple web portals where separate registration is required, eliminates the need for time-consuming phone calls, and helps in patients’ management. Each transaction gives full information on benefits, effective dates, patient’s responsibility, etc. The information can be printed and stored for future use. Along with that, we can provide training for your staff for accurate eligibility and benefits verification as well as understanding how to determine primary and secondary insurances as per patient’s Coordination of Benefits.
  • plus minus
    I need a report for outstanding claims, how frequently you provide it?
    All reports are computerized. WCH software, which we install for our clients, gives full access to view claims, claims details, payments, run any reports, and any time. All types of reports, including billing and outstanding, are available in PMBOS (Practice Management and Billing Operations Software). To access the information, our clients may use a mobile phone or laptop. The system is web-based and is updated daily. If a Client requests a customized report, it will be provided for an additional fee. The price for a customized report will be determined based on the volume of work and specs of the request.
  • plus minus
    What is the timeframe for billing submission after you received my superbills?
    We do process superbills and submit claims within five business days after the receipt. We do want to remind our clients that HealthCare payers have strict, timely filing regulations for claims submission. In order to avoid any loss in reimbursement due to late filing, all superbills must be provided to WCH, for “medical services” within 60 days after the date of service and for Workers' compensation and No-Fault cases within one week. We do also encourage our clients to check each superbill for accuracy before submission to WCH, as any missing or inaccurate information leads to billing requests and results in delayed or denied payments.
  • plus minus
    I do not want to use a secure email, can I opt-out?
    Health Insurance Portability and Accountability Act (HIPAA) has strict guidelines and requires comprehensive administrative, physical, and technical safeguards to ensure the security of Protected health information (PHI). Electronic protected health information (ePHI) is any PHI that stored, transmitted or received electronically. All covered entities (health plans, Health Care Providers, and any Business Associates such as billing service bureaus) must implement technical security measures that guard against unauthorized access to e-PHI that is being transmitted over an electronic network. For WCH to stay HIPAA compliant and keep our clients HIPAA compliant, we use a secure email messaging system when data transition contains any ePHI.
  • plus minus
    Why I got $35 extra in my invoice?
    As per WCH Service Bureau, INC Billing Service Agreement in the case of missed or untimely payment on billing invoice, the late fee of $35.00 is being applied. Invoice due date is five business days of the invoice receipt — every two weeks of delay in payment results in an additional late fee of $ 35.00. In the case of non-payment in full of two consecutive invoices, WCH has a right to suspend services until the full payment is received. WCH has total transparency by providing our clients with full access to claims and payments information. Our clients can review all invoiced payments.
  • plus minus
    Why do I need a PMBOS system?
    Practice Management and Billing Operations Software is the most effective way of communication, management, compliance, and practice income control for our clients. Total transparency, up-to-date information, and 24/7 availability give our clients a powerful instrument in managing the practice. The program contains a great volume of options that allow providers to use the system as the only management system in the office — appointments, patients’ information, ledger, e-sb, claims, payments, reports. Clients receive full WCH IT support.
  • plus minus
    What is the time frame for claims processing?
    Medicare processes and issue payments for clean claims within 14 days after the acceptance. The maximum time frame for processing maybe 30 days. Commercial payers process claims within 30-45 days after the receipt, unless the claim is pending due to additional information request. Some self-funded plans may process claims around 60 days and longer.
  • plus minus
    Why do I have so many people involved in work with my account?
    We want to address all client’s needs any time during our business hours. In order to have this achieved, we assign more than one responsible person. Thus qualified specialist who is familiar with all practice nuances is always available for you!
  • plus minus
    Can I pay for the billing invoice on a monthly basis?
    As per WCH Service Bureau, INC Billing Service Agreement, the payment cycle is determined as to be done once in two weeks.
  • plus minus
    What is the duration of the Billing Services Agreement?
    The initial term of the Billing Services Agreement is at least three (3) years. The Agreement can be automatically prolonged without any written notice(s). Due to large investments such as resources for Clients’ education, trainings, and webinars that WCH makes, in case of early termination of the Agreement voluntarily by the Client during this period, WCH reserve the right to get reimbursement for all expenses incurred by WCH for Client’s education, trainings, and webinars that are provided on a free of charge basis.
  • plus minus
    What is the closing process of Accounts?

    As per Billing Service Agreement, both Parties can terminate the Agreement by giving thirty (30) days written notice to the other Party. WCH Service Bureau will continue to accept superbills from a Client during the first 15 days after receiving the letter of termination unless the services are being suspended due to a non-payment on full of two consecutive billing invoices.

    Upon termination of the Agreement, WCH reserves ninety (90) days to finish all work with the Client’s account and to issue a final invoice. Access to all Programs will remain open for a period not exceeding 90 days after receiving a termination letter. Monthly fees will be applied.

    All Programs access will be closed if the services are being suspended due to a non-payment on full of two consecutive billing invoices. WCH gives access to the Programs after payment in full is received and cleared by the bank. If the payment is received later than 30 days, WCH will not give access to the Programs anymore.

    The Client shall be responsible for all unpaid amounts owed to WCH for the services WCH has performed under the Agreement.

  • plus minus
    What is the suspension of the billing process, and in which cases it will be applied?
    Suspension of billing means that WCH will temporarily stop accepting new superbills for processing and submission to healthcare payers. Access to all WCH Software (PMBOS, iSmart, CredyApp) will be closed as well. The suspension will be applied in case of Client’s default in payments in full two invoices to WCH for any rendered services.
  • plus minus
    How can I resume suspended billing?
    WCH resumes services after the payment in full for the overdue balance is received and cleared by the bank.
  • plus minus
    Within what timeframe I can get patient’s payments?
    In case of payment from a patient is received by WCH on behalf of a client as a result of patient billing, WCH issues the payment to the client within two (2) weeks after the receipt. If the client agrees, the amount can be subtracted from the billing invoice.
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No matter what the case is, We Can Help you fulfill your expectations.

Are you looking for an effective way to outsource your insurance billing? If so, you are probably tired of countless claim denials, rejections & appeals caused by mistakes in the time-consuming process of medical billing. Or, you may be simply exploring ways to maximize the reimbursement flow of your IDTF practice quickly & efficiently.

Here's why you can trust your physician billing to us

Passion. We emphasize your fulfillment over everything else. We are proud to offer a unique, all-inclusive revenue cycle management, billing & claim collection service that best meets your facility's needs. Our specialists are available six days a week, and they are the true friends of your practice! As soon as you become our client, you will be assigned an individual account representative dedicated to your medical billing.

Accessibility. WCH iSmart is our provider portal that is available to you 24/7. iSmart allows you to check the status of your claims online, eliminating the need for everyday follow-ups with your biller. There is also a vast number of reports that you can run to evaluate the performance of your diagnostic practice. And finally, we have a great electronic superbill feature that allows you to create & store “regular” and diagnostic superbills right on our portal. Our IT department provides top-quality training and live customer service to every user.

Diligence. At WCH, we care about your practice. Thanks to our 20-years of experience, we are familiar with all "the skeletons in a closet" of medical billing. Our account representatives leave no denial unattended. We create, check, submit and work on your claims with no interruptions. WCH offers a sophisticated medical billing service aimed at the perfection of your diagnostic facility. We keep you informed on what is going on with your billing flow.

Expertise. Sharing is caring! Our services go beyond an ordinary claim submission. WCH account representatives strive to keep you updated with the most recent regulations in healthcare and medical billing, as well as with some useful recommendations on how to maximize the revenue of your outpatient office or an IDTF. We publish a monthly magazine for our clients called "WCH Insights."

All-inclusiveness. We are perfectionists, so not only do we handle your claims submission, but we also make sure that each of them gets processed & paid adequately by insurance. To put it simply, we accompany your claims from the very beginning up until they are paid in full. We take care of your appeals, calls, and everything related to claim reconsideration process.

We "liberate" physicians from endless phone calls to insurance companies, piles of appeals, and declines in reimbursement flow.

Our staff is certified by the American Academy of Professional Coders (AAPC), American Medical Billing Association (AMBA), and American Health Information Management Association (AHIMA). We have experience with over 20 physician specialties – including yours.

Top-5 reasons to sign up for our billing service

  1. To increase your claim reimbursement rate up to 97-100% while also delegating your calls, appeals, and rejections to us
  2. To get a compassionate & individual approach tailored for your practice for an attractive payment rate
  3. To have unlimited access to an easy-to-use practice management portal (WCH iSmart)
  4. To always be aware of the most significant legislation & insurance updates that may directly affect your business
  5. To improve your practice workflow, thanks to our built-in reports and an electronic superbill feature.

Clarity

We get things done & keep you informed on everything that has been going on with your practice. Our specialists maintain full transparency of the things we do for you. You can monitor our progress in achieving your goal 24/7.

Comfort

Our specialists work hard to achieve the goals of your practice with minimum involvement from your side. We ensure a consistent cash flow with the help of our services that cover every aspect of revenue cycle management, from taking care of your claims and chart records to maintaining your enrollment with various payers.

Security

WCH is the shield and sword of your medical practice. We are fully HIPAA-compliant, and we maintain the privacy of your information against third parties. Our IT specialists have extensive expertise in keeping your information in a safe place.

FAQ

1. Why do 500 healthcare providers trust their billing to us?

Because we provide an all-inclusive package of services aimed at maximizing your practice's reimbursement. WCH works on your claims from the moment you create a superbill until the claim gets paid in full. We handle your claim creation & submission processes. More importantly, WCH takes care of every single claim denial, underpayment, or rejection. We collect all outstanding payments on your behalf by reprocessing and appealing your claims with insurance and government agencies.

2. Do you simply provide software for medical billing?

We offer a full spectrum of billing services, including our provider portal – WCH iSmart. We are proud to have developed our electronic superbill that allows you to quickly create a claim for the services you have just performed. However, our specialists work on your entire billing & payment collection process so that you do not have to do it on your own.

3. What is your expertise?

WCH Service Bureau has 20-years' experience in medical billing. Established in 2001, we have worked with over 500 providers. Our billing team consists of reimbursement specialists certified by AAPC and AMBA. Throughout our experience, we have billed, submitted & reprocessed hundreds of thousands of claims on behalf of our clients to Medicare, Medicaid, and all sorts of commercial payers. WCH has helped numerous outpatient offices and diagnostic/IDTF facilities to maximize their revenue. We are a third-party service provider recognized by various entities nationwide, such as Medicaid, Medicare, AMBA, and AHIMA.

4. How can I stay informed on everything that’s been going on with my billing flow?

We assign live account representatives (managers) to each of our clients. Your individual account representative will keep you informed on all the issues that may occur with your reimbursement flow and will consult you on every relevant question you might have. Besides, our provider portal allows you to monitor the claim status of each of your claims. In addition, it has a number of built-in analytics features & reports that help you understand how to maximize your revenue. Billing Department clients have 24/7 access to their medical claims & payments data on our secure portal.

5. Do you work on Workers' Compensation & No-Fault billing?

Yes, we do. Despite the fact that the billing & collection process is slightly different than the one of "regular" (medical) claims, we are still doing our best to ensure a successful billing flow of your practice.

6. I run a diagnostic facility in New Jersey. Can WCH handle my billing?

Yes. We work with all physician specialties regardless of their location. Thanks to our long-term experience, we know all the clinical and billing-related specifics for each specialty nationwide.

7. How can you improve the overall cash flow of my practice?

Our goal is to achieve up to 100% reimbursement for your practice, with 97% being a minimum standard. Our billing specialists are doing their best to eliminate the pre-existing “roots” of your underpayments, as well as work on every future claim denial that you might have.

8. How fast would you handle my billing?

We submit your claims within five business days from the moment you create an electronic superbill on our portal. Depending on insurance, your claims would normally get paid within the next 1-4 weeks since the submission date.

9. How does WCH ensure the security and confidentiality of PHI (Protected Health Information)?

Our software is fully HIPAA-compliant. We ensure the safety of your data by regularly training our employees on digital security and confidentiality-related regulations.

10. Do you keep your clients informed on current trends & legislation in healthcare?

Yes, our account representatives conduct regular meetings with our clients on a weekly or biweekly basis, either online or via phone call. Such sessions are aimed at identifying & reporting all the needs & issues individual to your practice. Apart from that, we also share some useful general information on our social media and in WCH Insights, our monthly bulletin.

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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Dear Provider,
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:

  • All individual Medical specialties
  • Mobile IDTF
  • Single & Multispecialty Groups
  • Urgent Care, Labs, DME, Pharmacy
  • Article 28, 32, 31
  • Revalidation, Reinstatement &
  • Exclusion
We help Providers in All States! WCH provides Clarity, Comfort and Security in your Practice.
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Wch SErvice Bureau

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.

 

Do it right! Do it with WCH!

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Wch SErvice Bureau

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;

Do it right! Do it with WCH!

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