Medical Billing Services
From small medical practices to large diagnostic facilities –
We Can Help Everyone
Billing Department Supervisor
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Experience: Professional and successful work since 2001; -
Reimbursement: 97-99%; -
Professionalism: National industry recognition and certifications from AAPC, AMBA, AHIMA, HBMA, LAB CORP, HCCA, PAHCOM, GSA, HHS, BBB and OIG, OMIG compliant; -
Education: Extensive education for your staff; -
Valuables: CEU credits for you and your staff; -
Trust: Full transparency. Full control and access to your every single claim ; -
Individual approach: Dedicated employees (Extension, Skype, messaging); -
Profit: Analytics and necessary reports;
Tel.: (718) 934-6714 ext 1241
ADDENDUM TO THE BILLING SERVICES AGREEMENT
Our areas
of expertise include:
Audiology
Cardiology
Chiropractic
Dermatology
IDTF
Internal Medicine
Mental health
Neurology
Physical Therapy,Occupational Therapy
Podiatry
Radiology
Surgery
Medical necessity
Denied claims
Bundling issues
Charge captures
Accuracy of medical
coding for diagnoses,
procedures
Patterns
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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. -
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.
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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.
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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.
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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.
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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.
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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.
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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.
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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!
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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.
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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.
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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.
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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.
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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.
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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.
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
- To increase your claim reimbursement rate up to 97-100% while also delegating your calls, appeals, and rejections to us
- To get a compassionate & individual approach tailored for your practice for an attractive payment rate
- To have unlimited access to an easy-to-use practice management portal (WCH iSmart)
- To always be aware of the most significant legislation & insurance updates that may directly affect your business
- 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.
