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provider credentialing services

credentialing
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.
Credentialing services and fees
for individual providers and facilities
Olga Khabinskay
Olga Khabinskay
Credentialing Manager, Director of Operations
  • Experience: Professional and successful work since 2001;
  • Time:
    • Medicare – up to 2 months;
    • Commercial insurances – up to 3 months;
    • Medicaid – up to 3 months;
We know the rules!
  • Specialties
    Specialties: your wish is my command;
  • Professionalism
    Professionalism: long-term professional relationships with provider enrolment representatives;
  • Extra and beyond
    Extra and beyond: Civil Surgeon, Closed Panels, Multistate, License Reinstating and much more;
  • Trust
    Trust: Full transparency. Full control and access to your every single application;
  • Support
    Support: Re-credentialing;
  • Individualized approach
    Individualized approach: Dedicated employees (Extension, Skype, messaging);
  • Fees
    Fees: See prices
Let us become your external credentialing department – call today! Ready to start?
WCH Contacts
Tel.: (718) 934-6714 ext 1201
Ready to start?
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Credentialing forms
Pdf file WCH Credentialing Agreement
Pdf file WCH Annual Re-Credentialing Service Agreement
Pdf file WCH Business Associates Agreement
Pdf file Credentialing form for Physicians
Pdf file Credentialing form for Non-physicians
Pdf file Credentialing forms for Therapists
Pdf file Credentialing forms for Facility

Our areas
of expertise includes:

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Occupational Therapy
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Frequently Asked Questions
Question
  • plus minus
    Can you help with credentialing with closed panels?
    Complexities with closed panels are to be settled on a “case-by-case” basis. Over the years, we have learned to navigate difficult cases such as closed panels. It is true that with thousands of new medical professionals graduating every year, there is not enough space at insurance to credential everyone. Clients that hire the WCH team to handle such cases are assured that our credentialing specialists will use all available resources: contacts, evaluation of practice location region, database of participating providers in the area and apply our knowledge and expertise to help our clients get into closed panels.
  • plus minus
    How long does it take to complete the credentialing process?
    WCH can complete the credentialing process for new providers within 90 days, for established providers that are making any changes within 60 days, for facility enrollment up to 180 days.
  • plus minus
    Can I begin seeing patients without completing the credentialing process with an insurance company?
    It depends on the patients’ insurance plans and benefits. Each patient has a specific health plan coverage that delegates the reimbursement and eligibility requirements. Nevertheless, the provider is financially responsible for seeing the patient before checking patient benefits and insurance credentialing requirements. From our experience, we can say that the majority of insurance companies prefer to pay contracted providers. Talk to us before making your decision. We can help to create a timeline and structure that will give you the possibility to get payments for your work.
  • plus minus
    Will I work with a specific specialist in the Credentialing Department of WCH?
    Yes, you will have assigned a credentialing specialist that will be the primary person for communication between you and the insurance company. You will be able to speak with the Credentialing Department Supervisor and Manager.
  • plus minus
    What happens if the insurance decides to reject application during the final review or reject an appeal?
    We do not stop even there is a rejection of an appeal or new enrollment. Our job is to get our client enrolled with insurance. Several steps that can be done to request reconsideration or second-level review. We have the experience to handle rejected cases in enrollment and second level appeals to help our clients to become accepted by the insurance.
  • plus minus
    Can a submitted application guarantee acceptance into the insurance network?
    No, submitting an application to the insurance does not provide a guarantee that insurance will accept providers into the network. Before submitting the application, it is crucial to find out if the panel is open for the provider specialty. Once the confirmation has been received, the provider can submit an application.
  • plus minus
    Do you recommend joining IPA or seek contracts directly?
    Our experience has shown that direct contracts are the best option for providers. However, considering the closure of plans for certain specialties, the amount of time it takes to complete one application to join insurance, IPA sometimes can work better for practice. However, we consult our clients always to go directly. IPA should be a last resort for healthcare providers.
  • plus minus
    If I have pending malpractice cases, should I disclose to the insurance?
    Yes, all pending cases or any type of open/closed case must be disclosed to the insurance company during the credentialing process. CAQH must also reflect your most updated information. Supporting documents for each must be attached to demonstrate the details.
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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;

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