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WCH Blog

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Insurance Audits: A Strategic Response Guide

9/1/2023
Facing an insurance audit can be a nerve-wracking experience for healthcare providers. However, it's crucial to remember that audits are part of the industry's checks and balances, ensuring compliance and accuracy. In this article, we provide essential insights on how to respond effe...
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Stepping into Change: Transitioning Billing Companies with Confidence

8/25/2023
Every decision holds weight, none more so than the choice to switch billing companies. As you contemplate making this significant shift, considerations arise about contracts, terminations, and finding a billing partner that aligns with your practice's vision. Let's delve into the ess...
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Keys to Running a Successful Medical Practice

8/18/2023
Running a successful medical practice involves a delicate balance of patient care, administrative efficiency, and effective management. While the healthcare industry is evolving rapidly, there are timeless strategies that can help ensure the long-term success of your medical practice...
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Keys to Running a Successful Medical Practice

8/18/2023
Running a successful medical practice involves a delicate balance of patient care, administrative efficiency, and effective management. While the healthcare industry is evolving rapidly, there are timeless strategies that can help ensure the long-term success of your medical practice...
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Enhancing Practice Revenue: The Lucrative Opportunity of Implementing Immigration Physicals

8/7/2023
All medical practices are constantly seeking ways to optimize their services and generate additional revenue streams. One such opportunity lies in the often overlooked realm of immigration physicals. We will show how medical practice can successfully implement immigration physicals, ...
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Starting Over in Medicine: How WCH Can Help You Navigate Credentialing and Rebuild Your Practice

7/21/2023
Embarking on a new journey in the healthcare industry can be both exciting and challenging. Whether you are a new practice setting up for the first time or a practice that is starting over after a pause or acquisition, one crucial aspect that demands attention is credentialing. This ...
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Navigating Audits in Physicians' Daily Lives: Partner with WCH for Expert Guidance

7/14/2023
In today's healthcare landscape, audits have become an integral part of a physician's daily routine. Successfully managing audits requires specialized experience and skills to navigate the complex process effectively. We want to highlight the importance of working with WCH, a trusted...
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Ensuring Effective Communication with Insurance Companies: WCH's Support for Participating Providers

7/7/2023
As a participating provider, it is crucial to recognize that insurance companies are not only expecting but also willing to assist you with any questions or concerns you may have. Whether you are considering expanding your practice, have inquiries about your rates, or have noticed an...
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Stay Compliant and Secure Revenue: Effectively Manage Medicaid Recredentialing with WCH

6/30/2023
As a healthcare provider participating in Medicaid, staying compliant with revalidation requirements is crucial for maintaining uninterrupted billing privileges and securing revenue. Medicaid revalidation occurs every three to five years, varying by state.  Medicaid recrede...
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Don't Miss Out on Medicare Revenue: Ensure Successful Medicare Revalidation with WCH

6/30/2023
For healthcare providers relying on Medicare reimbursements, Medicare revalidation is a critical process that occurs every five years. Failing to complete this revalidation promptly can result in missed opportunities to bill Medicare, leading to potential revenue loss.  ...
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Don't Miss Out on Medicare Revenue: Ensure Successful Medicare Revalidation with WCH

6/30/2023
For healthcare providers relying on Medicare reimbursements, Medicare revalidation is a critical process that occurs every five years. Failing to complete this revalidation promptly can result in missed opportunities to bill Medicare, leading to potential revenue loss.  ...
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Attention Vision Providers!

6/16/2023
Are you a vision provider experiencing a shortage of patients to serve? Are you facing challenges with credentialing and billing processes, particularly with Superior Vision and Davis Vision? Look no further – WCH is here to offer a solution. We understand the frustrations caus...
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Taking Control of Your Insurance Relationships: The Importance of Active Involvement with Your IPA

6/9/2023
Independent Practice Association (IPA) plays a significant role in managing your insurance relationships and facilitating the operations of your practice. However, it is crucial to understand that your active involvement and ongoing communication are essential to maintain control and...
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Recredentialing: Why You Need a Reliable Team to Manage Your Payer Contracts

6/2/2023
Recredentialing is a critical aspect of maintaining a successful healthcare practice. As a healthcare provider, you know that the credentialing process doesn't end once you are initially credentialed with insurance payers. Regular recredentialing is necessary to ensure that your cont...
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Maximize Your Revenue Potential: Unlock Medicare Reimbursement for Supplies as a DME Provider

5/25/2023
Don't Miss Out on a Lucrative Opportunity to Expand Your Practice's Profitability! As a healthcare provider, you have the chance to enhance your revenue by billing for supplies to Medicare. By becoming a Durable Medical Equipment (DME) provider, you can offer essential suppl...
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WCH News

September 15, 2023
Charting Your Path to a Successful Medical Practice: Guidance from WCH
For medical providers venturing into the world of private practice, the journey begins with crucial decisions that set the course for their business. One of the most pivotal choices is det...
September 15, 2023
Insurance Company Letters: The Importance of Professional Consulting
Receiving a letter from an insurance company can often be a daunting experience for healthcare providers. These letters can encompass a wide range of topics, from audit requests to clarifi...
September 08, 2023
Finding the Right Billing Company: Key Steps for Practice Growth
For many healthcare practitioners, the quest to find the ideal billing company is a critical step in ensuring practice growth and financial success. Doctors often wonder how to identify th...
September 01, 2023
The Power of a Second Opinion in Medical Billing
In the world of healthcare, seeking a second opinion is a common practice when it comes to our physical well-being. We rely on professionals to provide us with accurate evaluations and tre...

Healthcare News

September 15, 2023
Changes in Pharmacy Enrollment: Medicaid Compliance and Medicare Approval
Changes in pharmacy enrollment requirements have significant implications for providers, particularly in states like New York and potentially others. These changes necessitate a shift from...
September 08, 2023
Buying vs. Starting a Durable Medical Supply Company: A Strategic Perspective
For business entrepreneurs venturing into the world of durable medical supplies, a common dilemma arises: Should you buy an existing DME (Durable Medical Equipment) company or start a bran...
September 08, 2023
The Complexity of CCM and RPM Billing: Understanding Insurance Company Policies
Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) services have become essential components of patient care and revenue generation. However, the path to reimbursement for these...
September 01, 2023
Demystifying Medicare Enrollment: What Providers Need to Know
Medicare enrollment is a fundamental step for healthcare providers looking to serve the senior population effectively. However, the process can seem daunting, with numerous requirements and st...

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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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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;
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