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WCH Blog

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̶ ̶ ̶ ̶ ̶ ̶ ̶ WCH Blog

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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Expand Your Practice as a Designated Civil Surgeon Provider with WCH

5/19/2023
As the largest country for immigrants, the United States presents unique opportunities for healthcare professionals looking to broaden their scope of practice. One such opportunity lies in becoming a designated civil surgeon provider, a crucial role in assisting immigrants with the l...
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Elevate Your Physical Therapy Practice in New Jersey with WCH

5/19/2023
Are you a physical therapist in New Jersey seeking to take your practice to new heights? Or perhaps you require a second opinion regarding your credentialing process in the state? Look no further than WCH, your trusted partner in practice development and credentialing expertise....
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Embrace Your Role as Practice Directors with WCH by Your Side

5/19/2023
As doctors actively involved in medical practices, it is essential to recognize the immense responsibility and liability that comes with being medical directors. From billing to credentialing to audits, doctors play a critical role in overseeing and ensuring the success and compliance of...
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Medical Billing Rates – What Prices to Expect for Specific Billing Services

3/17/2023
What are your prices? is the question medical billing businesses are asked most frequently. We'll try to clarify some of the ambiguity regarding medical billing service prices in this article. Also, we'll outline the precise services you may anticipate for a given pricing as well as ...
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Should I take part in the Quality Payment Program and MIPS?

3/17/2023
The Centers for Medicare and Medicaid Services provides the following information:You may have heard that the Centers for Medicare & Medicaid Services (CMS) is reviewing claims and advising practices on which doctors should participate in the Merit-based Incentive Payment System (MIPS). MIPS is ...
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How to Choose the Best Online Medical Billing Business.

3/16/2023
Proper billing company is always striving to satisfy the true needs of medical providers. While not every provider has the same set of requirements, there are a few basic elements that most clinicians concur are necessary for a successful billing program. Here are a few examples:Obtain the most equi...
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Home Health Billing Requirements: An Overview of Medicare’s Eligibility Standards

3/16/2023
Three requirements must be met in order to qualify for Medicare home health care:1.The Patient must be met in order to quality for Medicare home health care In general, the patient must have an illness, injury, or condition that makes leaving the house challenging     Medicare h...
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Medical Billing, what is better 3% or 6% service fee?

3/10/2023
What is the definition of a successful doctor? It depends on each person's point of view. Some may say doctor skills and knowledge. Some may add kindness and empathy.  Some may also add compassion. All the above is true, BUT we live in the material world and a medical p...
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WCH News

May 12, 2023
Important Reminder for IPA Affiliated Providers: Compliance with Billing Procedures
We are reaching out to emphasize the critical importance of adhering to proper billing procedures and contractual obligations within the Independent Practice Association (IPA). It is cruci...
May 12, 2023
The Vital Role of a Medical Director: Managing, Understanding, and Complying
By embracing vital aspects of the medical director role, including managing, understanding, and complying, you can effectively fulfill your responsibilities and contribute to the success and quality o...
May 12, 2023
Navigating the Credentialing Challenges with Optum Health: WCH Team's Commitment to Your Success
As a leading credentialing vendor for United Healthcare, representing specific plans and specialties, Optum Health plays a crucial role in the healthcare industry. We understand that the c...
May 08, 2023
WCH Uncovers Discrepancy in NY Physician Assistant Supervision Requirements
WCH's recent findings regarding the discrepancy between the New York State Education Department and the New York Medicaid program have brought to light the need for greater collaboration and&#...

Healthcare News

May 25, 2023
Optimize Your Medical Insurance Coverage: Unlock Savings with 5 Essential Strategies
As a medical professional, staying informed about the array of discounts and benefits offered by medical insurance companies is crucial. At WCH, we specialize in empowering doctors to seiz...
May 12, 2023
Important Notice: Changes in Medicare Enrollment Timeframes
We would like to bring to your attention an important update regarding the Medicare enrollment process. In recent times, we have observed a noticeable shift in the timeframes set by Medica...
May 12, 2023
Resolving the Discrepancy: Clarity on PA Supervision Rules
In one of our previous articles, we highlighted the discrepancy between the New York State Education Department and the New York Medicaid program regarding the supervision of physician ass...
April 21, 2023
Bogus Billing Over COVID-19 Medical Expenses Resulted in $490 Million in Fraud
The COVID-19 pandemic has had a severe impact on people's finances, and unfortunately, some individuals have taken advantage of this situation to commit fraud, resulting in millions of dollars of loss...

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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:

  • All individual Medical specialties
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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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