WCH Service Bureau WCH Service Bureau
  • Services Services
    • Medical Billing
    • Provider Credentialing
    • Medical Auditing
    • Real-Time Eligibility
    • MIPS Support
    • Webinars
    • Practice Analysis
  • Products Products
    • Credentialing Application ©
    • iSmart EHR ©
    • PMBOS ©
    • Time Management Program
  • WCH Franchise
  • Company
    • About
    • Our Offices
    • Careers
  • News
    • WCH Insights
    • Healthcare News
    • WCH News
  • Contact Us
  1. Home
  2. > WchNews
  3. > WCHNewsItem
Phone: 888-924-3973 Technical support Pay Now iSmart Login

Important Update To Your Billing Agreement

10/19/2014

WCH Medical Billing Contract changes coming up January 2015

Dear Clients, Effective January 1, 2015, WCH is making important changes to your existing billing agreement.

WCH will be sending out updated billing agreements to you for signatures in the beginning of the Yew Year. Below, we have included account terms changes as well as new amendments that represent and protect both parties. We would like for you to be familiar with these terms earlier so that many of your questions can be answered in advance.

The account terms changes include, but are not limited to, the following:
Client’s obligation to comply with WCH requests to perform random review of medical records

According to HHS/OIG “Compliance Program Guidance for Third-Party Medical Billing Companies” WCH performs random review of all and any records related to billing services and has a right to request such information from our clients. Client is obligated to provide WCH with all requested documentation including but not limited to signs in sheet, progress notes, progress reports and etc.

Benefit for you:

It’s another way WCH is protecting our clients against submission of erroneous claims to insurance companies. All claims must reflect the services performed at the time of the visit. Buy randomly selecting to review the medical records, we are checking that the claims we submit contain
accurate data.

Clients are responsible for providing all statement/documents resulting from WCH billing services to WCH within 5 days upon its receipt.
Any payments, EOB, patient’s statements, etc received by clients must be sent to WCH within 5 days.

Benefit for you:
WCH can start processing and appealing partially paid and denied claims much faster compare to previous time frame of 10 days. We will also post the payments faster and update your account to reflect the most current status. 

Payment refunds for patient bills
WCH changes the terms of issuing patients checks back to you within 2 weeks compare to 30 days processing waiting time.  Under the new agreement we will issues checks for patient payments that are processed through WCH, same day as WCH bi-weekly billing invoice is issued.

Benefit for you:
You will get your patients bills payments faster.

Termination clause for billing service
WCH is adding a 30 day termination clause to our billing service agreement.  Either party has a right to terminate the agreement, for any or no reason, upon 30 days written notice. WCH is responsible to finish all work for a client and process all claims that have been submitted on their behalf. To fulfill this obligation WCH reserves 90 days upon the termination of agreement for most collection cases.

Charges for denied claims

WCH will charge $6.79 per claim that has been denied due to client’s fault or mistake. Client will not be charged for claims if the overall amount of problem claims will not exceed 1%.

Benefit for you:
These charges will motivate your office to reorganize your front desk operations and overall improve internal eligibility and authorization process.

It’s a Law! Clients must have direct communication with WCH Account Representatives

According to recommendations of OIG frequent communication between the billing company and the billing health care provider is fundamental to the success of any compliance process. Besides routine communication between WCH and clients’ office staff, WCH and billing health care professionals must have direct regular communication to gather and provide accurate billing information. Effective communication between a practitioner and WCH is a significant aspect of a practice’s efficiency, documentation improvement, medical claims processing, correct and potentially increased reimbursement and compliance.

Benefit for you:

You have only one license, and we are here to protect it. By having scheduled communication with your account representative you will be fully aware of all billing processes currently handled by WCH. You will know the status of claims, appeals, and reasons for denied claims and receive the latest healthcare updated from the insurance industry. Benefits all served to inform and protect you!

WCH compliance program
According to HHS/OIG “Compliance Program Guidance for Third-Party Medical Billing Companies” WCH maintains compliance plan as a service bureau. The compliance plan includes internal company policies, regulations, billing, coding and collection manual.  This compliance plan is submitted every year to OMIG as required by the compliance office.

Benefit for you:
WCH provides service based on state regulations and internal protocols, all serving to protect and support our clients.
   
Contracted with Experian Credit Bureau to report all payers
As part of our commitment for excellence in cash flow management, WCH continues to work with Experian Credit Bureau to keep improving operation efficiency. Experian produces credit reports that measures and records company’s and its client’s payment habits to ensure that cash flow and revenue processes are up to date. All clients’ accounts are recorded by Experian in order to ensure constant cash follow so that WCH can meet its obligations to suppliers, customers and employees.

Signature on super bills

WCH will not accept any superbill that has not been signed by a rendering health care provider for billing

Benefit for you:  
WCH is protecting you as a provider to make sure that we bill the services that you had performed.

Suspension of billing services for non-payment

In case a client defaults in payment to WCH for billing services, WCH has a right to suspend services until the full payment is received. The client will be informed of the suspension by their account representative or supervisor. WCH will resume billing services after payment in full amount is received and cleared by the bank.

The updated agreements will be sending out to our clients starting January 2015. Should you have any questions, please do not hesitate to contact your account representative. We appreciate your full cooperation in returning signed agreements to WCH in timely manner.

Starting January 2015 the late fee charge for no payment of billing invoice will be 35$.


Sincerely,

Anna Kim, WCH Legal Department

Liked the article? Share with friends:

WCH News

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...
August 09, 2022
Introducing WCH CredyApp
Introducing WCH CredyAppWCH Credentialing team knows all challenges of handling credentialing internally. WCH has done credentialing for over 20 years, helping healthcare providers of various specialt...

Healthcare News

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 ...
November 29, 2022
LockBit Ransomware Campaign: New Suspect
Lockbit ransomware campaign, the variant that has been known to target healthcare in the past, is back on the radar. Thus, the Department of Justice reported that on November 15, 2022, the alleged cha...
November 04, 2022
Warning about the threat of imprisonment for breaking the HIPPA Law
If prosecutors find that providers disregarded PIR (protected information rules) in a way that warrants more punishment than fines and penalties - the doctor faces up to a year in prison on charges of...

Ready to start?

Contact Us
linkedin
⟶ let's start
WCH Service Bureau
Payment options
WCH Service Bureau WCH Service Bureau WCH Service Bureau WCH Service Bureau WCH Service Bureau
Pay Now
Services
  • Medical Billing
  • Provider Credentialing
  • Medical Auditing
  • Real-Time Eligibility
  • MIPS Support
  • Webinars
Products
  • Credentialing Software ©
  • iSmart EHR ©
  • PMBOS ©
  • Time Management Program
Company
  • About
  • Contact Us
  • Careers
News
  • WCH Insights
  • Healthcare News
  • WCH News
Support
  • Feedback
  • Technical Support
  • Privacy Policy
888-924-3973
3047 Avenue U, Brooklyn New York 11229
Fax: 347-371-9968
Follow us:
2023 WCH Service Bureau, Inc.® | Web Design and Programming by WCH Service Bureau, Inc.® | Privacy Notice
Can I help you?
Anna
Anna
Administrative Assistant
Hi, what service does your question relate to?
Medical Billing
Provider Credentialing
Medical Audit
Franchising
PMBOS
iSmartEHR
Eligibility
MIPS Service
Other
What are you interested in?
Let me help you.
Please, leave your contact details and we will answer your question.
Thank you for your request, we will respond as soon as possible.
Let us Help You

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.
Let us Help You
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!

Let us Help You
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!

Try WCH PMBOS
Request information
Perfect! Please fill in the form

What service does your question relate to?

Let us Help You
Wch SErvice Bureau

Do it right! Do it with WCH!

REQUEST FREE DEMO
Planned number of Providers : *
Specialty : *
Job Role : *
Perfect! Please fill in the form
Perfect! Please fill in the form
Have any questions? Please contact us practiceanalysis@wchsb.com
Leave us a feedback
 
Thank you
for your feedback!
Wch SErvice Bureau

Thank you for your interest in our company!
Our team will process your request and will respond as soon as possible during regular working hours.

Subcribe
Subcribe Subcribe
 
Our site uses cookie.

This site uses cookies for analytics, personalization and advertising. By continuing to browse it, you agree that we use of cookies. To find out more or change your cookie settings click here.