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The Secret behind Your Practice High Reimbursement

11/1/2017

The Secret behind Your Practice High Reimbursement

 

Here at WCH, OUR GREATEST ASSET is that we provide medical practices with up to 98% reimbursement on claims. We don’t only cross all “t’s” and dot all “i’s” to make this happen, we also fight back on behalf of our clients when it comes to incorrectly processed claims, policy disputes, unfair auditing decision and much more. There is a reason why WCH is often referred to being called the doctor to doctors.

 

Our formula for success:

 

Internal procedures + technology + continuing education = High Reimbursement

Internal procedures

  •  Policy and procedure manual – work manual by which all processes are controlled and processed. From clerical position in billing to management position, the manual outlines responsibilities, tasks, goals, and workflow for every single situation and more
    •     Reporting and communication processes
    •     Monitoring and internal auditing processes
    •     Investigative procedures
    •     Education and training procedures
    •     Grading system for all levels of positions in billing
  • Department of health registration as Service Bureau and our commitment to follow state regulations for billers
  • Quality assurance: We pay attention to every stage of the process of getting reimbursement for your claims.
  • Clean claim submission: Submitting only eligible claims for process, reducing incorrect billing and denials.
  • Timely collection of claims: Claims are placed into monitoring mode 48 hours after submission to insurance carriers for process.

Technology

Privately developed - PMBOS “Patient Management and Billing Operating system”.
This system is our billing program and we also make it available for our clients to have complete practice control from the client’s location.
Main program features: 

  •     Billing and coding edits
  •     Clearinghouse capability for claim submission to national carriers
  •     Client access to complete claims data, payments, reports and customized reporting, user maintenance for access limitations.
  •     Electronic superbill for real-time billing
  •     Atomization of secondary claims, electronic posting and patient billing

Continuing Education

At WHC, we understand the importance of professionalism and value it brings to our clients' practices. Healthcare industry doesn’t sleep, and WCH works hard to stay on top of all changes. Certification with AAPC, HBMA, CMS and AMBA is vital part of our education development internal program. WCH invests into staff education and it has become one of our top priorities. Medical Billers and Coders Professionals in this field must have a proper knowledge about different insurances policies and procedures that include government and commercial payers.

From internal education we developed Client training program focused on improving physician’s knowledge of coding and insurance policy requirements. This training is done through webinars, onsite training, newsletters and weekly meetings with clients.

To sum it all up – WCH strives to provide Clarity, Comfort and Security for every client.

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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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