WCH NEWS

Dear Mental Health Provider,In the current landscape of heightened scrutiny by payers and an alarming 70% improper payment rate, it has become imperative to reassess and educate Mental Health Specialists in effective document practices. Our primary objective is to conduct a preventive audit ensuring...

The question often arises in the healthcare industry: should billing and credentialing services be handled by separate companies, or is it more efficient to have them under one roof? The answer lies in several factors, primarily the expertise and knowledge of the team managing these ...

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 determining whether to work with insurance companies, limit participation to specific insurers, or ...

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 clarification on specific matters. Regardless of the nature of the letter, providers must respond appro...

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 the perfect billing partner who can efficiently manage their revenue cycle. Check the essential st...

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 treatment plans. Similarly, in the realm of medical billing and revenue collection, the concept of ...

Insurance audits can often become a source of anxiety and frustration for healthcare providers. A recent case involving a podiatrist's encounter with an insurance audit sheds light on the challenges faced by medical professionals and how collaboration with experts can lead to effecti...

Credentialing and communication with payers have been the cornerstones of the healthcare industry for decades. Providers often find themselves in intricate situations while dealing with payers, facing challenges that can be both overwhelming and time-consuming. With over 20 years of ...

Urgent care centers play a vital role in providing immediate medical attention to patients. However, when it comes to billing, urgent care has unique requirements that demand specialized knowledge and precision. For over two decades, WCH has been a trusted partner for urgent care pro...

When we discuss healthcare audits and compliance, our focus tends to be on individual providers, primarily physicians. However, there is an equally critical aspect that often goes unnoticed—the impact of referrals for specialties on the sidelines. These specialties include phar...

In the complex world of medical billing and insurance payments, it's not uncommon to encounter surprising variations in reimbursement rates, even within the same specialty. To ensure that healthcare providers receive prompt and accurate payment at rates specific to their specialty, c...

Audits and record retention rules are critical aspects that medical practices must understand and adhere to. When facing an audit, it is vital to partner with professionals who possess in-depth knowledge and experience in the field. As a leading healthcare consulting firm, WCH can pr...

Opening a durable medical equipment (DME) business requires careful planning and adherence to certain requirements. Before you can start serving the public and providing your services as a retail business, there are three essential things you must have in place:  ...

Healthcare providers often encounter insurance audits that can have significant implications for their contracts with insurance companies. Failure to resolve ongoing audits can eventually lead to contract termination or limitations.  Understanding the Impact of Unresolv...

BlueCross BlueShield is renowned for its extensive network of insurance plans, offering a wide range of coverage options to healthcare providers and patients alike. However, navigating the credentialing process for specific plans within the BlueCross network can be a complex task. Th...