WCH NEWS

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...

The advent of telehealth has revolutionized the way healthcare is delivered, allowing doctors to provide care to patients across state lines. As the demand for telehealth services continues to rise, it's becoming increasingly important for physicians to be licensed in multiple states...

At WCH, we are thrilled to announce that our comprehensive credentialing services extend to dentists as well. We recognize the importance of a robust network of dental providers and are dedicated to helping dentists join insurance networks and expand their patient base. Whet...

At WCH, we understand the frustration that providers may face when insurance companies fail to respond to their inquiries. We want to remind all participating providers that they have a direct obligation from the insurance company to return calls, meet in person, and address any ques...

When it comes to negotiating rates with payers, many healthcare providers find themselves in unfamiliar territory. The complexities of navigating contracts and ensuring fair reimbursement can be overwhelming, leading to missed opportunities for maximizing revenue. However, with the e...

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 crucial that you familiarize yourself with the following details to ensure compliance: Billi...

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 of patient care within your practice.The role of a medical director carries immense importance and si...