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News

̶ ̶ ̶ ̶ ̶ ̶ ̶ WCH News

WCH joined the International Franchise Professionals Group

4/12/2022
We are happy to announce that effective this March, WCH Service Bureau is a member of the  International Franchise Professionals Group.We believe this membership will take us to the next level when it comes to attracting new franchisees. Want to join the rapidly growing revenue cycle ...
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Gratitude to our dear community

4/10/2022
Support that saves livesShortly after the outbreak of the war in Ukraine, WCH Service Bureau organized a donation campaign to collect medical supplies and send them to the Ukrainian people. We are astonished by the commitment and continuous contribution of our clients and partners. To date, over 50 ...
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Your secret formula for dealing with Medicare deactivation

3/3/2022
Dealing with Medicare Deactivation has never been easy. The sole fact of losing your billing privileges is extremely frustrating, let alone costly to your practice.But what if we told you that there is a tangible way to regain your privileges quickly and efficiently?Just recently, our credentialing ...
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Do it right - WCH it! Our way of dealing with injustice

3/2/2022
Each day, our billing experts encounter hundreds of claim denials, rejections, and underpayments. At WCH Service Bureau, our account representatives identify and reprocess every claim that has not been paid appropriately. Most underpayments are completely random and are caused by nothing but mistake...
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WCH has joined HBMA Payer Relations Comittee

2/24/2022
WCH Service Bureau is proud to contribute to an improvement of the revenue cycle management processes, guidelines, and regulations not only for our clients but for all healthcare providers nationwide. This month, Olga Khabinskay, our Credentialing Manager and Director of Operations, joined the Healt...
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MIPS: your dos and don'ts

2/23/2022
Dear providers, now is the perfect time to get acquainted with MIPS!Merit-based Incentive Payment System (MIPS) is a compulsory quality payment and incentive program (QPP) for Medicare-participating providers. It is an annual evaluation campaign that you are obliged to sign up for if you qualify.How...
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The new edition of WCH Insights is out!

2/6/2022
At WCH Service Bureau, we strive to keep our clients informed on the most important challenges of the healthcare industry. Each month, we share our insights on significant clinical and reimbursement policy updates that may have an impact on your practice. In January, our billing, credentialing, and ...
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Still not using an EHR? You might be missing a lot

1/27/2022
In 2022, there is hardly any aspect of our lives that has not “moved” into the digital world yet. The Healthcare industry is not an exception. From widely available telemedicine to digital ID cards, insurances are gradually relocating healthcare to the online space. Are you sure tha...
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Best medical billing solution for surgical pathologists

1/25/2022
Insurance claims billing has never been easy. At WCH Service Bureau, we know how hard it is to balance between providing top-quality services to your patients and submitting thousands of claims to benefit plans.If you have ever received any claim reimbursement from an insurance company, you probably...
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Audits are coming

1/20/2022
According to our prognosis, practitioners will experience an increasing number of insurance audits in 2022. Payment integrity programs and special fraud investigations are on the rise. Regardless of your participation status and specialty, you are likely to receive a request fo...
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A new issue of WCH Insights is out!

1/9/2022
As we dive into 2022, now is the perfect time to have a short recap on everything that we’ve done in the last 12 months. In 2021, WCH Service Bureau has demonstrated the following accomplishments:• 450,000 claims had been billed & submitted to payers• 1587 enrollment...
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Common credentialing mistakes that can decrease your revenue

1/6/2022
Enrollment with insurance payers is a complicated and time-consuming process. Healthcare providers have to submit tons of paperwork and regularly follow up with insurance representatives to secure their participation with a certain payer or a benefit plan. Moreover, if done incorrect...
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Collect your claim payments like a pro

12/16/2021
Unfortunately, insurance claim underpayments have already become extremely common. It is noteworthy that a large portion of denials occur because an insurance payer has failed to process your claims in an appropriate manner.Should this be the case – calling the payer’s customer service i...
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We Can Help you deal with your contractual obligations

12/15/2021
WCH is committed to the success of our clients. For over 20 years, we have been resolving thousands of claim denials and underpayments directly with various insurance companies and other payers. At the same time, we have helped our clients tackle issues related to their insurance contrac...
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Why it is important to keep track of your provider credentialing

12/12/2021
Contracting…participation…revalidationThese are the words that may bring a nightmarish flashback to some of you. Credentialing is truly a complicated process. Dealing with tons of enrollment contracts, exclusions, and licensing while also monitoring if your desired panel is still open, h...
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WCH News

September 15, 2023
Charting Your Path to a Successful Medical Practice: Guidance from WCH
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 det...
September 15, 2023
Insurance Company Letters: The Importance of Professional Consulting
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 clarifi...
September 08, 2023
Finding the Right Billing Company: Key Steps for Practice Growth
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 th...
September 01, 2023
The Power of a Second Opinion in Medical Billing
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 tre...

Healthcare News

September 15, 2023
Changes in Pharmacy Enrollment: Medicaid Compliance and Medicare Approval
Changes in pharmacy enrollment requirements have significant implications for providers, particularly in states like New York and potentially others. These changes necessitate a shift from...
September 08, 2023
Buying vs. Starting a Durable Medical Supply Company: A Strategic Perspective
For business entrepreneurs venturing into the world of durable medical supplies, a common dilemma arises: Should you buy an existing DME (Durable Medical Equipment) company or start a bran...
September 08, 2023
The Complexity of CCM and RPM Billing: Understanding Insurance Company Policies
Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) services have become essential components of patient care and revenue generation. However, the path to reimbursement for these...
September 01, 2023
Demystifying Medicare Enrollment: What Providers Need to Know
Medicare enrollment is a fundamental step for healthcare providers looking to serve the senior population effectively. However, the process can seem daunting, with numerous requirements and st...

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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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  • Single & Multispecialty Groups
  • Urgent Care, Labs, DME, Pharmacy
  • Article 28, 32, 31
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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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