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News

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Get higher contracts rates!

1/9/2018
Get higher contracts rates! Credentialing is a very complex process. Sometimes it takes so long and goes so difficult that providers just agree on whatever Health Insurance plan offers. Once a provider is contracted with a plan, he or she must accept plan’s fee schedule as payment in full. ...
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Preauthorization Hell, WCH Can Help!

1/9/2018
Preauthorization Hell, WCH Can Help! We understand the complications of obtaining preapprovals from certain services from payers. Why do you think insurance companies make their rules more stringent by initiating the pre-authorization process for many services? Yes, clear the answer – to re...
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WCH Removed Physician from the OMIG Exclusion List

12/5/2017
WCH Removed Physician from the OMIG Exclusion List The Office of the Medicaid Inspector General (OMIG) is an independent entity established within the New York State Department of Health. Its major aim is to promote and protect the integrity of the Medicaid program by preventing and detecting frau...
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WCH Invests into Staff Training to Keep Your Practice Secure

12/5/2017
WCH Invests into Staff Training to Keep Your Practice Secure WCH professionals are all geared towards making your practice secure and superb. WCH Management invests heavily into the staff education and improving their professional qualifications. The following illustrates how far we go to exceed o...
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WCH Organized Webinar on NYS Requirements – Medicaid Update

12/5/2017
WCH Organized Webinar on NYS Requirements – Medicaid Update Recently, it has been announced that all Medicaid Managed Care providers must be enrolled with State Medicaid programs no later than January 1, 2018. Otherwise, they will be removed from the Medicaid Managed Care Provider Network. E...
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WCH Introduces Credentialing Live Link

12/5/2017
WCH Introduces Credentialing Live Link Considering the amount of ongoing processes in WCH Credentialing Department, it became crucial for us to inform our clients regarding their enrollment status in a more effective and efficient way. I would say even a more sophisticated way. Understanding that a...
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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 behal...
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We are much more than just a billing company

11/1/2017
We are muchmore than just a billing company The Healthcare industry is a wide extensive field and does not include only treating of patients, just as the WCH Service Bureau does not provide solely Medical Billing Service. Along with treating patients, there are still many things that medical provi...
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Automation of Processes in WCH

11/1/2017
Automation of Processes in WCH Oxford University study has predicted that about 47% of all jobs and services will be automated by 2033. We are not going to be left out of this automation movement. Being automated means being paperless, keeping all data and information under control, focusing more ...
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WCH i-Smart is getting Smarter

10/3/2017
WCH i-Smart is getting Smarter. i-Smart EHR introduces comprehensive, productive, easy and user-friendly MIPS-dashboard. Today the new MIPS-dashboard gives an opportunity to manage and track performance data on each MIPS (Merit Based Incentive Pay System) program category – Quality, Im...
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WCH Revenue Text is already in operation

10/3/2017
WCH Revenue Text is already in operation. We are pleased to announce that WCH Revenue Text service was successfully launched this month. This new live account update service sends texts to WCH clients with billing and payment flow summaries. Now WCH clients can track claims created, claims sent to...
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WCH recognized and cancelled an incorrect overpayment request

10/3/2017
WCH recognized and cancelled anincorrect overpayment request Many providers, when receive overpayment notices from commercial insurance payers, start investigating the reasons, digging into the old documentation, writing appeals or some providers just pay the balance. Billing department specialist...
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WCH Trains Practice Staff and Nearly Doubles Reimbursements

7/20/2017
WCH Trains Practice Staff and Nearly Doubles Reimbursements When a dermatology clinic came to WCH with too many zeros on their EOBs (explanation of benefits), WCH Account Representative Alla Keinig quickly analyzed their in-house billing and turned reimbursements around from less than 50 percent t...
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MIPS Reporting Countdown: Act Now to Avoid Penalties

7/20/2017
MIPS Reporting Countdown: Act Now to Avoid Penalties By Nargiza Nurlybaeva, WCH Billing Group Supervisor It's been six months since the MIPS (Merit Based Incentive Pay System) program began. Do you know what you need to do to comply in 2017? Or if you even need to start reporting quality and impr...
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One Click: Checking Patient Eligibility with WCH iSmart Just Got Smarter

7/20/2017
One Click: Checking Patient Eligibility with WCH iSmart Just Got Smarter The WCH iSmart EHR just got smarter. A new feature lets providers connect to any insurer to verify patient eligibility instantaneously. No more searching multiple payer portals or working through multiple phone prompts to wait...
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WCH News

March 29, 2023
Medical Billing Franchise: An Opportunity to Tap into the Lucrative Healthcare Industry
Medical Billing Franchise: An Opportunity to Tap into the Lucrative Healthcare Industry A medical billing franchise is a type of business model that allows you to own and op...
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...

Healthcare News

March 29, 2023
The Future of Healthcare Policy after the Termination of COVID-19 Health Emergencies
The Future of Healthcare Policy after the Termination of COVID-19 Health Emergencies According to a recent Statement of Administration Policy submitted to the Rules Committee of the H...
February 22, 2023
Medical Audit: How to Avoid Problems Before They Occur
Never forget that each medical practice is subject to medical record audits. Hearing that word practices, start to worry and panic, dwelling on the painstaking, laborious process ahead of them. Howeve...
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 ...

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