WCH December newsletter

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iSmart EHR Successfully Certified to 2015 Edition! WCH Company is progressing and developing day by day. One of the latest and very significant success is that WCH iSmart EHR software received industry the highest recognition “Certificate of Health IT Compliance, 2015 Edition�.

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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 preauthorization process for many services? Yes, clear the answer – to reduce the cost. Preauthorization is a frightening concept for many healthcare providers, but with WCH by your side we can help to simplify the process. Over the past few years, most insurance companies have tightened their rules, making more and more adjustments into the terms of the coding an policies and scope of specialty restrictions. These frequent changes are aggravating front desk and medical professionals. Moreover, this as well delays the delivery of services to the patient. Our specialists are highly qualified and experienced in preauthorization procedures and we can educate your staff on this process.

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Fidelis Care Prior Authorization Requirements are changing in 2018 for PT, OT, ST. Beginning on January 1, 2018, Fidelis Care will no longer require prior authorization for the first ten (10) outpatient PT, first ten (10) outpatient OT, and first ten (10) outpatient ST visits each calendar year. When requesting authorization for additional PT, OT, and ST visits (beyond the 10th visit within the calendar year), providers must submit supporting clinical documentation, including the progress notes for all visits incurred, in order for Fidelis Care to review the request and determine if additional visits are medically necessity. It is not necessary to submit an authorization request until the first 10 visits, within each discipline, have occurred. Read more

Medicare Deductible, Coinsurance, Premium Rates and Therapy Cap Values for Calendar Year 2018 are available! Read more

MIPS Reporting Countdown: Act Now to Avoid Penalties!!! Merit Based Incentive Payment System (MIPS) eligible providers who fail to collect and report a minimum amount of 2017 performance data by March 31, 2018, could face a four percent negative payment adjustment on Medicare reimbursements in 2019 — with increasing penalties in the future. Read more


What are the requirements for MIPS “Test” reporting option?


Read More Why can't I use "Center" in my new entity name? Read More

You assistant for creating superbills - at work, at home, on the way, anywhere! SmartBill App! Time is precious! The doctors main goal has always been to treat and care for their patients. So what about the rest of the practice processes, for example submitting data for billing? When is there time to have this done accurately and easy? Meet your assistant – SmartBill App This application allows providers to submit billing to WCH through their phone or any handheld device. We have developed SmartBill Application to enhance billing process and eliminate paperwork. Whether you are seeing patients at the hospital, assisted living facility or in your private practice, with one click you can transfer billing informant to WCH. Recently Android approved SmartBill, it’s now available for download here: https://play.google.com/store/apps/details?id=com.wchsb.smartbillapp Apple should be ready within the next several months.

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Get higher contracts rates! WCH makes it happen again! 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. But why are specialists in one of the most important and noble professions unable to get a fair reimbursement for their labor? WCH knows – they are! Despite a time and patience consuming process, any of the contracts may


be negotiated.

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Meet Jenya Yan, Billing Specialist WCH Billing Department Specialist Jenya Yan, who has been with our team for almost two years, feels the responsibility to go through with every task at her work. This month of December, she has become Certified Medical Reimbursement Specialist (CMRS) through American Medical Billing Association (AMBA).

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We are members of

Services: Billing Credentialing EHR


Medical Chart auditing SmartBill app

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