1. Does WCH have a compliance plan?
WCH has a fully developed and effective compliance plan consistent with CMS, by the U.S. Department of Health Services. Our plan is based on “Professional requirements for service bureau per Title 18 – Department of Health Rules and Regulations” (Section 504.9 – Service bureaus). Our compliance plan has been fully developed by WCH management team and is being stringently followed by all departments. If your practice is currently using a billing company we highly recommend reviewing their compliance plan. Those companies working without a compliance plan leave an open door for problems that might impact your practice’s operations.
2. When a claim is “denied” by the payer, how is the issue resolved?
With years of experiential knowledge, our team is attuned to a diversity of denials. Whether it might be an insurance error, patient misleading data, or any other reason, we here at WCH know the value of working with denials within designated time frames, effectively and efficiently to acquire the highest reimbursement possible.
3. Can I or any of my office staff access billing, claim, or patient information from my own computer?
Yes. WCH offers the use of our individual PMBOS program for your personal computer, in which, all of your practice’s information including billing, claim, and patient information can be viewed; along with abilities such as creating an appointment schedule, and accessing helpful information for instance insurance’s phone numbers and address lists.
4. How do I get invoiced?
WCH clients are invoiced on a bi-weekly schedule for all payments received since the last invoice. Invoices are e-mailed, faxed, or sent with our driver, one week before the payment due date. Clients are able to pay invoices through check or a securely electronic transaction using PayPal.
5. What kind of reporting does WCH provide for my practice? Can reports be customized?
WCH provides a large variety of reports from basic to specially detailed to fit the client’s requests. Some of the customized reports include: average report, patient responsibility report, 1099 amount by insurance, payment provider within a practice, and many other reports that may be requested. Some of our standard reports include: amount of claims billed within a certain time frame, claim's notes, outstanding details, total visits, processed claims, etc. Standard reporting of the billing and collection activities are provided at a weekly basis.
6. How does WCH assure the security and availability of the software and the practice’s data?
Security is an important factor to us; your practice's information will always be backed up and assured security. During the course of every day, including weekends and holidays, the computer sever automatically generates the back-up file every four (4) hours. At the end of each day, the last back up file is automatically written to a data CD. In addition thereto, at the end of each week, the last back-up file is automatically written to a CD. Therefore, there are a total of eight (8) CDs at the end of each week that is stored on external drive safely, in a fire-proof facility. WCH provides technical support Sunday-Friday through phone, e-mail, or in person. Your data and access is reliable at any time. Data in our PMBOS program is confidently stored and is only given access to parties which are authorized by the client and WCH Service Bureau. All information and paperwork you provide to our company will only be used for work purposes only. We will not share your information with outside parties. Our staff signs a confidentially agreement to assure that your information will not be accessed outside of WCH Service Bureau.
7. How many people will be handling my account?
Typical practice will have three account representatives which handle billing, collection, communications, reporting, and all issue concerning the practice. In addition to the account representatives a group consisting of the billing department manager, team supervisor, and technical personnel monitor and enforce proper execution of work for your practice.
8. Are there any sign up fees to begin the billing process?
There are no set up fees to begin working with WCH.
9. Is there a contract that I must sign in order to begin working with WCH? If I am not satisfied, can I terminate my contract?
There is a standard contract that is to the convenience of both parties to protect our terms and conditions. If you find that you are unsatisfied with our services you can terminate your contract with WCH with no obligations; a 30 day notice should be given to official termination date.
10. Are credentialing and billing service part of one service?
Our credentialing and billing services are two separate contracted services; although, if you decide to use our billing services, credentialing services will be priced at a special promotional fee.
11. How long does it take to set up all information and begin the billing process?
To set up a new client in our program takes from 1 to 3 days. To begin submitting claims to Medicare takes approximately 7 days to set you up to our WCH submitter Id, Medicaid takes approximately 2 days, and commercial insurances may be billed right away after.
12. Who does the WCH team consist of?
The WCH team consists of hard working personnel who are dedicated to improve your reimbursement rates, and ease your daily work load. Professionals on the team include: Certified Professional Coders, medical billers, collectors, credentialing specialists, HIPPA Compliance officers, IT specialists, and management team that oversees the productivity and quality of the staff’s performance.
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