We are experts in completing provider enrollment applications for Medicare and Medicaid organization for all states! All providers opening their private practice, single/multi specialty group, pharmacies, durable medical supplies, civil surgeon, IDTF and dental groups.
Individuals and companies, owned, controlled by, or acting on behalf of countries targeted by US foreign policy as terrorists and narcotics traffickers are identified as Specially Designated Nationals (“SDN”). These individuals and companies have their assets blocked and U.S. persons are generally prohibited from dealing with them. The SDN search is conducted using documentation provided by the US Treasury’s Office of Foreign Assets Control (“OFAC”).
National Criminal Database Search
The National Criminal Database Search provides multi-jurisdictional information from multiple sources including County Records, State Department of Corrections, Sexual Offenders Lists and Administrative Office of Courts. WCH Service Bureau recommends this search as a supplement to a comprehensive county and/or statewide criminal conviction search.
On-Site Visits
WCH can perform an on-site audit to verify practitioner compliancy to applicable NCQA (National Committee for Quality Assurance), URAC (Utilization Review Accreditation Commission) and JCAHO (Joint Commission on Accreditation of Healthcare Organizations) standards as well against standards defined by our clients. This includes, but not limited to:
Physical accessibility.
Physical appearance.
Adequacy of waiting and examining room space.
Availability of appointments.
Adequacy of medical record keeping.
Quality of care (which is determined by examining medical records selected at random and comparing the care provided against our client standards.
Privacy Policies.
At this time, WCH limits this service to the location within a Greater New York area.
Aplication Processing
Our most inclusive offering that is customized to the needs of each of our clients. Working in partnership with our client, we develop a customized solution that would allow WCH to integrate with our clients technology and procedures , accept applications from practitioners, perform initial screening and help practitioners in properly and completely filing the application, enter all of the information into the clients system, perform primary source verification and any other additional screenings, audit the site and prepare a complete package for a final review and decision making to our client. We then develop processes for proactive and reactive re-credentialing monitoring.
HAVE YOU UPDATED YOUR MEDICARE ENROLLMENT SINCE 2003?
At this time, we want you to be aware of important changes that are taken place in Medicare effective immediately. These changes will affect your reimbursement and ordering/referring services for Medicare beneficiaries...
