The Claim Was Correct. The Patient Still Got the Bill.
When does a “paid claim” become a patient-balance problem? Usually weeks before anyone prints the statement. Picture a patient walking…
Your Practice Has a New Doctor. Why Are the Claims Still Going to the Old One?
The NPI followed the physician. The payer records didn’t necessarily follow. Here’s how an enrollment mismatch can turn a routine…
ICD-10-CM FY2027 Is Live: 9 Code Changes to Check Before Your Next Claim Batch
By Elizaveta Bannova, Billing Department, WCH It took effect a week ago. If an outdated code is still sitting in…
Under 90 Days: Telehealth Prescribing Rules Are About to Change — But the Final Rule Is Still Under Review
By Elena Pak, Credentialing Department, WCH A pandemic-era flexibility expires December 31. A permanent replacement is under federal review, but…
Your AI Vendor May Be Your Compliance Risk: What Physicians Should Ask Before Putting AI Into the Practice
By Slava Kurdov, Billing Department, WCH
You Retired. Your Credentialing Didn’t.
How Physicians Can Close the Loop With Payers, Medicare, Medicaid, CAQH, and NPI Records By Parviz Khayrullaev, Credentialing Department, WCH…
Payers Are Changing Your Rates. Most Practices Haven’t Noticed Yet.
By Tatyana Kantor, Billing Department, WCH Rate changes are showing up across New York Medicaid MCO plans, contracts, specialties, and…
New York Medicaid Revalidation Is Underway, and the Clock Starts the Day the Notice Goes Out
It is harder than the letter suggests By Elena Pak, Credentialing Department, WCH If you are enrolled in the New…