One in Five Patients Denied Care: Why This Matters to Every Medical Practice
By Elena Pak, Credentialing Department, WCH A new survey from the Commonwealth Fund found that one in five privately insured…
ACA Under Fire Again: Why Cities Are Suing Over New Marketplace Rules — and Why Providers Should Pay Attention
By Elena Pak, Credentialing Department, WCH A new legal challenge against federal Affordable Care Act (ACA) marketplace regulations may appear…
The MultiPlan Litigation: Why Every Provider Should Be Paying Attention
For years, many physicians, hospitals, ambulatory surgery centers, and specialty practices have shared a common frustration: out-of-network reimbursements that seemed…
Medical Necessity Under the Microscope: What a $6.73 Million DOJ Settlement Means for Procedural Practices
The Department of Justice recently announced that a California vascular practice and its owner physician agreed to pay more than…
Surgical Coding: The Global Period Is Not Bureaucracy. It’s a Trap.
By Edita Petrosyan, Billing Department, WCH Why Physicians Lose Money Without Breaking a Single Rule Picture this: you performed a…
CAQH Is Rebuilding From the Ground Up — Here’s What Providers Need to Know
The credentialing platform most providers already use is undergoing its most significant overhaul in years. What’s changing, and what does…