When the Business of Medicine Starts Competing With Patient Care
When a physician’s recommendation sends a patient outside the system, the decision can have consequences beyond the clinical encounter. A…
Author: wchinsights
Maternity Wards Are Closing Across America. What Happens to the Next Generation?
When a hospital stops delivering babies, its doors may stay open. For families nearby, an essential part of the healthcare…
Loneliness May Be Stealing Your Healthy Years. And a Busy Life Won’t Necessarily Protect You.
You can spend the day with patients, messages and meetings and still feel that nobody knows how you are doing.…
The Autism Therapy Boom: Who Is Really Paying the Price?
ABA spending is rising sharply, and investigations are exposing weaknesses in billing oversight. The challenge for insurers and regulators is…
The Hospital Crisis Is No Longer Just Rural. For-Profit Hospitals Had More Than 3 Times the Closure Rate of Nonprofits.
A new JAMA study finds urban hospitals closing at rates comparable to rural ones. The sharper divide is between types…
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 If an outdated code is still sitting in…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…
