The $700,000 HIPAA Lesson Hidden Inside One Phishing Attack
A phishing attack compromised one employee’s email account. That’s how this story starts. But the $700,000 figure at the end…
Author: wchinsights
Your Claims Aren’t Being Denied. They’re Being Taken Back.
Why lower denial rates may be hiding a new revenue-cycle problem for medical practices Here’s a number that should stop…
Aetna Is Changing Cancer Prior Authorization. Here’s What Oncology Practices Need to Know
If you run an oncology practice that sees Aetna patients, you already know the drill: diagnosis, then paperwork, then more…
The Medicare Advantage DMEPOS Gap Every Prescribing Physician Should Know About
By Elena Pak, Credentialing Department, WCH Quick question: when you write a durable medical equipment order for a Medicare Advantage…
Why Anthem Is Penalizing In-Network Hospitals for Out-of-Network Doctors
By Elena Pak, Credentialing Department, WCH Elevance Health, the parent company of Anthem Blue Cross Blue Shield, is facing another…
Are You Leaving Money on the Table? 5 Revenue Opportunities Physicians May Be Missing in 2026
Your practice may already be doing work that payers reimburse — without fully capturing the revenue. Not because of dishonesty.…
The Payer Changed the Rules. Did Your Practice Change With Them?
A payer bulletin is not useful until someone translates it into a change in what your staff actually does. That’s…
Your 2026 Medicare Revenue May Depend More on Where You Practice Than What You Bill
Same CPT code. Same clinical service. Same patient outcome. Different building — and, in a growing number of cases, a…
Denial Alerts Doctors Should Not Ignore: 5 Signs a Claim Is About to Become Lost Revenue
By the time a denial letter actually lands on someone’s desk, it’s not a warning anymore. It’s an outcome —…
The Prior Authorization Deadline Is Now a Revenue Tool — If You Track It
For as long as most physicians have been in practice, prior authorization timelines have varied wildly depending on the payer,…