The Hidden Crisis: Medicaid Underpayment and Its Impact on Community Health Centers
For over two decades, a financial discrepancy has been quietly undermining the foundation of primary healthcare delivery in Virginia. Community…
Category: Business View
Integrating Behavioral Health into Advanced Primary Care Management: A Comprehensive Guide for Healthcare Providers
By Lusine Hambardzumyan and Arman Hovhannisyan, Billing Department, WCH Advanced Primary Care Management (APCM) represents a transformative approach developed by CMS to…
NYC Launches Healthcare Price Transparency Tools: A Game-Changer for Providers and Patients
By Elizaveta Bannova, Billing Department, WCH New York City has taken significant steps toward healthcare cost transparency with the launch of…
Protecting Provider Integrity: Why Outdated Audit Data Threatens Modern Healthcare Compliance
By Slava Kurdov, Billing Department, WCH The healthcare billing landscape operates under constant scrutiny, but when oversight mechanisms rely on…
Systematic Violations and Regulatory Penalties in Health Insurance: A 2025 Trend Analysis
By Elena Pak, Credentialing Department, WCH The year 2025 has marked an unprecedented wave of regulatory enforcement against health insurance…
The Gift That Keeps on Taking: What Your Practice Needs to Know About Provider Gifts and Anti-Kickback Compliance in 2025
By Oksana Pokoyeva, Billing Department, WCH The same scenario repeated: a physician sends holiday gifts to referring doctors, an administrator approves…
Trump Administration Proposes Stronger Insurer Price Transparency Requirements: An Analytical Review
By Elena Pak, Credentialing Department, WCH The Trump administration has introduced a significant proposed rule aimed at strengthening price transparency…
Fraud Trends in 2025: A Year of Escalation and Adaptation, with Bold Predictions for 2026
The global fraud landscape reveals a paradox: unprecedented technological sophistication empowering criminals alongside equally advanced defensive measures and regulatory overhauls.…
The Shadow of Ghost Billing: A $20 Million Rehab Fraud and Its Wake-Up Call for American Physicians
In the bustling world of New York City’s physical rehabilitation clinics, where patients rebuild strength after injuries and surgeries, trust…
MedPAC’s 2027 Medicare Payment Recommendations: Analyzing the Reimbursement Crisis Facing American Physicians
Critical Examination of Proposed Payment Updates and Their Impact on Practice Viability The Medicare Payment Advisory Commission (MedPAC) recently released…