NCCI: Your Billing Compliance Ally — Not Your Enemy
A practical guide for providers navigating Medicare’s coding edit system By Shogher Nikoghosyan, Billing Department, WCH Few billing workflows are…
Category: Business View
Talking to the Chart: The Long Road to Voice-Native Healthcare
EHRs can already transcribe dictation — so why can’t a physician ask the system to pull up a patient’s labs?…
The No Surprises Act’s Arbitration System Just Got a Major Overhaul — Here’s What It Means
By Elena Pak, Credentialing Department, WCH On May 28, 2026, the federal government finalized a sweeping set of reforms to…
Prior Authorization in the Age of the Algorithm: Reform, Resistance, and the Risk Nobody Is Talking About
CMS is finally forcing prior authorization into the modern era. Payers are automating compliance. And buried in that automation is…
The Algorithmic Squeeze: How AI-Driven Payer Audits Are Strangling Emergency Medicine
By Elena Pak, Credentialing Department, WCH Emergency physicians save lives in minutes. Payers take months to claw back what they…
The Government Is Watching Your Claims Data: Healthcare Fraud Enforcement in the Age of AI Analytics
DOJ just posted the largest False Claims Act recovery in history. The tools it used are getting smarter. And the…
Medicaid Fraud Enforcement Has Entered a New Phase — and Providers Should Not Assume This Is Political Theater
Large-scale Medicaid fraud discussions followed a familiar pattern in American healthcare for a long time. There would be a headline,…
Ghost Networks Were Once an Embarrassment. Now They’re Becoming a Liability.
By Elena Pak, Credentiaing Department, WCH For years, provider directories occupied a strange place in healthcare administration: everyone knew they…