When a Half-Star Is Worth Hundreds of Millions
The Clover Health Ruling May Be Less About One Insurer—and More About a Growing Crisis of Confidence in Medicare Advantage…
Category: Policy Updates
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…
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…
Highmark’s New Telehealth Rules Are Coming: What Providers Should Do Before September 1
By Tatyana Kantor, CFPC, CPB, Billing Supervisor WCH: AAPC Tashkent Chapter President Telehealth has become a permanent part of healthcare…
When the Government Calls Your Procedures Into Question: The OIG Report on Office-Based Vascular Care
By Elina Sabilova, CPC, CFPC, CPMA, Billing Department, WCH The Setup In early May 2026, the HHS Office of Inspector…
HIPAA in 2026: The Compliance Floor Just Moved — and OCR Is Already Enforcing the New Standard
The HIPAA Security Rule is getting its first real overhaul since 2003. Enforcement was never softer. And the agency running…
The Telehealth Patchwork Enters a Higher-Compliance Era: What the Latest Wave of State Policy Changes Signals for Providers
By Elena Pak, Credentialing Department, WCH The operational baseline for telehealth was defined by temporary waivers, emergency declarations, and a…