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Phone: 805-601-7138

CREDENTIALING FEES FOR INDIVIDUAL PROVIDERS AND FACILITIES

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MULTI-SPECIALTY GROUP / PHYSICAL THERAPY GROUP/ PHYSICIAN GROUP
Service
Price
Service
Price
Medicare
$3,560
Adding group member (Medicare)
$540
Change of participation status (Medicare)
$540
Medicaid
$3,560
Adding group member (Medicaid)
$240
Reactivation (Medicare / Medicaid)
$1,260
Reinstatement (Medicare / Medicaid)
$4,060
Change of location (Medicare / Medicaid)
$440
Revalidation (Medicare / Medicaid)
$780
Contract with commercial insurance
$ 2,160
Adding existing group member (commercial network)
$540
Adding new group member to tax id contract
$780
Re-credentialing per plan
$440
Revocation Overturn
$4,060
Contract negotiation
$4,560
Adding / changing service location/pay to address
$240
CLIA certificate
$510
Civil Surgeon certificate
$1,560
DEA certificate
$540
State License
$1,760
Establishing PC,PLLC, INC
$560
CAQH
$240
NPI
$110
Add of CPT codes
$780
Letter of Intent
$560
Annual Re-Credentialing Service (CAQH maintenance, completion and submission of re-credentialing and verification forms coming from the insurances during a year)
$1200
license per year
CAQH only maintenance
$240
every quarter
PHARMACY & LAB, IDTF (Mobile, Stationary, Multi-State)
Service
Price
Service
Price
Medicare enrollment
$15,060
CLIA certificate
$510
Commercial networks
$2,160 per contract
Civil Surgeon certificate
$1,560
Adding group member
$540
DEA certificate
$540
Revalidation
$780
State License
$4,760
Re-credentialing per plan
$420
Establishing PC, PLLC, INC
$560
Revocation Overturn
$4,060
CAQH
$240
Contract negotiation
$1,260 - 5,060
NPI
$110
Reinstatement
$4,060
CAQH only maintenance
$240 every quarter
Hospital Affiliation
$1,560
Add of CPT codes
$780
Letter of Intent
$560
Annual Re-Credentialing Service (CAQH maintenance, completion and submission of re-credentialing and verification forms coming from the insurances during a year)
$1200
license per year
DME
Service
Price
Service
Price
Medicare
$6,500 (per location)
Revocation Overturn
$4,060
Medicaid
$3,560
Contract negotiation
$1,260 - 5,060
Reinstatement (Medicare / Medicaid)
$4,060
Establishing PC, PLLC, INC
$560
Commercial networks
$2,160 per contract
CAQH
$240
Revalidation
$780
NPI
$110
Re-credentialing per plan
$440
CAQH only maintenance
$240 every quarter
Letter of Intent
$560
Accreditation
$3,500
Annual Re-Credentialing Service (CAQH maintenance, completion and submission of re-credentialing and verification forms coming from the insurances during a year)
$1200
license per year
HOME CARE
Service
Price
Service
Price
HHA Operating License
$35,500
Change Of Ownership
$5,500
DOE: Training School
$55,000
DOH: Training Program
$11,200
MLTC Enrollment
$5,500
HHA Operating Manual
$5,000
NHTD Medicaid Waiver Program
$15,500
TBI Medicaid Waiver Program
$15,500
DOH HHA Training School
$12,600
DOH PCA Training School
$12,600
URGENT CARE FACILITY
Service
Price
Service
Price
National Urgent Care Certification
$1,260
CLIA certificate
$510
Insurance Contract
$2,160
Adding group member (Medicare)
$540
Re-credentialing per plan
$420
Revocation Overturn
$4,060
Establishing PC,PLLC, INC
$560
Contract negotiation
$1,260 - 5,060
CAQH (Per MD)
$240
Group Medicare
$3,560
Group Medicaid
$3,560
Letter of Intent
$560
INDIVIDUAL PROVIDER (ALL SPECIALTIES)
Service
Price
Service
Price
Medicare contract
$2,560
Medicaid contract
$1,560
Reinstatement (Medicare / Medicaid)
$4,060
Specialty Update
$540
Revalidation
$780
Re-credentialing per plan
$420
Hospital Affiliation
$1,560
CLIA certificate
$510
Civil Surgeon certificate
$1,560
DEA certificate
$540
State License
$1,760
Establishing PC,PLLC, INC
$560
CAQH
$240
NPI
$110
Contract with commercial insurance
$1,260
Contract negotiation
$4,560
Letter of Intent
$560
Annual Re-Credentialing Service (CAQH maintenance, completion and submission of re-credentialing and verification forms coming from the insurances during a year)
$1200
license per year
` CAQH only maintenance
$240
every quarter
EFT
$180
per vendor

* All prices are per insurance and per tax id
** Discount will apply for credentialing services requested for more than 8 plans
*** WCH requires payment of 50% of total invoice to start credentialing services

For any customized quote feel free to contact our credentialing department wchsb.socal@gmail.com
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805-601-7138
516 Pennsfield Place
Suite 214
Thousand Oaks
CA - 91360
wchsb.socal@gmail.com
Fax: 805-409-4727
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Dear Provider,
WCH can help your practice in your credentialing needs! Using a credentialing specialist with the knowledge, expertise and connections that can help position your practice ahead of time. Let us help you today! During credentialing process WCH becomes your external credentialing department for all communications, submissions, follow up and any other questions that will come up during the process.

WCH Specializes in:

  • All individual Medical specialties
  • Mobile IDTF
  • Single & Multispecialty Groups
  • Urgent Care, Labs, DME, Pharmacy
  • Article 28, 32, 31
  • Revalidation, Reinstatement &
  • Exclusion
We help Providers in All States! WCH provides Clarity, Comfort and Security in your Practice.
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What we offer is not just excellent professional billing and collection services. We also stand as guardians of your reimbursement and compliance with federal, state laws and regulations as well as private insurance policies and procedures.

 

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Periodic medical chart auditing is vital for any healthcare provider and medical practice. Let the professionals evaluate your coding, billing, and documentation practices! Our auditors are AAPC-qualified CPMAs (Certified Professional Auditors) and CPCs (Certified Professional Coders). We perform comprehensive Chart Auditing. We can do the following services for you:

  • Identify areas of risk leading to upcoding or downcoding and medical coding accuracy;
  • Ensure that coding practices are compliant with the regulations set forth by private and government payers;
  • Evaluate Incident to guidelines and services performed on collaborative premises;
  • Perform Analysis of Denials/Duplicate billing /Appeal process/Modifier usage;
  • Review Front Desk work including but not limited to: Eligibility verification/Benefit maximums verification/Excluded services verification/Authorization process/Patient responsibility (deductibles, copays, coinsurance)/Coordination of benefits;
  • Evaluate Insurance plans participation and consistency of contracted rates;

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