A comprehensive breakdown of what Weethak delivers across all six service categories - with the specific components, descriptions, and practice benefits of each.
| Service | Description | Practice Benefit |
|---|---|---|
| Appointment Preparation | Review appointment reasons, chronic conditions, care gaps, and preventive opportunities before visit | Ensures visit is structured for maximum medical value |
| Lab / BW Preparation | Identify clinically appropriate labs based on diagnoses and payer guidelines (e.g., 3-month BW for Dx Diabetes) | Captures additional reimbursable services |
| Revenue Opportunity Identification | Identify compliant revenue-generating focus areas: chronic care, preventive, wellness, unaddressed complaints | Prevents undercoded visits |
| Insurance Eligibility & Verification | Real-time eligibility, deductible, referral, and coverage confirmation before every visit | Reduces claim denials |
| Pre-Authorization Screening | Identify services requiring prior authorization before encounter | Prevents non-paid services |
| Service | Description | Practice Benefit |
|---|---|---|
| Documentation Expansion (Not Modification) | We do not change provider documentation. We expand clinically appropriate elements to support coding and medical necessity. Physician-Led Documentation Support. | Protects compliance while supporting higher coding levels |
| Medical Necessity Alignment | Ensure documentation supports CPT and ICD-10 codes billed. We match documentation to the code - never downcode unnecessarily. | Audit protection & optimized reimbursement |
| Revenue Strategy Advisory | Advise providers on legitimate add-on codes, prolonged services, care coordination, and chronic care billing | Ethical revenue growth |
| HCC / Risk Adjustment Capture | Identify and document chronic conditions appropriately for risk-based contracts | Increases RAF and value-based income |
| Service | Description | Practice Benefit |
|---|---|---|
| CPT & ICD-10 Coding | Accurate coding aligned strictly with documentation | Clean claims & full reimbursement |
| NCCI Compliance Review | Ensure proper bundling and modifier use per NCCI guidelines | Prevents recoupments and audits |
| Modifier Optimization | Appropriate use of modifiers 25, 59, 95, etc. | Maximizes compliant billing |
| Service | Description | Practice Benefit |
|---|---|---|
| Electronic Claim Submission | Timely submission through clearinghouse integration | Faster payments |
| Denial Management & Appeals | Root-cause analysis and structured appeal process | Revenue recovery |
| A/R Follow-Up | Active insurance and patient follow-up | Reduced aging receivables |
| Payment Posting & Reconciliation | ERA/EOB posting with financial accuracy | Clean financial reporting |
| Service Component | Description | |
|---|---|---|
| Authorization Verification | Confirm if service requires authorization before scheduling | |
| Documentation Compilation | Prepare supporting notes, labs, imaging, and medical necessity justification | |
| Submission & Portal Handling | Submit via payer portals, fax, or direct communication | |
| Tracking & Follow-Up | Monitor pending authorizations to prevent delays | |
| Peer-to-Peer Preparation | Prepare provider for insurance review discussions | |
| Appeal & Retro-Authorization Support | Structured appeal letters and medical necessity documentation | |
| Service | Description | |
|---|---|---|
| FMLA & Disability Paperwork | Structured assistance with medical forms | |
| M11Q & Government Forms | Accurate preparation (NY-specific or state-based) | |
| Letters of Medical Necessity | Customized, detailed letters for procedures, DME, or increased care hours | |
| Quality Measures Support | HEDIS, MIPS, and supplemental data capture optimization | |
Coordinated care for patients with two or more chronic conditions expected to last at least 12 months, delivered as non-face-to-face services and billed by time per calendar month.
Focused management of a single complex chronic condition, billed by time per month, with distinct codes for provider versus clinical staff time.
Coordination during the first 30 days after a hospital discharge to prevent readmissions. One code is billed per patient, based on medical decision-making complexity.
A bundled, non-time-based model billed once per calendar month per patient, stratified into three levels by complexity. It incorporates the work of CCM, PCM, and TCM into a single comprehensive service.
Behavioral health integration delivered as General BHI or the Psychiatric Collaborative Care Model (CoCM). BHI pairs with all care management programs.
Monitoring of non-physiological data such as medication adherence and respiratory or musculoskeletal status via connected devices.
Monitoring of physiological data such as blood pressure, weight, heart rate, and glucose via connected devices, with time-based management between visits.
Continuous glucose monitoring interpretation and billing for diabetic patients - a billable service many practices miss entirely.
The software platform that powers every program above, built for billing accuracy, compliance, and proactive virtual care.
Every practice is different. Tell us where you're losing revenue and we'll tailor a solution around it.