Upstate Healthcare Administration
Upstate Healthcare Administration
Partners to Start Ups and Out-of-Network Billing Management
About Me
Hi, I’m Danielle Wagar, the founder of Upstate Healthcare Administration.
I have more than 15 years of experience in healthcare billing and credentialing, and I have seen too many skilled clinicians work long hours while insurance companies limit their income and control their process. You did not learn how to navigate out-of-network billing in school, and you should not have to figure it out on your own. My mission is to help you run a thriving and ethical practice that gets paid fairly for the care you provide. At Upstate Healthcare Administration, transparency comes first. You will always know what is being handled, why it is being done, and how it supports your revenue. I specialize in supporting Physical Therapists, Occupational Therapists, Speech-Language Pathologists, and Mental Health Providers throughout New York who want to simplify operations, increase reimbursement, and protect their time. I am a Certified Provider Enrollment Specialist. (CPES)
Services
At Upstate Healthcare Administration, I provide practical and dependable support for private practices that want to streamline billing, reduce administrative stress, and increase reimbursement. I work with Physical Therapists, Occupational Therapists, Speech-Language Pathologists, and Mental Health Providers across New York.
Out-of-Network Billing
Full-service management of your out-of-network claims from submission through payment.
Includes:
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Benefits verification
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Claim submission and tracking
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Payment posting
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Follow up on delayed or denied claims
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Clear communication and transparency throughout the process
Benefits Verification
Accurate and fast verification of out-of-network benefits so you can set clear financial expectations with patients before care begins.
Includes:
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Verification calls
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Documentation of coverage and cost details
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Easy-to-read breakdowns you can share with patients
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Patient-friendly language
Credentialing Services
Credentialing support for practices that want to participate with select insurance plans.
Available for:
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Commercial insurance credentialing
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Medicare group credentialing
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Medicare individual enrollment
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CAQH support and updates
Practice Startup Support
Guidance for new practices that want to build a strong foundation without overwhelm.
Includes:
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Workflow development
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Billing system setup
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Policy templates
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Patient intake and financial transparency guidance
Consulting and Workflow Optimization
Hourly consulting for practices that want expert support without ongoing billing services.
Common areas:
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Improving reimbursement
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Cleaning up billing processes
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Navigating denials
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Strengthening front desk or admin systems
My Commitment
You will always receive:
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Clear communication
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Straightforward pricing
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Ethical and transparent processes
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Systems that save you time and protect your revenue
Clients
Hear what our clients have to say about our transformative services and support. Your satisfaction is our success.
John Smith - CEO
Upstate Healthcare has been a game-changer for our billing practices.
Maria Garcia - Director
Their expertise in OON billing is unmatched.
Michael Lee - Founder
I've seen significant improvements since partnering with them.
Contact Us Now
Reach out for expert medical billing services. We’re here to assist with inquiries.
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