Type of Practice: Behavioral Health Group The Challenge: A successful behavioral health practice approached Medwave to manage their billing process. Up until now, they were performing their own billing in-house using various staff members who had had some formal training. However, they were finding that these staff members were spending an inordinate amount of time […]
Behavioral Health, Behavioral Health Billing, Medical Billing, Mental Health, Mental Health Billing, Pittsburgh Behavioral Health Billing
“This procedure will require prior authorization.” Words that no patient or healthcare provider wants to hear when they are ready to proceed with a doctor-approved procedure for a medical matter. However, it’s one of the utilization management tools that insurance companies have fostered to decide if specific prescribed procedures, services and medications are medically required […]
Health Insurance, Healthcare, Healthcare Providers, Medical Billing, Medical Credentialing, Medical Practice, Medicare, Prior Authorization, Prior Authorization Process, Revenue, Revenue Cycle, Revenue Cycle Management, Utilization Management
COVID-19 Billing for Lab Testing The federal government announced a Public Health Emergency in response to the COVID-19 pandemic, effective January 27, 2020. While the healthcare industry has been continually adapting to new information and new regulatory challenges, one thing that has stayed constant is the need for rapid, frequent and reliable COVID-19 lab testing. […]
Corona billing, Corona virus billing, Coronavirus, Coronavirus billing, Coronavirus Disease (COVID-19) Billing, COVID billing, COVID test kits, COVID virus billing, COVID-19, COVID-19 billing codes, Lab Billing, Medical Billing, SARS
Are You Committed to Outsourcing Your Substance Abuse Billing? So, you’re determined to outsource your substance abuse billing. That’s a smart move, since you’ll save time and ultimately money. After all, no one gets into the substance abuse field because they want to wade through the insurance industry bureaucracy. No, you became substance abuse specialists because […]
Medical Billing, Opioid Addiction, Opioid Addiction Billing, Outsource Billing, Outsource Medical billing, Outsourcing Medical Billing, Substance Abuse, Substance Abuse Billing
Billing and Coding Partner for Healthcare Medwave is a premier provider of medical billing and coding services. But, exactly why are billing and coding so important and how can Medwave help your healthcare center perform these functions? It’s certainly no surprise that the healthcare business is thriving, and its growth is projected to endure well […]
Billing, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Medical Billing, Medical Coding
Billing & Payment Processing for Medical Marijuana Cannabis A Proven Commodity Marijuana Cannabis is projected to be one of the fastest-growing industries over the next decade. Worldwide cannabis sales more than tripled, from $3.4 billion to $10.9 billion between 2014 and 2018, and Wall Street has forecast that sales will grow $30 billion by 2025. […]
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Outsourcing DME (Durable Medical Equipment) Billing In a constantly growing healthcare industry, Durable Medical Equipment (DME) have become an increasingly popular choice of healthcare-related services to millions of patients nationwide. In fact, a recent survey performed on the DME products industry found that the market would grow significantly over the next 10 years. With the rising […]
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Truth is, many patients know little more about their physician’s qualifications than what they see neatly hanging from their office wall. While they’re able to access in-depth background information about their auto mechanic, it’s when they are at their most vulnerable, entrusting their family’s health to a qualified healthcare professional, is when they must hope […]
Credentialing, Credentialing Value, Healthcare Credentialing, In-Network, Insurance Companies, Medical Credentialing, Medical Provider Credentialing, Payor Contracting, Payor Enrollment, Provider Credentialing
Vexatious Aspects of Mental Health Billing Let’s face it, the healthcare industry is vast and complex, even more so for mental health providers. This is especially true when it comes to the billing process. The variety in the types of services, the time, scope and restraints put on mental health treatments make the billing process […]
Behavioral Health, Behavioral Health Billing, ICD-10, Medical Billing, Medical Coding, Mental Health, Mental Health Billing, Outsource Medical billing, Pittsburgh Behavioral Health Billing
Outsource Your Medical Billing to Avoid Issues Installing a cost-effective, effectual medical billing team is one of the biggest challenges for any healthcare provider. Whether you’re a behavioral health provider, genetic testing lab or a substance abuse facility, it isn’t easy to create, maintain and scale your own internal medical billing team. Below, some of […]
HIPAA Compliant, Inhouse Billing, Medical Billing, Medical Coding, Medical Credentialing, Outsource Medical billing, Outsourced Billing, Pittsburgh Hospital Billing, Pittsburgh Medical Billing, Pittsburgh Medical Credentialing, Substance Abuse
Medical Billing Software and Productivity Questioned Does technology really benefit us? The right technology can make our lives easier; however, if they don’t have the right features, they can end up hurting us more than benefiting us. Medical billing software has revolutionized the medical industry. With easier retrieval of medical histories and reduced paperwork, using […]
Claim Denial Manager, e-prescribing, Healthcare Analytics, Medical Billing, Medical Billing Software, Patient Portal, Voice Recognition
Choose a Qualified Medical Billing Group Since there are a large number of companies offering medical billing services, it’s often difficult for a healthcare provider to choose the best-fit, third party billing group for their organization. Healthcare providers have to ask billing companies the right questions on systems and services rendered, thereby making it much […]
Medical Billing, Medical Coding, Medical Credentialing, Pittsburgh Medical Billing, Pittsburgh Medical Credentialing, Revenue Cycle Management
What is Medical Billing? Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services rendered by a healthcare provider. It involves coding and classification of diseases, procedures, and treatments and submission of claims to insurance companies for reimbursement. The goal of medical billing is […]
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What an Economic Recession Could Mean for Healthcare It’s looming, in the coming months or next year, many financial experts foresee an inevitable economic recession in the United States and elsewhere. A large downturn in the economy will adversely affect the aspect of most people’s lives. Their finances, lifestyle and healthcare. Initially, the effect(s) of […]
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Medical Billing Techniques that Can Be Installed to Help Your Medical Practice Health care providers should periodically review their financials and revenue cycle, so that they can take corrective measures at the earliest if required. A great deal of medical offices / health care providers find that medical billing is one area which could be […]
AI, Automation, EHR, Medicaid, Medical Billing, Medicare, MIPS, Outsource Medical billing, Pittsburgh Medical Billing
Revenue Cycle Challenges Frequently Experienced by Hospitals Data suggests that many hospitals find it increasingly difficult to scale and guarantee high revenue cycle performance. As we all know, hospitals have a large number of expenses. It’s crucial that they receive prompt patient payments from insurance companies, etc. It’s vital for all hospital departments to work […]
Hospital Billing, Hospital Medical Billing, Hospital Revenue Cycle, Medical Revenue Cycle, Revenue Cycle, Revenue Cycle Management
It’s approximated that $3 trillion worth of medical claims are submitted every year to insurance companies, etc., with $262 billion worth of these claims denied. Approximately 65% of the denied medical claims are not resubmitted to the organization which denied the claim. Statistical data indicates that commercial payers are denying 58% of those claims. Appealing […]
Denial Management, Denials Managements, Denied Medical Claim Prevention, Denied Medical Claims, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Medical Claim Denial, Medical Claims, Patient Billing, Patient Medical Billing, Revenue Cycle Management, upstream process
Healthcare in a digital environment is complicated, particularly with the numerous regulations that seem to be constantly rolling out additional layers. Healthcare providers are spending more time and resources as they organize patient care, and this time could be put to better use. Using a qualified, outsourced behavioral health billing company can provide better service […]
Behavioral Health, Behavioral Health Billing, Medical Billing, Mental Health, Mental Health Billing, Outsource Billing, Outsource Medical billing, Outsourced Medical Billing
Which Medical Credentialing Processes Distinguish Medwave from our Competitors? There are a number of points which separate us from our competition, both on the medical billing and credentialing side, but specifically for medical credentialing. Contact us today and we’ll efficiently credentialing your medical group, getting you in-network with both private and public payor / insurance […]
CAQH, Credentialing, In-Network, Insurance Companies, Medical Credentialing, Medical Practice Credentialing, Payor Contracting, Payor Enrollment
Outsourced Medical Billing Outsourcing your medical billing and coding to a qualified medical billing staff provides your office with the following: Decrease in office overhead, as outsourcing to our billing team saves time and money Support with operating and setting up Electronic Health Records (EHR) and Medical Billing Software Utilizing online portals for electronic billing […]
Basics of Medical Billing, Billing Medical, Medical Billing, Medical Billing and Coding, Medical Billing Cycle, Medical Provider Billing, new medical practices, Revenue Cycle Management
Credentialing for healthcare providers, hospital groups and facilities is a tedious task that often requires a team of specialists to handle all the on-boarding information, as well as updates throughout the year. As of April, 2018, CMS now mandates that providers maintain accurate information and timely updates. Providers and facilities that do not keep up with […]
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MACRA is Coming in 2019 How you and your practice get paid is soon going to change. The Medicare Access and CHIP Reauthorization Act of 2015, or MACRA, is remodeling the way providers are reimbursed for Medicare services. While this may not affect everyone who bills for Medicare services, it will greatly impact smaller offices […]
Advanced Alternative Payment Model, APM, cms.gov, Cranberry Medical Billing, EHR, Electronic Health Record, MACRA, Physician Quality Reporting System, Pittsburgh Billing, Pittsburgh Medical Billing, PQRS, Value Based System, VBM
New Medicare Cards are set to arrive in 2018 Due to the rising issues of identity theft in the country, the Social Security Administration fears that the current Medicare cards labeled with beneficiaries social security numbers are a high risk. A bill signed in 2015, by President Obama gives the Department of Health and Human […]
2018 Medicare, 2018 Medicare Cards, Cranberry Medical Billing, MBI, Medical Billing, Medicare, Medicare Beneficiary Indentifier, Medicare Cards, New MBI, new medicare cards, Pittsburgh Medical Billing, Social Security Administration, Social Security Number Removal Initiative, SSNRI
Medical Billing and Credentialing Differences Medical billing and credentialing for medical providers are two different categories in the healthcare world. Before any medical billing can even be completed, the healthcare provider needs to be credentialed with insurance companies in order to be an approved provider of services. Becoming credentialed as an in-network provider dictates the […]
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