Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Call: (412) 219-4789 | Fax: (866) 422-9277
  • Credentialing
  • Payer Contracting
  • Rate Negotiations
  • Medical Billing
  • Specialties
    • Behavioral Health
    • Toxicology
    • Genetic Testing
    • Pharmacogenetic (PGx) Testing
    • COVID-19 Testing
    • Allergy Testing
    • Skilled Nursing Facilities
    • Urgent Care
    • Oncology
    • Pathology
    • OBGYN
    • Biologics and Specialty Drugs
    • Telestroke and Teleneurology
    • Remote Patient Monitoring
    • Remote Therapeutic Monitoring
    • Home Infusion Therapy
    • Speech Therapy
    • DME
    • Substance Abuse
    • Sleep Study Labs
    • Physical Therapy (PT)
    • Occupational Therapy
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Why HCC Coding is Crucial for Medical Providers

April 22, 2023 / admin / Articles, Chronic Care Management, HCC, HCC Coding, Hierarchical Condition Category, Population Health Management, Value Based Care, Value Based System
hcc-coding-white-male-doctor-at-laptop-medical-billing

Healthcare is a constantly evolving industry, and medical practices need to keep up with the changes to provide high-quality patient care. One of the significant changes in the healthcare industry is the transition from fee-for-service to value-based care. As a result, medical providers need to focus on accurate and complete documentation of patient encounters to […]

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Chronic care management, HCC, HCC Coding, Hierarchical Condition Category, Population Health Management, Value Based Care

How to Choose the Correct CPT Code

April 21, 2023 / admin / Articles, Biling Codes, Billing, CPT, CPT Codes, Healthcare, Healthcare Billing, Medical, Medical Billing
CPT Codes Options

How to Choose the Correct CPT Code for Your Medical Billing and Coding Services As a medical biller or coder, choosing the correct Current Procedural Terminology (CPT) code is crucial for accurate reimbursement. However, with thousands of codes available, it can be overwhelming to find the right one for your services. We offer a free […]

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billing, Correct CPT Code, CPT, CPT Billing Codes, CPT Code, CPT codes, CPT-10, CPT-10 Codes, healthcare, Healthcare Billing, Medical, Medical Billing

The Future of Medical Billing

March 27, 2023 / admin / AI, Articles, Artificial Intelligence, Billing, Billing Services, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Medical, Medical Billing, Medical Billing AI, Telehealth, Telemedicine
Medical Billing Credentialing Team

As medical technology continues to evolve, so does the way we manage and pay for healthcare. One area in particular that has seen significant changes in recent years is medical billing. Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for medical services […]

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Which CPT Codes are Used in DME Billing?

March 21, 2023 / admin / Articles, CPT, CPT Codes, DME, DME Billing, FAQs, Healthcare, Healthcare Billing, Medical, Medical Billing
DME Billing Codes

Durable Medical Equipment (DME) refers to medical equipment and supplies that are intended for long-term use by individuals with medical conditions or disabilities. Some common types of DME include wheelchairs, walkers, crutches, canes, hospital beds, patient lifts, oxygen equipment, nebulizers, and continuous positive airway pressure (CPAP) machines. Other examples of DME products include enteral feeding […]

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CPT, CPT Codes DME, CPT Codes DME Billing, CPT-10, DME, DME Billing, DME Billing FAQ, DME Billing Service, DME CPT, Medical Billing

The Benefits and Challenges of Adopting Value-Based Care in Healthcare

March 19, 2023 / admin / Articles, EHR, Healthcare, HIPAA, Medical, Value Based Care, Value Based System, Value-Based, Value-Based Care, Value-Based Care Adoption, Value-Based Care Models, Value-Based Models, Value-Based Pricing, VBC
medical-doctor-insurance-healthcare-billing

Value-based care (VBC) is a healthcare delivery model that aims to achieve better health outcomes and cost-effectiveness by focusing on the value of care provided to patients. This model shifts the focus from the traditional fee-for-service approach, where healthcare providers are paid based on the number of services they provide, to a system where providers […]

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EHR, healthcare, Healthcare Outcomes, HIPAA, Medical, Value Based Care, Value Based System, Value-Based, Value-Based Care Adoption, Value-Based Care Models, Value-Based Models, Value-Based Pricing, VBC

What to Know Before Starting Your Own Medical Billing Company?

March 9, 2023 / admin / Articles, Billing, Billing Services, Healthcare, Healthcare Billing, Medical Billing, Medical Billing Careers, Medical Billing Companies, Medical Billing Jobs, Medical Billing Services, Medical Coding, RCM, Revenue Cycle Management
Medical Billing Outsourced

Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services provided by healthcare providers. With the increasing complexity of medical billing and coding procedures, there has been a surge in demand for medical billing companies. Many entrepreneurs are now considering starting their […]

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Medical, Medical Billing, Medical Billing Service, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, rcm, Revenue Cycle Management

Which CPT Codes are Used in Toxicology Lab Billing?

March 7, 2023 / admin / Articles, Biling Codes, Billing, CPT Codes, Medical Coding, Toxicology Billing, Toxicology Lab Billing, Toxicology Labs
Toxicology Lab Billing

Toxicology testing is the analysis of biological samples, such as urine or blood, to detect the presence of drugs or other substances. The results of these tests can be critical in determining a patient’s treatment plan, medication management, or drug rehabilitation program. Toxicology labs play a crucial role in the diagnosis and treatment of various […]

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CPT, CPT codes, CPT-10, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, toxicology, toxicology billing, Toxicology CPT Codes, toxicology lab billing, toxicology laboratory billing

Which CPT Codes are Used in Genetic Testing Billing?

March 6, 2023 / admin / Articles, CPT Codes, Genetic Testing, Genetic Testing Billing, Genetic Testing Medical Billing, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Lab Billing, Laboratory Billing, Medical, Medical Billing
Genetic Testing Lab

Genetic testing has become an essential tool in medicine, providing valuable insights into a patient’s health and disease risk. As genetic testing becomes more prevalent, medical professionals must navigate the complex world of billing and coding for these tests. Correct coding ensures that the provider is reimbursed for the services provided, and it also provides […]

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CPT, CPT Code, CPT-10, genetic testing, genetic testing billing, Genetic Testing CPT Codes, genetic testing labs, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Revenue Cycle Management

Which CPT Codes are Used in COVID-19 Billing?

March 5, 2023 / admin / Articles, COVID, COVID Test Kits, COVID Testing Billing, COVID-19, COVID-19 Billing, COVID-19 Test Kit Reimbursement, COVID-19 Testing, COVID-19 Testing Billing
CPT Covid-19 Billing

The COVID-19 pandemic has impacted the world significantly, causing widespread illness, death, and economic disruption. The virus, also known as SARS-CoV-2, primarily spreads through respiratory droplets when an infected person talks, coughs, or sneezes. COVID-19 symptoms range from mild to severe and may include fever, cough, fatigue, body aches, loss of taste or smell, and […]

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billing, Coronavirus, COVID CPT, COVID CPT-10, COVID-19, COVID-19 billing, COVID-19 CPT, COVID-19 testing, COVID-19 Testing Billing, CPT, CPT codes, CPT-10, healthcare, Healthcare Billing, Medical Billing, Medical Billing Service

Which CPT Codes are Used in Behavioral Health Billing?

March 5, 2023 / admin / Articles, Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health CPT Codes, Biling Codes, Billing, CPT, CPT Codes
Behavioral Health Billing Codes

In behavioral health, medical billing is a crucial aspect of providing services to patients. The billing ensures that healthcare providers receive proper payment for the services they provide, and it helps patients understand the costs associated with their care. As the healthcare industry continues to evolve, it is important for behavioral health providers to understand […]

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Behavioral Health, Behavioral Health Billing, Behavioral Health Billing Codes, Behavioral Health Codes, Behavioral Health CPT Codes, Billing Codes, CPT, CPT Billing Codes, CPT codes, CPT-10, CPT-10 Codes, Healthcare Billing, Medical Billing, Medical Billing Service, Revenue Cycle Management

Maximizing Reimbursement: 10 Tips for Successful Medical Billing

March 3, 2023 / admin / Accounts Receivable, Articles, Billing, Billing Revenue, Healthcare, Healthcare Billing, Healthcare Revenue, Medical, Medical Billing, Medical Billing and Coding, Medical Billing Tips, Medical Regulations, Outsource Medical Billing, RCM, Revenue Cycle Management, Revenue Cycle Management (RCM)
Medical Owner White Businessman

Medical billing is a critical aspect of the healthcare industry, as it ensures that healthcare providers are paid for the services they provide to patients. However, medical billing can be a intricate process, and many healthcare providers struggle to maximize reimbursement for their services. To maximize reimbursement, healthcare providers should focus on accurate medical coding, […]

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Healthcare Billing, Medical Billing, Medical Billing Service, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, rcm, Revenue Cycle Management

The Reasons to Outsource your Medical Billing

February 28, 2023 / admin / Allergy Billing, Allergy Testing Billing, Articles, Behavioral Health, Behavioral Health Billing, Billing, Billing Services, COVID Test Kits, COVID Testing Billing, COVID-19 Billing, COVID-19 Testing Billing, DME Billing, Genetic Testing Billing, Sleep Study Lab Billing, Speech Therapy Billing, Substance Abuse Billing, Toxicology Billing, Toxicology Lab Billing
White Female Revenue Cycle Management

In today’s healthcare landscape, medical billing has become an increasingly complex and time-consuming task. It requires in-depth knowledge of constantly evolving billing regulations, as well as the ability to manage large amounts of patient data accurately. Many healthcare practices find it challenging to manage their billing in-house, which is why outsourcing medical billing has become […]

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Allergy Billing, Behavioral Health Billing, COVID testing billing, COVID-19 billing, DME Billing, genetic testing billing, Medical Billing, speech therapy billing, Substance Abuse Billing, toxicology billing

The Gravity of Medical Billing Compliance

February 23, 2023 / admin / Articles, Billing, Billing Best Practice, Billing Services, Claim Billing, HIPAA, HIPAA Compliant, Medical, Medical Billing, Medical Billing Best Practices
Medical Billing White Guy

Medical billing compliance refers to the adherence to laws, regulations, and ethical standards that govern the billing process. Billing procedures are complex and involve many stakeholders, including healthcare providers, patients, insurance companies, and government agencies. Compliance with regulations is critical to ensuring that healthcare providers receive reimbursement for services rendered, patients are charged correctly for […]

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AKS, Anti-Kickback Statute, billing, false claims act, FCA, Healthcare Billing, HIPAA, HIPAA Compliant, Medical Billing, Medical Billing Compliance, Medical Billing Regulation, Stark Law, The Health Insurance Portability and Accountability Act (HIPAA)

10 Challenges in Medical Credentialing

February 22, 2023 / admin / Articles, Credentialing, Credentialing Accuracy, Credentialing Challenges, Credentialing Delays, Credentialing Difficulty, Healthcare, Medical, Medical Credentialing, Provider Credentialing, Remote Practitioner Credentialing
Medical Credentialing Woman

At present, medical credentialing is one of the most critical components of healthcare administration. However, it is an endeavor that comes with its own set of challenges. From streamlining the entire process to ensure credentialing committees have adequate resources, there are a lot of challenges that need to be addressed to ensure that things run […]

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challenges in credentialing, Credentialing, credentialing challenges, healthcare, Medical, medical credentialing, rcm, rcm challenges

The Importance of Credentialing and Contracting

February 21, 2023 / admin / Articles, Contracting, Credentialing, Credentialing and Contracting, Medical Credentialing, Payer Contract, Payer Contracting, Payer Enrollment, Payer Negotiation, Payer Rejection
White Female Credentialing Professional

Credentialing and contracting are essential components of healthcare operations. Credentialing is the process of verifying the qualifications and professional background of healthcare providers, while contracting involves establishing agreements between healthcare providers and payers to ensure payment for services rendered. These processes are crucial for ensuring that healthcare providers deliver high-quality services and receive fair compensation […]

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contracting, Credentialing, Credentialing and Contracting, Credentialing and Contracting Checklist, healthcare credentialing, medical credentialing, Payer Contract, Payer Contracting

Tips for Landing Your First Medical Billing Job

February 18, 2023 / admin / Articles, Billing, Careers in Medical, Careers in Medical Billing, Jobs in Healthcare, Medical, Medical Billing, Medical Billing and Coding, Medical Billing Job, RCM, Revenue Cycle Management, Revenue Cycle Management (RCM)
Medical Billing Software White Male User

Medical billing is an essential aspect of the healthcare industry, and with the increasing demand for healthcare services, the need for skilled billers is on the rise. A medical biller is responsible for submitting claims to insurance companies and ensuring that healthcare providers are reimbursed for their services. If you’re looking for a career in […]

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Billing Jobs, Healthcare Jobs, Jobs in Healthcare, Jobs in Medical Billing, Medical, Medical Billing, Medical Billing Jobs, Medical Billing Service, Medical Jobs, rcm, Revenue Cycle Management

EDISS Connect: All You Need to Know

February 15, 2023 / admin / Articles, Claim Data, Data Management, EDI, EDISS, EDISS Connect, EDISS Connect Account, Medical Claim Data, Medical Data, Medical Data Management
Medical Billing Outsourced

What is EDISS Connect? EDISS Connect is a powerful web-based application that allows healthcare providers to manage their claims data more effectively. With its user-friendly interface and advanced features, the EDISS platform streamlines the claims submission process, tracks payment status, and provides powerful reporting tools to help providers analyze their financial transactions. If you’re a […]

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EDI, EDISS, EDISS Connect, Medical Billing, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization

Payer Contracting Demystified: A Comprehensive Guide for Healthcare Providers

February 11, 2023 / admin / Articles, Contracting, Credentialing, Healthcare, Medical, Medical Credentialing, Network Participation, Patient Satisfaction, Payer Contract, Payer Contracting, Payer Enrollment, Payer Negotiation, Reimbursement Rates
Payer Contracting White Female

In this article, we aim to provide a comprehensive understanding of payer contracting for healthcare providers, simplifying the process and highlighting the essential aspects to keep in mind. Introduction to Payer Contracting Payer contracting is crucial for healthcare providers as it helps ensure that they receive adequate reimbursement for their services, enabling them to provide […]

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healthcare, healthcare payor contracting, Medical, medical payor contracting, patient satisfaction, payor contracting, payor contracting process, payor enrollment, payor healthcare

Outsourced Medical Billing: Elevating Healthcare with Enhanced Understanding

February 7, 2023 / admin / Articles, Billing Services, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Outsourcing, Medical Billing Services
White Female Revenue Cycle Management

Medical billing plays a crucial role in the healthcare industry. They are responsible for the accurate and efficient handling of insurance claims, coding, and billing. We’ll provide a detailed overview of outsourced medical billing and explore the benefits, challenges, and key factors to consider when choosing the right one for your healthcare organization. What is […]

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billing services, coding and billing, FAQs, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Expertise, Medical Billing Service, outsourced billing, outsourced medical billing

Discover the Benefits of Outsourced Laboratory Billing Solutions

February 7, 2023 / admin / Articles, Corona Virus, Corona Virus Testing Billing, Coronavirus, COVID, COVID Testing Billing, COVID-19, COVID-19 Billing, Healthcare, Lab Billing, Laboratory Billing, Medical, Medical Billing, Medical Billing for Labs, Outsourced Lab Billing
Laboratory Billing

Understanding Outsourced Laboratory Billing In the medical industry, managing billing and reimbursement processes can be a daunting task. From insurance claims and patient billing to regulatory compliance and coding accuracy, there are many variables to consider. This is why many medical laboratories have chosen to outsource their billing operations to third-party providers. Outsourced laboratory billing […]

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Corona billing, Corona Virus, Corona virus billing, Coronavirus, Coronavirus testing billing, Covid, COVID-19, COVID-19 Testing Billing, genetic testing billing, genetic testing labs, healthcare, Lab Billing, lab testing billing, Laboratory Billing, Medical, toxicology billing, toxicology lab billing, toxicology laboratory billing

Find the Best Medical Billing Software Solution for Your Healthcare Practice

February 6, 2023 / admin / Articles, AthenaHealth, CareCloud, CureMD, DrChrono, EHR, EHR Integration, EMR, Kareo, Medical Billing, Medical Billing Analytics, Medical Billing Software, NextGen, NueMD, Practice Fusion, Practice Management, PrognoCIS, PUREDI
Medical Billing Software White Male User

Discover the Most Advanced Medical Billing Software on the Market and Improve Your Practice’s Efficiency Uncover the Key Features of Medical Billing Software Medical billing software refers to a type of software specifically designed to help healthcare practices manage their billing and revenue cycle processes. This software is an essential tool for healthcare providers, enabling […]

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AthenaHealth, clearinghouse, CureMD, DrChrono, EHR, EHR Integration, EMR, EMR integration, healthcare, Healthcare Billing, Kareo, Medical Billing, medical billing software, NextGen, NueMD, Practice Fusion, PUREDI, rcm, Revenue Cycle Management

Medical Credentialing: The Importance of Proper Verification and Accreditation

February 5, 2023 / admin / Articles, Credentialing, Credentialing Accreditation, Credentialing Accuracy, Credentialing Process, Credentialing Verification, Healthcare, Healthcare Credentialing, Medical Credentialing
White Female Credentialing Professional

The process of medical credentialing is crucial in ensuring the quality and safety of healthcare services. It involves verifying the credentials and qualifications of healthcare providers and evaluating their competency to provide medical services. We’ll examine the importance of proper medical credentialing and how it benefits both healthcare providers and patients. What is Medical Credentialing? […]

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Credentialing, Credentialing Accreditation, Credentialing Accuracy, credentialing process, Credentialing Verification, education verification, healthcare, healthcare credentialing, medical credentialing

Top FAQs in Medical Billing and Coding Answered

February 5, 2023 / admin / Articles, Commonly Asked Medical Billing Questions, Commonly Asked Questions, FAQs, Medical Billing and Coding, Medical Billing and Coding FAQs, Medical Billing FAQs, Medical Coder, Top Medical Billing FAQs, Top Medical Coding FAQs
Commonly Asked Medical Billing Questions

Many questions exist in the medical billing and coding industry because it is a complex and rapidly evolving field which requires a high level of accuracy and attention to detail. The healthcare industry is dynamic and is subject to frequent changes in laws, regulations, and insurance policies, which can impact the billing and coding process. […]

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Certified Professional Coder, Certified Professional Coder (CPC), coding questions, commonly asked medical billing questions, commonly asked questions, CPC, CPT, FAQ, Herzing University medical billing, ICD, ICD-10, ICD-11, Medical Billing, Medical Billing and Coding, Medical Billing and Coding FAQs, medical billing and coding questions, Medical Billing FAQs, medical billing questions

Becoming a Medical Billing Specialist: A Step-by-Step Guide

February 5, 2023 / admin / Articles, Careers in Medical, Careers in Medical Billing, Jobs in Healthcare, Medical, Medical Billing, Medical Billing Careers, Medical Billing Jobs, Medical Billing Specialist, Medical Careers
White Female Medical Billing Outsourced

A medical billing specialist plays a crucial role in the healthcare industry. They are responsible for managing the financial side of healthcare, which includes submitting claims to insurance companies and following up on any denied claims. A medical billing specialist is responsible for submitting and following up on claims to insurance companies for payment for […]

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Billing Jobs, Billing Medical, billing specialist, careers in healthcare, careers in medical, careers in medical billing, healthcare, Healthcare Billing, healthcare careers, Jobs in Healthcare, Medical, Medical Billing, medical billing career, Medical Billing Jobs, medical billing specialist

The Efficacy of Robotic Process Automation (RPA) in Medical Billing

February 5, 2023 / admin / Articles, FHIR, FHIR Adoption, FHIR API, FHIR vs HL7, Health Level 7, Healthcare, HL7, HL7 FHIR, HL7 Interface, Medical, Medical Billing Robotic Process Automation, Robotic Process Automation, RPA, RPA HL7
robotic-process-automation-RPA-example-code

RPA has Transformed the Medical Billing Industry Medical billing is a crucial aspect of the healthcare industry, responsible for accurately tracking and processing payments for patient care and services. In recent years, advances in technology have led to the development of Robotic Process Automation (RPA) in Healthcare, which has been hailed as a game-changer for […]

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adding relevant ICD codes, claim submissions, claims generation submission, data entry, FHIR, FHIR Adoption, FHIR API, FHIR vs HL7, Health Level 7, healthcare, HIPAA, HL7, HL7 FHIR, HL7 interface, HL7 Standards, Insurance Coverage Verification, Medical, Medical Billing Robotic Process Automation, Medical Billing RPA, Patient registration, payment processing, Robotic Process Automation, RPA, RPA HL7, Superbill creation, UiPath
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Practices Served

  • Behavioral Health
  • Genetic Testing
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • COVID-19 Testing
  • Allergy Testing
  • Skilled Nursing Facilities
  • Urgent Care
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Speech Therapy
  • Substance Abuse
  • DME
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy

Practices Served

  • Behavioral Health
  • Genetic Testing
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • COVID-19 Testing
  • Allergy Testing
  • Skilled Nursing Facilities
  • Urgent Care
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Speech Therapy
  • Substance Abuse
  • DME
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy

Recent Posts

  • Healthcare Provider Data Management

    What is Healthcare Provider Data Management?

  • Credentialing Needed Female Medical Doctor

    Medicare Modifiers: a Complete Guide

  • White Male Medical Doctor Holding Stethoscope

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  • White Male Medical Doctor Needs Credentialing

    The Worst Credentialing Problems and How to Solve Them

  • Asian Male Doctor in Need of Credentialing

    What are the Main Types of Medical Credentials?

  • California Medical Billing, Credentialing

    Managing California’s Medical Billing and Credentialing Needs

  • Top 10 Highest Paying Medical Credentialing Jobs

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