Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Call: (412) 219-4789 | Fax: (866) 422-9277
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    • Biologics and Specialty Drugs
    • Telestroke and Teleneurology
    • Remote Patient Monitoring
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    • Occupational Therapy
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Payer Contracting, What Healthcare Providers Should Understand

November 7, 2022 / admin / Articles, Credentialing, Credentialing On-Boarding, Enrollment, Healthcare Credentialing, Healthcare Outcomes, Measuring Healthcare Outcomes, Medicaid, Medical Credentialing, Medicare, Payer Contracting, Private Insurers
Payer Contracting White Female

Let’s begin with this set-up: Let’s say you’re hunting for a new job and receive a call from a would-be employer informing you that the job is yours. Of course, you’re thrilled by the news and inquire about your starting salary. Your new employer replies that you need to wait for your first paycheck to […]

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Credentialing, healthcare credentialing, medicaid, medicare, private insurers, Provider Credentialing, provider networks, reimbursement rates

Payer Enrollment Versus Credentialing, What’s the Difference?

November 6, 2022 / admin / Credentialing, Credentialing On-Boarding, Enrollment, Healthcare, Healthcare Credentialing, Payer Contracting, Payer Enrollment, Payer Negotiation
Payer Contracting White Female

Bringing new providers aboard is invigorating, yet a complex process with plenty of moving parts. If you’ve ever had the opportunity to hire a physician or mid-level professional, you know just how much work is involved. Payer enrollment is maybe one of the more essential, yet misunderstood pieces of the puzzle. No doubt, making your […]

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Credentialing, credentialing on-boarding, enrollment, healthcare, healthcare credentialing, medical credentialing, Payer Contract, Payer Contracting, Payer enrollment

Why You Should Integrate EHR Systems and Medical Billing

September 23, 2022 / admin / Articles, Billing, Billing AI, Billing Automation, Billing Revenue, Billing RPA, EHR, EHR Integration, EMR, EMR Integration, Health Level 7, HL7, Medical Billing, Medical Billing AI, Medical Billing Artificial Intelligence, Medical Billing Automation

EHR Systems + Medical Billing Integration Medical billing and practice management has long been a labor-intensive task for healthcare providers. There’s little doubt, however, that the use of EHR (Electronic Health Records) or sometimes known as EMR (Electronic Medical Records) has considerably slashed these tasks by offering providers a proven method to effectively streamline their […]

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billing, Billing AI, Billing Automation, billing revenue, billing service, EHR, EHR (Electronic Health Records), EHR Integration, EHR Interoperability, Electronic Health Records, Electronic Medical Records, EMR, EMR (Electronic Medical Record), Health Level 7, HL7, insurance, Interoperability, Interoperability Standards, Medical Billing

4 Ways to Improve Patient Telehealth Experience

September 16, 2022 / admin / Articles, Healthcare, Healthcare AI, Healthcare Delivery, Healthcare KPIs, Healthcare Outcomes, Telehealth, Telemedicine
telehealth medicine

Improving Patient Telehealth Experience Telehealth Assessment Gaining access to healthcare has become even more essential than ever. The COVID-19 pandemic didn’t prevent healthcare workers from discharging their oath and tackling medical issues quickly and properly. In fact, the use and popularity of telehealth expanded significantly in response to the COVID-19 pandemic. An assessment of telehealth […]

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healthcare, Healthcare AI, HIPAA, HIPPA Compliant, medical providers, telehealth, telehealth delivery, telehealth experience, telehealth improvements, telehealth services, telehealth software, Telemedicine, telemedicine improvements

Vaping and What Healthcare Providers Need to Know

September 8, 2022 / admin / Articles, Cancer, CDC, e-cigarette, Healthcare, Healthcare Outcomes, News, Vaping

What Healthcare Providers Need to Know about Vaping Both the U.S Food & Drug Administration and the Centers for Disease Control are working determinedly to look into the disturbing occurrences of severe respiratory illness connected with the use of vaping products. Both organizations are diligently working with state and local health officials to investigate these […]

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cancer, CDC, e-cigarette, EHR, healthcare, Lung Association, vape, vape pen, vaping, vapor

6 Advantages of Outsourced Medical Billing

September 1, 2022 / admin / Articles, Billing, Billing Automation, Billing Revenue, Credentialing, Full Service Medical Billing, Healthcare, Healthcare Billing, Healthcare Credentialing, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Medical Credentialing, Outsource Medical Billing, Outsourced Medical Billing, Outsourcing Medical Billing

Medical Practice Management Challenges Solved by Outsourced Medical Billing Quality, Outsourced Medical Billing is the Answer The billing team at Capitol Healthcare practice had been reaching a high bar of excellence. But that bar was endangered when long-time staff members began to retire. “Some of the staff had been here for a long time, like […]

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Healthcare Billing, insurance, Medical Billing, Medical Billing Service, medical billing strategy, medical credentialing, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, Revenue Cycle Management, revenue cycle optimization

The Role of AI in Medical Billing and Coding

August 29, 2022 / admin / AI, Articles, Artificial Intelligence, Billing, Billing AI, Health Level 7, Healthcare, Healthcare AI, Healthcare Billing, Healthcare Credentialing, Healthcare KPIs, Healthcare Outcomes, HL7, Measuring Healthcare Outcomes, Medical Billing, Medical Billing AI, Medical Billing Artificial Intelligence, RPA
AI in Medical Billing and Coding

Example of AI in Medical Billing and Coding Artificial Intelligence (AI) is a hot topic right now with many speculating on how it will change the way we live our lives. In fact, we’ve already discovered that in the medical field, there are numerous ways that AI can be employed to improve overall performance. As […]

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AI, artificial intelligence, artificial intelligence healthcare, billing, Billing AI, EHR, EHR RPA, Health Level 7, Healthcare AI, HL7, insurance, Medical Billing, Medical Billing AI, Medical Billing Artificial Intelligence, RPA

Is Telehealth Here to Stay?

March 28, 2022 / admin / Articles, Healthcare, Healthcare Delivery, Healthcare Outcomes, Telehealth, Telemedicine
telehealth medicine

Telehealth, the Provision of Remote Healthcare Telehealth is Useful, but is it Here to Stay? Maybe we really don’t want to talk about it, but truth is, major calamities like the COVID-19 pandemic often lead to innovations in healthcare.   As a prime example, the use of virtual care skyrocketed as people – asked to socially […]

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Corona, Corona Virus, Coronavirus, Covid, COVID-19, healthcare, telehealth, Telemedicine

How COVID-19 Affected the Provider-Payer Relationship

March 23, 2022 / admin / Articles, Corona Virus, Coronavirus, Coronavirus Testing, Coronavirus Testing Billing, COVID, COVID Test Kits, COVID Testing Billing, COVID-19, COVID-19 Billing, COVID-19 Testing, COVID-19 Testing Billing, Payer Contract, Payer Contracting, Payer Enrollment, Payer Negotiation, Provider-Payer
COVID-19 Testing Billing

Provider-Payer Relationship Under COVID-19 COVID-19 Upset Provider-Payer Relationships The COVID-19 pandemic has affected most, if not all, businesses everywhere. For healthcare, in particular, the pandemic and its consequences altered the ways that payers and providers do business with one another. How So? Let’s catch a momentary peek at several of the more immediate effects on […]

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Coronavirus, Coronavirus billing, COVID billing, COVID test kits, COVID testing billing, COVID-19, COVID-19 testing, Healthcare Billing, Medical Billing, outsourced billing, outsourced medical billing, provider-payor

Does Artificial Intelligence (AI) Help or Hurt Healthcare Processes?

March 1, 2022 / admin / Articles, Artificial Intelligence, Healthcare, Healthcare Billing, Healthcare Delivery, Healthcare KPIs, Healthcare Outcomes
AI in RCM

Advantages and Disadvantages of Using Artificial Intelligence (AI) in Healthcare No matter the industry, artificial intelligence (AI) has become routine and commonplace. When it comes to healthcare, AI helps practitioners streamline tasks, expand operational efficiencies and simplify complicated medical procedures. AI in medical billing and coding is becoming increasingly more crucial. Although AI is certainly transforming […]

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AI, AI healthcare, AI medical, artificial intelligence, artificial intelligence healthcare, healthcare, Healthcare KPIs, Healthcare Outcomes, Medical Billing

Medical Billing Robotic Process Automation (RPA)

February 22, 2022 / admin / Articles, Billing Automation, Billing RPA, Health Level 7, HL7, Medical Billing Automation, Medical Billing RPA, RCM, Revenue Cycle Management, Robotic Process Automation, RPA
Robotic Process Automation (RPA) Medical Billing

Robotic Process Automation (RPA) in Medical Billing What Exactly is Robotic Process Automation? When you come across the term “robotic process automation,” you might think it sounds rather futuristic. However, RPA, as it’s often termed, is a technology being deployed more and more in the healthcare industry, including medical billing. Robotic process automation (software) consists […]

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Billing Automation, Billing RPA, EHR, EHR RPA, EMR, EMR RPA, Health Level 7, HL7, insurance, Medical Billing, Medical Billing Automation, Medical Billing Robotic Process Automation, Medical Billing RPA, rcm, Revenue Cycle Management, Robotic Process Automation, Robotic Process Automation Billing, Robotic Process Automation Medical Billing, RPA, RPA Billing

What is Revenue Leakage and How to Stop It?

February 9, 2022 / admin / Articles, Medical Billing, Medical Billing Cost, Medical Billing Outsourcing, Medical Claims, Medical Providers, Revenue Cycle Management, Revenue Cycle Management Challenges, Revenue Leakage
Revenue Cycle Management Coins

Interested in Stopping Revenue Leakage? Firstly, Let’s Define Revenue Leakage “Revenue leakage” describes circumstances wherein a healthcare provider has supplied care to a patient but doesn’t collect payment. In general, it happens when accounts receivable (AR) continue to be unpaid for too long and are inadvertently overlooked. The longer an account receivable remains outstanding, the […]

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A/R, healthcare, healthcare denials, healthcare reimbursement, healthcare revenue cycle, Medical Billing, medical billing denials, rcm, rcm challenges, rcm essentials, rcm support

Does Medicare Cover (Mental Health Services) such as Therapy?

February 9, 2022 / admin / Articles, Behavioral Health, Behavioral Health Billing, Healthcare, Healthcare Outcomes, Medicare Coverage, Mental Health, Mental Health Billing
mental-health-treatment-medicare

Are Mental Health Services (like Therapy) Covered Under Medicare? Behavioral / Mental Health Services + Medicare Sometimes it can be problematic for older adults to differentiate indicators of mental health difficulties for typical aging-related changes. They may think that experiencing sadness or anxiety is an ordinary symptom of growing older, particularly when they live with […]

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Behavioral Health, Behavioral Health Billing, medicaid, medicare, medicare coverage, Medicare Therapy, Mental Health, Mental Health Billing

What Does Medicare Cover for Home Healthcare?

February 9, 2022 / admin / Articles, Billing, Billing Revenue, Healthcare, Healthcare Billing, Healthcare Outcomes, Medicaid, Medical Billing, Medical Claims, Medical Providers, Medicare, Occupational Therapy, Physical Therapy, Speech Therapy
home-healthcare-services-medicare

Home Health Services + Medicare What does Medicare Cover for Home Healthcare? If you’re looking for an answer to the question, “What does Medicare cover for home healthcare?”, you’ve probably typed it into a search engine and immediately closed the tab. The amount of information and the level of detail can quickly become confusing and […]

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healthcare, healthcare services, home health care, home health services, home healthcare, medicaid, medicaid billing, medicaid coverage, medicare, medicare billing, medicare coverage

Where Does Your Revenue Cycle Management Need to Be?

December 1, 2021 / admin / Articles, Medical Billing, Medical Billing Companies, RCM, RCM Challenges, Revenue Cycle Management, Revenue Cycle Management Challenges
revenue-cycle-management-services

Your Revenue Cycle Management Status Healthcare providers faced a tidal wave of challenges at the beginning of the COVID-19 pandemic, many of which endure consequences today. It’s not surprising that the revenue cycle did not evade these challenges. The shutdown and transfer to a generally virtual care world presented substantial bedlam that the revenue cycle […]

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rcm, rcm challenges, rcm essentials, revenue cycle challenges, Revenue Cycle Management, Revenue Cycle Management Concerns, Revenue Cycle Management Issues, revenue cycle optimization

Patient Payment Trends Moving Forward

November 26, 2021 / admin / Articles, Billing, Medical Billing, Medical Claims, Patient Billing, Patient Collections, Patient Flow, Patient Medical Billing, Telehealth
Medical Billing Experts

Patient Payments in Healthcare are Changing In spite of a “hot-vaxxed summer,” the COVID-19 pandemic lingers, and sadly, even more robustly in some places than ever before. It’s also continuing to take its toll on healthcare consumers, both psychologically and financially. That’s one of several reasons why it’s more critical than ever for healthcare providers […]

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digital payments, healthcare, healthcare payments, Medical Billing, medical digital payments, medical payments, patient payments, payment trends, telehealth

What Do Patients Want from Billing?

November 26, 2021 / admin / Articles, Billing, Healthcare, Healthcare Billing, Medical Billing
Medical Bills, Stethoscope

Healthcare Patient Billing Expectations Patients believe every aspect of their healthcare experience contributes to their care, including the medical payment and billing process. And a negative payment incident could impact a patient’s overall impression of a healthcare organization, even if the rest of their experience was positive. According to survey results, patient satisfaction ratings fall […]

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billing, billing service, healthcare, Medical, medical bill, medical bill process, medical claims, medical patients, medical payment

Healthcare Revenue Cycle Management Challenges

November 23, 2021 / admin / Articles, RCM, RCM Challenges, Revenue Cycle Management, Revenue Cycle Management Challenges
Hospital Revenue Cycle Challenges

Healthcare Practices Face RCM Challenges Healthcare providers of all shapes and sizes are struggling to fine-tune their revenue cycle to adapt to changes in the billing world. Constant changes to the healthcare system have brought about a variety of new challenges for providers and patients alike. This is particularly true for smaller practices who must […]

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healthcare rcm, Medical Billing, medical billing software, rcm, rcm practices, rcm support, Revenue Cycle, revenue cycle challenges, Revenue Cycle Management, revenue cycle optimization

9 Steps for a Proactive Medical Billing Strategy

November 22, 2021 / admin / Articles, Billing Revenue, Full Service Medical Billing, Healthcare, Healthcare Billing, Medical Billing, Medical Billing Companies, Medical Billing Cost, Medical Billing Outsourcing, Medical Providers, RCM, Robotic Process Automation, RPA

Isn’t it Time to Become More Proactive in Your Medical Billing Payment Strategies? “Do you believe in miracles?” During the 1980 Winter Olympics, the U.S. National Hockey Team miraculously vanquished the Soviet Union Team (who had won the gold medal in the six previous Olympics). It has been noted that one of the chief factors […]

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Basics of Medical Billing, Collection Process, Medical Billing, medical billing strategies, medical billing strategy, outsourced medical billing, Patient Collections, Revenue Cycle Management, Robotic Process Automation, RPA

Medical Providers: Never Underestimate the Importance of Your Front Desk Staff

November 19, 2021 / admin / Articles, Healthcare, Medical Billing, Medical Providers, Patient Flow, RCM
Medical Billing Doctors

Medical Providers Should Never Underestimate Front Desk Staff Value Patient/Customer Relations Whether it’s a medical practice or any other type of business, there is nothing as critical as patient/customer relations. What helps distinguish thriving medical practices from others is the interface of patients with your front desk staff. After all, it’s here where they handle […]

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healthcare, Healthcare Billing, Medical Billing, medical front desk, medical office staff, medical patient flow, medical patients, medical provider, patient flow, patient relations, rcm

Outsourced Medical Billing Saves Money

September 29, 2021 / admin / Articles, Medical Billing, Medical Billing Companies, Medical Billing Customer Service, Medical Billing Outsourcing, Outsource Medical Billing, Outsourced Medical Billing, Outsourcing Medical Billing
pittsburgh-medical-credentialing-doctor-office

Outsourced Medical Billing Saves Healthcare Practices Money A rather bold statement. We’re so sure that we will save your healthcare practice money, we feel quite confident in asserting this claim in our headline. Where is it written that your healthcare practice has to conduct billing services in-house? Fact is, outsourcing medical billing can be extremely […]

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Healthcare Billing, Medical Billing, Medical Billing Company, outsourced billing, outsourced medical billing

10 Ways to Best Achieve Revenue Cycle Optimization

September 25, 2021 / admin / Articles, Medicaid, Medical Billing, Medical Claims, Medical Coding, Medicare, Revenue Cycle Management, What is Medical Billing?, Why Outsource Your Medical Billing
Medical Billing Techniques

The healthcare industry is changing rapidly, creating a host of challenges for healthcare providers. Cutbacks in reimbursements, bad debt and regulatory reforms all affect a provider’s revenue. Moreover, the failure to recognize claim submission mistakes heightens the risk of inadequate reimbursement and even nonpayment. While concentrating on ever-pressing needs, it’s difficult for providers to spot […]

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healthcare revenue cycle, Medical Billing, Outsource Billing, Outsource Medical billing, outsourced billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, revenue loss, revenue optimization

Common Revenue Cycle Management Mistakes and How to Avoid Them

September 17, 2021 / admin / A/R, A/R Recovery, Articles, Billing Revenue, Medical Billing, Medical Billing Companies, Revenue Cycle Management
Hospital Revenue Cycle Challenges

Common Revenue Cycle Management Mistakes Is Your Revenue Cycle Management in Top-Notch Condition? Let’s face it, we all make mistakes, even as veterans in revenue cycle management. Sometimes, though, our biggest mistakes are the ones right under our noses – the ones we simply don’t identify as mistakes because we’ve been making them for so […]

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healthcare, Healthcare Billing, healthcare rcm, Medical Billing, medical credentialing, rcm, rcm practices, rcm support, Revenue Cycle Management

Meeting the Challenge of Revenue Cycle Management

September 16, 2021 / admin / A/R, A/R Recovery, Articles, Healthcare, Healthcare Billing, Healthcare Outcomes, Medical Billing, Medical Billing Companies, Medical Claims, Patient Billing, Patient Collections, Revenue Cycle Management
Medical Billing, Credentialing

Revenue Cycle Management Challenges If a healthcare provider doesn’t set up an efficient billing process, it runs the risk of losing quite a bit of money. With high-deductible insurance plans becoming more widespread, patients are shelling out additional money out of pocket. Or, if the patient is uninsured or underinsured, problems arise since there’s not […]

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A/R, A/R Process, A/R Recovery, Accounts Receivable, Healthcare Billing, Healthcare Outcomes, healthcare revenue cycle, Measuring Healthcare Outcomes, Medical Billing, medical claims, Medical Revenue Cycle, Patient Billing, Patient Collections, Revenue Cycle Management

Surprise Bills for COVID-19 Testing

September 15, 2021 / admin / Articles, Corona Virus, Coronavirus, Coronavirus Testing, Coronavirus Testing Billing, COVID, COVID Test Kits, COVID Testing Billing, COVID-19, COVID-19 Billing, COVID-19 Testing, COVID-19 Testing Billing, Healthcare Billing, Medical Billing
COVID-19 Testing Billing

Have Your Patients Been Charged with Surprise Bills for COVID-19 Testing? No doubt, the Delta-variant is the driving force behind a new flood of nationwide testing that could translate into more surprise medical bills for those being tested. The CARES Act and Families First Coronavirus Relief Act are supposed to ensure free COVID-19 testing for […]

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Coronavirus, Coronavirus billing, COVID billing, COVID test kits, COVID testing billing, COVID-19, COVID-19 testing, Healthcare Billing, Medical Billing, outsourced billing, outsourced medical billing
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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

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    What is Healthcare Provider Data Management?

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  • White Male Medical Doctor Needs Credentialing

    The Worst Credentialing Problems and How to Solve Them

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