Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Call: (412) 219-4789 | Fax: (866) 422-9277
  • Credentialing
  • Payer Contracting
  • Medical Billing
  • Rate Negotiations
  • Specialties
    • Behavioral Health
    • DME
    • Urgent Care
    • Speech Therapy
    • Geriatric Medicine
    • Skilled Nursing Facilities (SNF)
    • Substance Abuse
    • Genetic Testing
    • Pharmacogenetic (PGx)
    • Toxicology
    • Allergy Testing
    • Oncology
    • Pathology
    • OBGYN
    • Internal Medicine
    • Biologics and Specialty Drugs
    • Telestroke and Teleneurology
    • Digital Therapeutics (DTx)
    • Remote Patient Monitoring
    • Remote Therapeutic Monitoring
    • Home Infusion Therapy
    • Sleep Study Labs
    • Physical Therapy (PT)
    • Occupational Therapy
    • COVID-19 Testing
  • Blog
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Hospital Revenue Cycle Challenges

August 21, 2019 / admin / Articles, Hospital Billing, Hospital Medical Billing, Medical Billing, Medical Billing Companies, Medical Billing Customer Service, Medical Billing Outsourcing
Revenue Cycle Management Coins

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 […]

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Hospital Billing, Hospital Medical Billing, Hospital Revenue Cycle, Medical Revenue Cycle, Revenue Cycle, Revenue Cycle Management

How to Prevent (Denied Medical Claims)

August 20, 2019 / admin / Articles, Denials Managements, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Patient Billing, Patient Medical Billing, Revenue Cycle Management
Denied Medical Claim

Denied Medical Claims Prevention 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% […]

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Denial Management, Denied Medical Claim Prevention, Denied Medical Claims, Medical Claim Denial, Medical Claims, upstream process

The 10 Advantages of Outsourcing Your (Behavioral Health Billing)

July 20, 2019 / admin / Articles, Behavioral Health, Behavioral Health Billing, Medical Billing, Medical Billing Outsourcing, Mental Health Billing, Outsource Medical Billing, Outsourcing Medical Billing
Behavioral Health Billing Mechanisms

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 […]

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Behavioral Health, Behavioral Health Billing, Medical Billing, Mental Health, Mental Health Billing, Outsource Billing, Outsource Medical billing, Outsourced Medical Billing

8 (Medical Credentialing) Details, which Differentiate Us from Our Competition

June 27, 2019 / admin / Articles, CAQH, Credentialing, In-Network, Medical Credentialing, Medical Practice Credentialing, Payer Enrollment, Payor Contracting
Credentialing Expert

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 […]

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CAQH, Credentialing, In-Network, Insurance Companies, Medical Credentialing, Medical Practice Credentialing, Payor Contracting, Payor Enrollment

9 Thoughts on Why You Should (Outsource Your Medical Billing)

April 9, 2019 / admin / Articles, Medical Billing, Medical Billing Companies, Medical Billing Customer Service, Medical Billing Outsourcing, Medical Coding, Why Outsource Your Medical Billing
Medical Billing Outsourced

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 […]

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Basics of Medical Billing, Billing Medical, Medical Billing, Medical Billing and Coding, Medical Billing Cycle, Medical Provider Billing, new medical practices, Revenue Cycle Management

Medical Credentialing (On-Boarding Process)

September 25, 2018 / admin / Articles, Credentialing, Credentialing Applications, Credentialing New Providers, Credentialing On-Boarding, Credentialing Process, Credentialing Solutions, Healthcare Credentialing, Hospital Credentialing, In-Network, Medical Credentialing
Credentialing QA

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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Aesculapian, CAQH, Credentialing, Credentialing Applications, Credentialing New Providers, credentialing on-boarding, credentialing process, Credentialing Solutions, DEA, Healthcare Credentialing, Hospital Credentialing, In-Network, Medical Credentialing, NPPES, PECOS, Provider Credentialing

Are You Ready for (MACRA)?

August 23, 2017 / admin / Articles, MACRA, Medical Billing, Medicare, News, Pittsburgh Medical Billing, Pittsburgh Medical Coding
Are You Ready for MACRA

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 […]

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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

In 2018, (New Medicare Cards) are Coming

August 13, 2017 / admin / Articles, Medical Billing, Medicare, News

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 […]

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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

What’s the Difference Between (Medical Billing and Credentialing)?

August 7, 2017 / admin / Articles, Billing, Credentialing, Medical Billing, Payer Enrollment, Payor Contracting, Pittsburgh Credentialing
Medical Doctor Costs

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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Billing Versus Credentialing, Billing vs Credentialing, CAQH, Coalition for Affordable Quality Healthcare, CPT codes, Cranberry Medical Billing, Cranberry Medical Credentialing, ICD-10, Medical Billing, Medical Credentialing, Physical Therapy Billing, PT Billing
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Practices Served

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

Practices Served

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

Recent Posts

  • White Twin Teenage Girls - CPT Codes Acne

    Which CPT Codes are Used in Acne Treatment Billing?

  • White Middle-Aged ER Physician Needing Billing

    Which CPT Codes are Used in Emergency Room Billing?

  • Medical CPT Codes

    The Most Commonly Used CPT Code in Healthcare

  • Which CPT Codes are Used in Geriatrics Billing?

  • New Physician Credentialing

    Getting New Physicians Credentialed Expeditiously

  • Medical Credentialing Software Developer

    Choosing the Correct Medical Credentialing Software

  • Young Black Female Credentialing Lady

    Remote Medical Credentialing Jobs

  • UPMC Health Plan Credentialing

    A Guide to Provider Credentialing with UPMC Health Plan

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