Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Call: (412) 219-4789 | Fax: (866) 422-9277
  • Credentialing
  • Payer Contracting
  • 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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Artificial Intelligence

Ensuring Healthcare Provider Credential Maintenance

January 28, 2025 / admin / Articles, Artificial Intelligence, Automation, Blockchain and Credentialing, Blockchain in Healthcare, Blockchain Technology, Board Certifications, CME Credit Acquisition, Credential Maintenance, Hospital Privileges, Professional Licenses
White Female Credentialing Boss

Maintaining up-to-date medical credentials isn’t just a professional requirement, it’s a critical component of delivering high-quality patient care, ensuring patient safety, and protecting one’s professional standing. We’ll walk healthcare providers through the essential strategies, challenges, and best practices for keeping their credentials current and their professional knowledge sharp. Understanding the Importance of Credential Maintenance Credential […]

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artificial intelligence, Automated Credentialing, Automation, Blockchain and Credentialing, Blockchain in Healthcare, Blockchain Technology, Board Certifications, CME Credit Acquisition, Credential Maintenance, Hospital Privileges, Professional Licenses

AMA Unveils CPT Code Updates for 2025

November 12, 2024 / admin / AI, AMA, AMA Intelligent Platform, Articles, Artificial Intelligence, Code 98975, CPT, CPT & RBRVS 2025 Annual Symposium, CPT Code, CPT Code Update, CPT Codes, CPT Editorial Panel, Remote Therapeutic Monitoring
AMA New CPT Codes for 2025

The American Medical Association (AMA) announced today the release of the Current Procedural Terminology (CPT®) code set for 2025, marking a significant evolution in medical coding that reflects the healthcare industry’s rapid technological advancement and changing clinical practices. The updated code set, which serves as the foundation for medical billing and documentation across the United […]

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AI, AMA, AMA Intelligent Platform, artificial intelligence, Code 98975, CPT, CPT & RBRVS 2025 Annual Symposium, CPT 2025 Professional Edition, CPT Code, CPT Code Update, CPT codes, CPT Editorial Panel, Remote Therapeutic Monitoring

Will Medical Billing and Coding Be Replaced by AI?

October 18, 2024 / admin / AI, AI Bot, AI Coding, AI in Healthcare, AI into RCM, AI Medical Coding, AI RCM, AI-driven RCM, Articles, Artificial Intelligence, Biling Codes, Coding, Coding Accuracy, Coding and Billing
AI in Medical Billing and Coding

The healthcare industry is undergoing a rapid transformation, driven by technological advancements and the increasing adoption of artificial intelligence (AI). One area that has garnered significant attention is medical billing and coding, a crucial component of healthcare administration. As AI continues to evolve and demonstrate its capabilities in various sectors, many wonder: will medical billing […]

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AI, AI Bot, AI Coding, AI in Healthcare, AI into RCM, AI Medical Coding, AI RCM, AI-driven RCM, artificial intelligence, Biling Codes, Coding, Coding Accuracy, coding and billing

Revenue Revolution: Transforming Your Billing Practices

October 17, 2024 / admin / Articles, Artificial Intelligence, Automated Billing, Automation, Billing, Data Analytics, Data Integration, Data Interoperability, Interoperability, Manual Billing, Medical Billing
Revenue Cycle Management Coins

The way companies handle their billing processes can make or break their success. As organizations strive to stay competitive and meet evolving customer expectations, transforming billing practices has become a critical imperative. We’ll reveal the intricacies of modern billing systems, highlighting innovative strategies and technologies that can revolutionize your revenue management. The Importance of Effective […]

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artificial intelligence, automated billing, Automation, billing, Billing Challenges, Data Analytics, Data Integration, Data Interoperability, Interoperability, Manual Billing, Medical Billing

Are Medical Billing Codes Universal?

October 8, 2024 / admin / Artificial Intelligence, Billing Codes, Billing KPIs, Billing Outcomes, Blockchain, ICD, ICD Codes, ICD-10, ICD-10 to ICD-11, ICD-11, IHTSDO, Non-Universality Coding, SNOMED CT
Female Medical Coder

Medical billing codes are the backbone of healthcare administration worldwide, serving as a standardized way to communicate diagnoses, procedures, and treatments between healthcare providers, insurers, and government agencies. However, the question of whether these codes are truly universal is complex and multifaceted. We dissect the various medical coding systems used globally, their similarities and differences, […]

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billing, CPT, CPT codes, EHR, EMR, Healthcare Billing, ICD-10, ICD-10 coding, ICD-11, IHTSDO, Medical Billing, Non-Universality Coding, outsourced billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPA, SNOMED CT, Systematized Nomenclature of Medicine, Value Based Care

Medical Billing AI and Automation Trends to Watch

October 4, 2024 / admin / AI, AI Coding, AI in Healthcare, AI into RCM, AI Medical Coding, AI Models, Articles, Artificial Intelligence, Automated Billing, Automation, NLP, Predictive Analytics, Robotic Process Automation, RPA, RPA Adoption
Robotic Process Automation (RPA) Medical Billing

The healthcare industry is undergoing a dramatic transformation, and medical billing is at the forefront of this revolution. As healthcare providers face mounting pressure to reduce costs while improving patient care, artificial intelligence (AI) and automation technologies are emerging as powerful solutions to streamline the complex, time-consuming process of medical billing. We scan the current […]

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AI, AI Coding, AI in Healthcare, AI into RCM, AI Medical Coding, AI Models, Articles, artificial intelligence, automated billing, Automation, NLP, Predictive Analytics, RPA, RPA Adoption

Medical Billing Trends in Healthcare

September 8, 2024 / admin / AI, AI Models, AI RCM, AI-driven RCM, Articles, Artificial Intelligence, Cybersecurity, Interoperability, Medical Billing Trends, Patient-Centric, Patient-Friendly, Telehealth, Telehealth Billing, Transparency, Value Based Care, Value-Based, Value-Based Care Models
Medical Billing Resources

Medical billing stands as a critical component that continues to evolve rapidly. As we progress through 2024 and beyond, the landscape of medical billing is being reshaped by technological advancements, regulatory changes, and shifting patient expectations. We’ll inspect the current trends that are transforming the medical billing industry, their implications for healthcare providers and patients, […]

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AI, AI Models, AI RCM, AI-driven RCM, artificial intelligence, Cybersecurity, Interoperability, Medical Billing Trends, Patient-Centric, Patient-Friendly, telehealth, Telehealth Billing, Transparency, Value Based Care, Value-Based, Value-Based Care Models

Emerging Medical Billing Trends in 2025

August 2, 2024 / admin / AI, Articles, Artificial Intelligence, Automated Billing, Automation, Billing, Billing Automation, Blockchain, Blockchain in Healthcare, Blockchain Technology, Cybersecurity, Data Interoperability, FHIR, Health Level 7, HL7, Machine Learning
Medical Biller Techie

The landscape of medical billing is undergoing a rapid transformation as we approach 2025. Driven by technological advancements, changing patient expectations, and evolving healthcare delivery models, the traditional approaches to medical billing are being revolutionized. We aim to explore the emerging trends that are reshaping the medical billing industry, offering insights into how healthcare providers, […]

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Accountable Care Organizations (ACOs), AI, artificial intelligence, automated billing, Automation, billing, Billing Automation, Blockchain, Blockchain in Healthcare, Blockchain Technology, Cybersecurity, Data Interoperability, FHIR, Health Level 7, HL7, Machine Learning

The Importance of Defining Medical Billing Workflows

March 22, 2024 / admin / Articles, Artificial Intelligence, Billing, Billing Best Practice, Billing Workflows, Claim Denials, Denial Management, Denied Claims, Financial Visibility, Medical Billing, Medical Billing Workflows, Robotic Process Automation, RPA
Medical Biller Techie

So you run a medical practice or healthcare facility. Congrats, you’re doing important work that helps keep people healthy. But have you put much thought into your medical billing workflows? If not, you really should. Billing is the lifeblood that keeps a healthcare operation afloat financially. It’s how you get paid for the vital services […]

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AI, Automation, billing, Billing Workflows, Financial Visibility, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Medical Billing Workflows, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, RPA

Artificial Intelligence (AI): Friend or Foe of Revenue Cycle Management?

February 26, 2024 / admin / AI, AI Bot, AI Coding, AI into RCM, AI Models, AI RCM, AI-driven RCM, Articles, Artificial Intelligence, Billing, Billing AI, Medical, Medical Analytics, Medical Billing, RCM Automation, Revenue Cycle, Revenue Cycle Management
AI in RCM

Revenue cycle management (RCM) is a crucial part of running any healthcare organization. It involves everything from patient registration and eligibility verification to medical coding, charge capture, claims submissions, payment posting, denial management, and more. The goal is to maximize reimbursements while reducing costs and inefficiencies. In recent years, artificial intelligence (AI) has emerged as […]

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AI, AI Bot, AI Coding, AI into RCM, AI RCM, artificial intelligence, Automated Appeal Letters, Automation, billing, healthcare, Healthcare Billing, Machine Learning, Medical, Medical Billing, NLP, rcm, RCM Automation, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization

The Essential Guide to Medical Billing Automation

January 31, 2024 / admin / AI, Articles, Artificial Intelligence, Automated Billing, Automation, Billing, Billing Automation, Cloud-based Automation, Healthcare Billing, Medical Billing, Medical Billing Automation
Medical Billing versus Sports

Medical practices are constantly looking for ways to improve efficiency and increase revenue. Yet many practices are still relying on manual, paper-based billing processes that are tedious, error-prone, and time-consuming. In today’s digital age, automated medical billing is a must for any practice that wants to streamline operations, get paid faster, reduce denied claims, and […]

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AI, artificial intelligence, automated billing, automating billing, billing, Billing Automation, Cloud-based automation, EHR, Healthcare Billing, Medical, Medical Billing, Medical Billing Automation, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPA

Medical Billing versus the Sports World: An Unlikely Comparison

January 21, 2024 / admin / Articles, Artificial Intelligence, Billing, Billing Revenue, Billing Services, Claim Billing, Data Management, Healthcare, Healthcare Billing, Medical Billing, RCM, Revenue Cycle, Revenue Cycle Management, Sports
Medical Billing versus Sports

At first glance, medical billing and professional sports seem to occupy opposite ends of the career spectrum. However, there are interesting parallels in how these two worlds operate when it comes to finances, data, and competition. Drawing comparisons between the healthcare administration and athletics provides unique insights that billing professionals can apply to enhance their […]

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AI, artificial intelligence, Claim Data, Data, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, outsourced billing, outsourced medical billing, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, sports, sports vs billing

How AI is Transforming Healthcare: 12 Real-World Use Cases

January 3, 2024 / admin / AI, AI Diagnostic Models, AI Models, AI Use Cases, Articles, Artificial Intelligence, Data Management, Healthcare, Healthcare AI, Healthcare Use Cases, HIPAA, KPIs, Medical, Medical Use Cases, Patient Care, Use Case
White Female Doctor Healthcare Clinic

Artificial intelligence has moved from hype to mainstream adoption across healthcare, unlocking new possibilities for improving patient outcomes, experiences, and access to care. Below, we’ll explore 12 impactful real-world use cases showing exactly how healthcare providers are leveraging different AI models to enhance clinical workflows, augment decision making, streamline operational processes, and advance precision medicine. […]

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AI, AI Diagnostic Models, AI Models, artificial intelligence, Data Management, healthcare, Healthcare AI, Healthcare Use Cases, HIPAA, KPIs, Medical, Medical Use Cases, Patient Care, Use Case

Why Would a Medical Provider Want to Use Robotic Process Automation?

December 13, 2023 / admin / Articles, Artificial Intelligence, Automation, Billing, Billing AI, Billing Automation, Claim Transmission, Claims Management, Healthcare, Healthcare AI, Healthcare Billing, HIPAA, HL7, Medical Billing, Medical Billing Automation, Robotic Process Automation, RPA
Robotic Process Automation (RPA) Medical Billing

Robotic Process Automation (RPA) has transformed industries across the globe by automating repetitive, rules-based digital tasks. In recent years, healthcare providers have begun to realize the immense potential benefits RPA can offer their organizations too. Implementing RPA can be a challenging process, but for those willing to invest in change, the payouts are plentiful. Below, […]

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AI, artificial intelligence, Automation, Billing Automation, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Automation, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPA

The Future of Medical Billing: Revolutionizing Healthcare Administration

June 7, 2023 / admin / Articles, Artificial Intelligence, Automation, Billing, Billing Services, Blockchain Technology, Coding, CPT Codes, Denial Management, Healthcare, HIPAA, HIPAA and Data Protection, HIPAA Compliant, HL7, Machine Learning, Patient-Centric Billing Systems, Predictive Analytics, Real-Time Claims Processing, Remote Billing, telemedicine
Medical Billing White Guy

Medical billing plays a critical role in the healthcare industry, ensuring accurate reimbursement for services provided by healthcare providers. However, the traditional processes of medical billing have long been plagued by challenges such as complex coding systems, frequent changes in regulations, and increasing administrative burden. As technology continues to advance, the future of medical billing […]

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Automation, Blockchain Technology, EHR, HIPAA, HIPAA and Data Protection, Machine Learning, Medical Billing, Patient-Centric Billing Systems, Predictive Analytics, Real-Time Claims Processing, Reducing Rejected Claims, Remote Billing, Telemedicine

Qualities of an Outstanding Physician Billing Solution

May 5, 2023 / admin / Articles, Artificial Intelligence, Billing, Billing AI, Billing Automation, Billing Best Practice, Billing Revenue, Billing Services, Claim Billing, Denied Claims, Denied Medical Claims, EHR, EHR Integration, Electronic Claims, Healthcare, Healthcare Billing, HIPAA Compliant, HL7, Medical, Medical Billing, Robotic Process Automation, RPA, RPA HL7
Medical Billing Software White Male User

As a leading provider of healthcare services, we understand the importance of an efficient and reliable physician billing solution. Medical billing is a critical aspect of healthcare management, and selecting the right solution can significantly impact the success and profitability of a practice. In this article, we will explore the key qualities that define a […]

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billing, denial management, EHR, Electronic Health Records, healthcare, Healthcare Billing, HL7, Medical, Medical Billing, Robotic Process Automation, Robotic Process Automation Medical Billing, RPA

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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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

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

Artificial Intelligence (AI) in Healthcare 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 […]

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

Recent Posts

  • Laboratory Billing

    Which CPT Codes are Used in Laboratory Billing?

  • Medical Credentialing Staff at a Hospital

    25 Stats Medical Credentialers Must Know

  • Older Female Doctor in need of Credentialing

    Credentialing Problems? We Can Fix Them!

  • Medical Credentialing State-by-State

    Multi-State Licensing in Provider Credentialing

  • Telehealth Provider

    Solutions for Telehealth Credentialing Challenges

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

  • Laboratory Billing

    Which CPT Codes are Used in Laboratory Billing?

  • Medical Credentialing Staff at a Hospital

    25 Stats Medical Credentialers Must Know

  • Older Female Doctor in need of Credentialing

    Credentialing Problems? We Can Fix Them!

  • Medical Credentialing State-by-State

    Multi-State Licensing in Provider Credentialing

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