Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Billing Denied Claims

Essential Procedures in Medical Claims Billing

October 25, 2024 / admin / Accurate Coding, Articles, Billing, Billing Denied Claims, Charge Entry, Claim Billing, Claim Denial, Claim Denial Rate, Claim Denials, Denial Management, Denied Claims, Fee Schedule Management, Proper Documentation
Medical Billing Company Principal

If you’ve ever wondered why medical billing seems so complicated, you’re not alone. The process of billing medical claims involves numerous critical procedures that must be followed meticulously to ensure proper reimbursement and compliance. Let’s dive into the most important procedures that can make or break the medical billing process. Patient Information Verification One of […]

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Accurate Coding, Administrative Documentation, Articles, Billing, Billing Denied Claims, Charge Entry, Claim Billing, Claim Denial, Claim Denial Rate, Claim Denials, Clinical Documentation, Denial Management, Denied Claims, Fee Schedule Management, Proper Documentation

Growing Risk of Claim Denials: How to Protect Your Practice

October 6, 2023 / admin / Articles, Billing, Billing Denied Claims, Claim Denials, Claim Rejection, Claim Status, Claim Status Updates, Denial Codes, Denial Management, Denial Prevention Strategy, Denial Trends, Denied Claims, Denied Medical Claims, RCM, RCM Challenges, Revenue, Revenue Cycle Management, Revenue Integrity, Revenue Leakage
Medical Claim Denied

For medical practices, claim denials have always been a fact of life when dealing with health insurers. However, trends show claim denial rates growing year over year, driven by increased utilization management efforts by payers. Denials directly impact practice revenues and the time/costs tied to appealing denials. Below, we take a gander at the factors […]

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Claim Denials, Denial Codes, Denial Prevention Strategy, Denial Trends, Denials, Denied Medical Claims, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Revenue Cycle Management, Revenue Cycle Optimization

Why Do Insurance Companies Deny Medical Claims?

February 2, 2023 / admin / Articles, Billing, Billing Denied Claims, Billing Revenue, Claim Billing, Claim Denials, Denied Claims, Denied Medical Claims
Rejected, Denied Medical Claim

Insurance Companies Deny Medical Claims for a Number of Reasons Insurance Claim Denials Can be Challenging As a patient, it can be frustrating to have your medical claim denied by your insurance company. Unfortunately, this is a common issue that many people face. In this section, we’ll explore some of the reasons why insurance companies […]

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The Medical Billing Onboarding Process

February 2, 2023 / admin / Articles, Billing, Billing Denied Claims, Billing Revenue, Claim Billing, Claim Denials, Denied Claims, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Onboarding
Medical Billing White Guy

Medical Billing Onboarding Medical Billing Has Its Complexities Medical billing is a complex process that involves various steps to ensure that healthcare providers receive payment for their services. Onboarding a new medical billing system can be a daunting task, but it can also bring about significant improvements in the efficiency and accuracy of the billing […]

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Billing Onboarding, Medical Billing, Medical Billing Onboarding, Medical Billing Service, Medical Billing Strategy, Medical Claims, Onboarding Billing, Outsourced Billing

The Crucial Role of Medical Billing in Healthcare

February 1, 2023 / admin / Articles, Billing, Billing Denied Claims, Billing Revenue, Claim Billing, Claim Denials, Claim Rejection, Denied Claims, Denied Medical Claims, EHR, EHR Integration, EMR, EMR Integration, Full Service Medical Billing, Healthcare, Healthcare Billing, HIPAA, Medical, Medical Billing, Medical Billing Companies, Robotic Process Automation, RPA
electronic-claim-attachments

Medical Billing: Basics, Role of Specialists, Challenges, RPA and What to Look for in a Company Medical billing is an important aspect of the healthcare industry that plays a crucial role in ensuring that patients receive the medical treatment they need while healthcare providers are reimbursed for the services they offer. The process involves submitting […]

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Billing Accuracy, HIPAA, HIPAA Compliant, Medical Billing, Medical Billing Compliance, Medical Billing Customer Service, Medical Billing Expertise, Medical Billing Robotic Process Automation, Reimbursement Rates, Robotic Process Automation, RPA

Struggling with Claim Denials?

December 28, 2022 / admin / Articles, Billing, Billing Denied Claims, Claim Billing, Claim Denials, Claim Rejection, Denials Managements, Denied Claims, Denied Medical Claims, Medical Billing, Medical Claim Denials, Medical Claim Rejection, Medical Claims, Medical Payor

Overcome Claim Denials Claim Denials are Challenges for Healthcare Providers Even healthcare providers who deploy safeguards to dodge insurance payment hazards, occasionally find themselves up against a claim denial. Taking care of denied insurance claims can be a frustrating process for healthcare practitioners and their office staff. That’s why it’s vital to utilize a claim […]

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Billing, Claim Denial, Claim Denials, Claim Rejections, Denial Management, Denied Medical Claim Prevention, Denied Medical Claims, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Claim Rejections, Medical Claims, Medical Payor, RCM, Revenue Cycle Management

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Practices Served

  • Behavioral Health
  • DME
  • Genetic Testing
  • Urgent Care
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • Substance Abuse
  • Allergy Testing
  • Speech Therapy
  • Skilled Nursing Facilities
  • Oncology
  • Pathology
  • OBGYN
  • 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
  • Genetic Testing
  • Urgent Care
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • Substance Abuse
  • Allergy Testing
  • Speech Therapy
  • Skilled Nursing Facilities
  • Oncology
  • Pathology
  • OBGYN
  • 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

  • Florida Medical Billing, Credentialing

    Florida Medical Billing, Credentialing: The Sunshine State’s Standards

  • American Independence; Healthcare Business Freedom

    Healthcare Provider Freedom: Declaring Independence from Administrative Tyranny

  • 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

    Competency-Based Credentialing in Healthcare

  • 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?

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