Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Call: (412) 219-4789 | Fax: (866) 422-9277
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Billing KPIs

What is a Clean Claim Rate?

October 12, 2024 / admin / Articles, Billing, Billing KPIs, CCR, Claim Denial, Claim Denial Prevention, Claim Denial Rate, Claim Denials, Claim Rejection, Claim Rejection Rate, Clean Claim Rate, Revenue Cycle, Revenue Cycle Management
electronic-claim-attachments

In healthcare revenue cycle management, few metrics carry as much weight as the Clean Claim Rate (CCR). This crucial key performance indicator (KPI) serves as a fundamental measure of a healthcare organization’s billing efficiency and effectiveness. As healthcare providers face increasing pressure to optimize their revenue cycles while maintaining high-quality patient care, understanding and improving […]

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Billing, Billing KPIs, CCR, Claim Denial, Claim Denial Prevention, Claim Denial Rate, Claim Denials, Claim Rejection, Claim Rejection Rate, Clean Claim Rate, Revenue Cycle, Revenue Cycle Management

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

10 Tips to Optimize Medical Billing for Maximized Collections

June 2, 2024 / admin / Articles, Billing, Billing KPIs, Billing Outcomes, Billing Software, Billing Staff, Billing Technologies, Healthcare Billing, Medical Billing, Outsource Medical Billing, Outsourced Billing
Medical Billing Tips

Medical billing can be a massive headache. Between keeping up with ever-changing regulations, dealing with rejected claims, and chasing down payments, it’s enough to make anyone’s head spin. But here’s the thing – optimizing your medical billing process is crucial for maximizing collections and keeping your practice financially healthy. Think about it this way: every […]

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Billing, Billing KPIs, Billing Outcomes, Billing Software, Billing Staff, Billing Technologies, Healthcare Billing, Medical Billing, Outsource Medical billing

What to Expect When Outsourcing Medical Billing

April 17, 2024 / admin / Articles, Billing, Billing AI, Billing Analytics, Billing KPIs, Billing Revenue, Billing RPA, Medical Billing, Medical Billing AI, Outsourced Billing, Outsourced Medical Billing, Outsourcing
Medical Doctors Discussing Billing

If you’re a healthcare provider, dealing with medical billing is probably one of your least favorite parts of the job. It’s tedious, complicated, and takes you away from your real passion – caring for patients. That’s why many practices choose to outsource their medical billing to third-party companies that specialize in it. But what does […]

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Billing, Billing AI, Billing Analytics, Billing KPIs, Billing Revenue, Billing RPA, Medical Billing, Medical Billing AI, Outsourced Billing, Outsourced Medical Billing, Outsourcing, Revenue Cycle Management

Recent Posts

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    Choosing the Correct Medical Credentialing Software

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    A Guide to Provider Credentialing with UPMC Health Plan

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

  • 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

  • AI in Medical Credentialing

    How is AI Being Used in Medical Credentialing?

  • Arizona Medical Billing, Credentialing

    Arizona’s Medical Billing & Credentialing Partner

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