Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Bundled Payments

What’s the Difference Between Comprehensive, Component, and Modifier Codes?

February 9, 2024 / admin / Articles, Billing, Bundled Payments, Bundling, Component Codes, Comprehensive Codes, CPT Manual, Healthcare, Healthcare Billing, Medical, Medical Billing, Modifier Code, Modifiers, Unbundling
Medical CPT Codes

Medical billing and coding is an intricate process that requires the use of different types of codes to accurately document procedures, services, diagnoses, and supplies. Three important types of codes are comprehensive codes, component codes, and modifier codes. Understanding the differences between these code types is crucial for accurate medical billing and reimbursement. Comprehensive Codes […]

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-AS, -AT, -CG, -LT, -RT, Adjunct Services, ancillary services, Billing, Bundling, Care Settings, Component Codes, Comprehensive Codes, CPT Manual, Healthcare, Healthcare Billing, Laterality, Medical, Medical Billing, Modifier Codes, Modifiers, Patient Conditions, RCM, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization, Unbundling, Unusual Circumstances

The Reimbursement Model Shift in Medical Billing

January 29, 2024 / admin / Accountable Care Organizations, Articles, Billing, Billing Operations, Bundled Payments, Capitation, Fee-for-Service, Fee-for-service Model, Medical Billing, P4P, P4P Model, Pay-for-Performance, Reimbursement Disruption, Reimbursement Models, Value-Based Care, Value-Based Models, Value-Based Reimbursement
White Middle-Aged ER Doctor

The healthcare industry in the United States has undergone massive changes in recent decades. One of the most significant shifts has been in how healthcare providers get reimbursed for services. The traditional fee-for-service model is giving way to value-based models that tie reimbursement to quality of care and patient outcomes. This transformation in reimbursement is […]

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Accountable Care Organizations, Billing Operations, Bundled Payments, Capitation, Fee-for-Service, Fee-for-Service Model, P4P, P4P Model, Pay-for-Performance, Reimbursement, Reimbursement Disruption, Value Based System, Value-Based Models, Value-based Reimbursement

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Practices Served

  • Behavioral Health
  • Primary Care
  • 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
  • Podiatry
  • 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
  • Primary Care
  • 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
  • Podiatry
  • 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

  • Primary Care Medical Billing, Credentialing

    Which CPT Codes are Used in Primary Care Billing

  • A Group of Contracted Doctors Standing in Times Square

    Provider Challenges in Payer Contracting

  • White Female Master Medical Credentialing Expert

    Complete Credentialing and Enrollment Process for Providers

  • Aging Asian-American Female Medical Doctor

    Use Case: Behavioral Health Credentialing

  • AI Bot Assistance in Medical Credentialing

    How Does AI Assist Medical Credentialing?

  • Medical Credentialing Specialist Resume

    How to Write a Medical Credentialing Specialist Resume

  • AI Black Male Medical Doctor Touches Robot Finger

    AI’s Ethical Frontier: Managing Healthcare’s Data Morality

  • FHIR Data Exchange Interoperability

    FHIR® Interoperability: The Hidden RCM Benefit of Real-Time Data Exchange

  • Anthem BCBS Credentialing, Recredentialing, and Contracting

    A Guide to Provider Credentialing with Anthem

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