Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Coding Errors

Top 12 Reasons Why Claims Get Denied

October 3, 2025 / admin / Articles, Claim Billing, Claim Denial, Claim Denial Prevention, Claim Denials, Coding Errors, Common Coding Errors, Credentialing, Denial Management, Denied Claims, Denied Medical Claims, Medical Billing, RCM, Revenue Cycle
White Male Doctor w/ Black Female Administrator

Getting paid for the healthcare services you provide should be straightforward. You deliver quality care, submit your claims, and receive payment. Yet for many healthcare providers, the reality looks quite different. Claims get denied, payments are delayed, and the administrative burden grows heavier each month. If you’re tired of seeing rejection letters pile up on […]

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Claim Denials, Coding, Coding and Billing, Coding Errors, Common Coding Errors, Denial Management, Denied Claims, Denied Medical Claims, Medical Billing, RCM, Revenue Cycle, Revenue Cycle Management

How do CPT® Codes Work?

October 5, 2024 / admin / Articles, Billing Codes, Coding, Coding Accuracy, Coding and Billing, Coding and Documentation, Coding Errors, Coding Intricacies, CPT, CPT Codes, CPT Definitions, Current Procedural Terminology
Medical CPT Codes

Current Procedural Terminology (CPT®) codes are the backbone of medical billing in the United States healthcare system. These standardized codes, maintained by the American Medical Association (AMA), serve as a universal medical language for reporting medical, surgical, and diagnostic procedures and services to entities such as insurance companies, accreditation organizations, and government programs. We go […]

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Billing Codes, Coding, Coding Accuracy, Coding and Billing, Coding and Documentation, Coding Errors, Coding Intricacies, CPT, CPT codes, CPT definitions, Current Procedural Terminology

10 Medical Coding Mistakes That Could Cost You

February 14, 2024 / admin / AHIMA, AMA, Articles, Coding, Coding Errors, Common Coding Errors, E/M Coding, ICD diagnosis code, Incorrect E/M, Medical Coder, Medical Coding, Medical Coding Quality, NOS codes, POA indicators
Female Medical Coder

Medical coding is a complex and detail-oriented job. Even experienced coders can make mistakes that lead to costly errors and compliance issues. Avoiding common coding mistakes is crucial for accurate reimbursement, proper record-keeping, and avoiding penalties. Medical coding is highly intricate, yet accuracy is critical for proper reimbursement, compliance, and data reporting. Even minor coding […]

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(not otherwise specified) codes, AHIMA, AMA, CMS, Coding, Coding Errors, Common Coding Errors, E/M coding, ICD diagnosis code, Incorrect E/M, Medical Coding, Medical Coding Quality, National Correct Coding Initiatives, NCCI Edits, NOS codes, POA indicators, Unbundling

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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

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