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Compliance

Tough Questions Providers May Ask Billers

December 1, 2024 / admin / Articles, Billing, Claim Denial Rate, Claim Denials, Compliance, EHR, EMR, Interoperability, Medical Billers, Medical Billing, Medical Billing Questions, Modifiers, Reimbursement, Reimbursement Models, Reimbursement Optimization
Latina Female Medical Provider Owner

The relationship between medical providers and their billing teams has become increasingly crucial to practice success. As reimbursement models grow more complicated and regulatory requirements more stringent, providers often find themselves grappling with challenging questions about their revenue cycle management. We’ll address the most demanding and complex questions that medical providers frequently ask their billing […]

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Billing, Claim Denial Rate, Claim Denials, Compliance, EHR, EMR, Interoperability, Medical Billers, Medical Billing, Medical Billing Questions, Modifiers, Reimbursement, Reimbursement Models, Reimbursement Optimization

Credentialing vs. Privileging in Healthcare

November 10, 2024 / admin / Articles, Compliance, Credentialing, Credentialing vs. Privileging, Healthcare Credentialing, Legal Compliance, Medical Credentialing, Privileging
White Female Credentialing Professional

The terms “credentialing” and “privileging” are often used interchangeably, but they actually serve distinct and critical roles. Failing to understand the differences between these two processes can lead to administrative errors, compliance issues, and even patient safety concerns. As healthcare organizations strive to streamline workflows and ensure the highest standards of care, it’s essential for […]

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Compliance, Credentialing, Credentialing vs. Privileging, Healthcare Credentialing, Legal Compliance, Medical Credentialing, Privileging

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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Cardiology
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Speech Therapy
  • Genetic Testing
  • Geriatric Medicine
  • 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
  • Cardiology
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Speech Therapy
  • Genetic Testing
  • Geriatric Medicine
  • 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

  • White male medical doctor signing credentialing document

    Can Providers Practice w/ Pending Credentialing Applications?

  • Medical Credentialing Expert Female Mulatto

    Turn Your Payer Contracts Into Higher Reimbursements

  • White Female Medical Credentialing Expertise

    Credentialing Specialists: The Gatekeepers of Healthcare Safety

  • CAQH Profile Current -- Two Doctors

    Why Keeping Your CAQH Profile Current is Vital

  • Payer Contracting Experts Talking in a Healthcare Group HQ

    Data-Driven Negotiations Reshape Payer Contracting

  • Hospital Privileging, Two Doctors w/ Healthcare Executive

    Hospital Privileging Made Simple

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    Complete Directory of Health Insurance Companies

  • Old Black Male Patient Stretching

    What are Patient-Centered Care Models?

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