Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Contract Negotiation

Why Providers Need Both Credentialing and Contracting

October 1, 2025 / admin / Articles, Contract Management, Contract Negotiation, Contracting, Credentialing, Credentialing and Contracting, Medical Credentialing, Payer Contract, Payer Contract Management, Payer Contracting, Payor Contract, Payor Contracting
A White, Male Medical Doctor Signing Paperwork. Sitting at a desk.

Healthcare providers often view credentialing and contracting as separate administrative hurdles they must clear to start practicing. While these processes might seem distinct on the surface, they’re actually two sides of the same coin, both essential components of establishing a viable healthcare practice. Knowing why both are necessary, and how they work together, can save […]

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Contract Management, Contract Negotiation, Contracting, Credentialing, Credentialing and Contracting, Medical Credentialing, Payer Contract, Payer Contracting, Payor Contract, Payor Contracting

What Comes First: Credentialing or Contracting?

September 18, 2025 / admin / Articles, Contract Negotiation, Contracting, Credentialing, Credentialing and Contracting, Credentialing Challenges, Credentialing Documentation, Credentialing Software, Credentialing Technology, Payer Contracting
Twin White Male Medical Doctors Looking at Each Other

Healthcare providers entering the world of insurance partnerships face a chicken-and-egg dilemma that can make even seasoned professionals scratch their heads. Should you get credentialed first, or should you secure contracts before diving into the credentialing process? The answer isn’t as straightforward as you might think, and knowing the nuances can save you months of […]

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Contract Negotiation, Contracting, Credentialing, Credentialing and Contracting, credentialing challenges, Credentialing Documentation, Credentialing Software, Credentialing Technology, Payer Contracting

Behavioral Health Payer Contracting

November 22, 2024 / admin / Articles, Behavioral Health, Behavioral Health Contracting, Behavioral Health Payer Contracting, Contract Negotiation, Contracting, Contracting Fee Schedule, Fee Schedule, Fee Schedule Management, Fee-for-Service, Fee-for-service Model
White Male Payer Contracting Specialist

Behavioral health providers face unique challenges when it comes to payer contracting. The landscape has grown increasingly complex, especially as mental health parity laws have evolved and the demand for behavioral health services has surged in recent years. Let’s dive into the intricacies of behavioral health payer contracting and explore what providers need to know […]

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Behavioral Health, Behavioral Health Contracting, Behavioral Health Payer Contracting, Behavioral Health Payor Contracting, Contract Negotiation, Contracting, Contracting Fee Schedule, Fee Schedule, Fee Schedule Management, Fee-for-Service, Fee-for-Service (FFS), Fee-for-Service Model

Recent Posts

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    Credentialing: Provider Pain Points

  • White Female Medical Office Manager

    Acceleration of Revenue Cycle Metrics for Physician Groups

  • White Male Congressman slamming gavel

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  • Medical Credentialing Specialist, Hispanic Female

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  • Home Health Worker, White Female Treating a Male Patient

    Mastering Payer Contracts in Home Health

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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Cardiology Billing, Credentialing
  • 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
  • Cardiology Billing, Credentialing
  • 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

  • White Male Medical Doctor in need of Credentialing, at Hospital

    Credentialing: Provider Pain Points

  • White Female Medical Office Manager

    Acceleration of Revenue Cycle Metrics for Physician Groups

  • White Male Congressman slamming gavel

    The Recurring Telehealth Crisis: When Budget Debates Threaten Patient Care

  • Medical Credentialing Specialist, Hispanic Female

    Credentialing Case Studies: Challenging Provider Histories

  • Home Health Worker, White Female Treating a Male Patient

    Mastering Payer Contracts in Home Health

  • White Female Medical Credentialing Expertise

    Who Does Credentialing in a Healthcare Organization?

  • 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

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