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

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

Maximizing Healthcare Provider Reimbursement

August 9, 2024 / admin / Articles, Charge Capture, Data Analytics, Denial Management, Fee Schedule, Medical Coding, Payer Contract, Payer Contracting, RCM, Reimbursement, Reimbursement Models, Reimbursement Optimization, Value-Based Care
Elderly White Female Doctor with White Male Residents

Achieving maximum reimbursement is crucial for healthcare providers to maintain financial stability and continue delivering high-quality patient care. We explore key strategies and best practices that healthcare providers in the United States can implement to optimize their reimbursement processes and maximize revenue. Healthcare Reimbursement Before diving into specific strategies, it’s essential to understand reimbursement. The […]

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Charge Capture, Data Analytics, Denial Management, Fee Schedule, Medical Coding, Outsourced Billing, Payer Contract, Payer Contracting, RCM, Reimbursement, Reimbursement Models, Reimbursement Optimization, Value Based Care

Navigating Fee Schedules and Reimbursement Rates

May 12, 2024 / admin / Articles, Fee Schedule, Fee Schedules and Reimbursement Rates, Optimizing Reimbursements, Reimbursement, Reimbursement Model Shift, Reimbursement Models, Reimbursement Optimization, Reimbursement Rates, Reimbursement Regulations
Navigating Fee Schedules and Reimbursement Rates

Few topics get finance teams and medical billing professionals quite as fired up as fee schedules and reimbursement rates. It’s the core of how healthcare providers generate revenue and keep operations humming. At the same time, it’s an arena loaded with complexity, regulatory scrutiny, and often mind-numbing minutiae. If you’re reading this, you’re probably intimately […]

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Fee Schedule, Fee Schedules and Reimbursement Rates, Optimizing Reimbursements, Reimbursement, Reimbursement Model Shift, Reimbursement Models, Reimbursement Optimization, Reimbursement Rates, Reimbursement Regulations

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  • Behavioral Health Credentialing, Billing & Contracting Use Case

    Use Case: Behavioral Health Contracting

  • Group of Medical Doctors Discussing Charge Capture at Hospital

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  • Tax Status Dictates Contract Structure (Doctor Signing)

    Tax Status Dictates Contract Structure

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
  • Primary Care
  • 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
  • Primary Care
  • 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

  • Bridge Gap Healthcare Business

    Bridging the Credentialing Gap Between Payer & Provider Organizations

  • CareSource Credentialing

    A Guide to Provider Credentialing with CareSource

  • Middle-Aged White Male Medical Doctor

    Credentialing Denials: The Ugly Truth

  • Behavioral Health Credentialing, Billing & Contracting Use Case

    Use Case: Behavioral Health Contracting

  • Group of Medical Doctors Discussing Charge Capture at Hospital

    10 Billing KPIs Every Healthcare Provider Should Know

  • Tax Status Dictates Contract Structure (Doctor Signing)

    Tax Status Dictates Contract Structure

  • Blonde Female Healthcare Provider / Owner

    New NCQA 2025 Rules and Their Impact

  • Black Male and Female Medical Doctors

    Payer Contracting: Unlock Your Revenue Potential

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