Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Call: (412) 219-4789 | Fax: (866) 422-9277
  • Credentialing
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  • Specialties
    • Behavioral Health
    • Toxicology
    • Genetic Testing
    • Pharmacogenetic (PGx) Testing
    • COVID-19 Testing
    • Allergy Testing
    • Skilled Nursing Facilities
    • Urgent Care
    • Oncology
    • Pathology
    • OBGYN
    • Biologics and Specialty Drugs
    • Telestroke and Teleneurology
    • Remote Patient Monitoring
    • Remote Therapeutic Monitoring
    • Home Infusion Therapy
    • Speech Therapy
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    • Substance Abuse
    • Sleep Study Labs
    • Physical Therapy (PT)
    • Occupational Therapy
  • HL7 Integration
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  • Healthcare Credentialing

Healthcare Credentialing

Beyond the Paper Chase: New Frontiers in Medical Credentialing

May 3, 2025 / admin / Articles, Blockchain, Blockchain Credentialing, CaaS, Continuous Monitoring, Credentialing, Credentialing AI, Future of Credentialing, Healthcare Credentialing, Medical Credentialing, Primary Source Verification, Telehealth
White Female Credentialing Superior

In the not-so-distant past, medical credentialing conjured images of harried administrators drowning in seas of paperwork, frantically faxing documents, and playing phone tag with insurance companies. The process was about as exciting as watching paint dry, and often took just as long. Yet, much like how your technologically challenged relative finally learned to use emojis, […]

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CaaS, Continuous Monitoring, Continuous Monitoring Credentialing, Credentialing, Credentialing AI, Future of Credentialing, healthcare credentialing, medical credentialing, Medical Credentialing Future, Primary Source Verification, telehealth

How to Install Successful Medical Credentialing Workflows

February 10, 2025 / admin / Articles, Credentialing, Credentialing Automation, Credentialing KPIs, Credentialing Process Mapping, Credentialing Technology, Credentialing Workflows, Healthcare Credentialing, Medical Credentialing, Medical Credentialing AI
Credentialing Workflow Installation, White Male

Creating efficient medical credentialing workflows is crucial for healthcare organizations. The undermentioned content shows how to build and implement workflows that streamline the credentialing process while maintaining compliance and accuracy. Why Efficient Credentialing Workflows Matter The Role of Modern Credentialing Workflows Modern credentialing workflows serve as the backbone of efficient provider management. Setting the Foundation […]

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Credentialing, Credentialing Automation, Credentialing KPIs, Credentialing Process Mapping, Credentialing Technology, Credentialing Workflows, healthcare credentialing, medical credentialing, Medical Credentialing AI

Providers: Are You Losing Revenue Due to Bad Credentialing?

February 6, 2025 / admin / Articles, Bad Credentialing, Credentialing, Credentialing Challenges, Credentialing Delays, Credentialing Difficulty, Credentialing Errors, Credentialing Pitfalls, Credentialing Problems, Healthcare Credentialing, Medical Credentialing
Credentialing Expert White Male Frustrated

If you’re a healthcare provider, there’s a good chance you’re leaving money on the table due to credentialing errors and you might not even realize it. We’ve seen countless practices struggle with this often-overlooked aspect of healthcare administration, watching their hard-earned revenue slip through the cracks due to preventable credentialing mistakes. Let’s have an honest […]

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Bad Credentialing, Credentialing, credentialing challenges, Credentialing Delays, Credentialing Difficulty, Credentialing Errors, Credentialing Pitfalls, Credentialing Problems, healthcare credentialing, medical credentialing

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

In the healthcare industry, 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 […]

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compliance, Credentialing, Credentialing vs. Privileging, healthcare credentialing, Legal Compliance, medical credentialing, Privileging

Differences Between Credentialing, Privileging, and Enrollment

October 14, 2024 / admin / Articles, Credentialing, Credentialing Accuracy, Enrollment, Healthcare Credentialing, Medical Credentialing, Payer Credentialing, Payer Enrollment, Payer Negotiation, Payor Credentialing, Payor Negotiation, Privileging, Provider Enrollment
Credentialing Expert

Three critical processes play a pivotal role in ensuring the quality, safety, and efficiency of patient care: credentialing, privileging, and enrollment. While these terms are often used interchangeably, they represent distinct yet interconnected procedures that healthcare organizations must navigate to maintain compliance, mitigate risks, and optimize their operations. Understanding the nuances of each process is […]

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Credentialing, Credentialing Accuracy, enrollment, healthcare credentialing, medical credentialing, Payer Credentialing, Payer enrollment, Payer Negotiation, Payor Credentialing, Payor Negotiation, Privileging, Provider Enrollment

Why is Credentialing So Important to Medical Providers?

May 12, 2023 / admin / Articles, Credentialing, Credentialing Accuracy, Credentialing AI, Credentialing On-Boarding, Healthcare, Healthcare Credentialing, HIPAA, HIPAA Compliant, Medical Credentialing
White Female Credentialing Professional

As the healthcare industry continues to grow and evolve, credentialing has become an essential aspect of ensuring the safety and quality of care provided to patients. Credentialing is the process of verifying a healthcare provider’s qualifications, experience, and professional history to ensure that they meet the necessary standards for patient care. We disclose why credentialing […]

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Credentialing, credentialing challenges, credentialing process, healthcare, healthcare credentialing, Medical, medical credentialing

Streamline Your Private Practice: A Comprehensive Guide to Registering with CAQH

April 27, 2023 / admin / Articles, CAQH, Council for Affordable Quality Healthcare, Credentialing, Healthcare, Healthcare Credentialing, Medical, Medical Credentialing
CAQH Medical Handshake

As a healthcare professional running a private practice, streamlining administrative processes is crucial for optimizing efficiency and providing quality care to your patients. One essential step in this regard is registering with the Council for Affordable Quality Healthcare (CAQH). We’ve created this guide to help you understand the importance of CAQH registration and navigate the […]

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accreditation, CAQH, Council for Affordable Quality Healthcare, Credentialing, healthcare, healthcare credentialing, medical credentialing, Revenue Cycle Management

Medical Credentialing: The Importance of Proper Verification and Accreditation

February 5, 2023 / admin / Articles, Credentialing, Credentialing Accreditation, Credentialing Accuracy, Credentialing Process, Credentialing Verification, Healthcare, Healthcare Credentialing, Medical Credentialing
White Female Credentialing Professional

The process of medical credentialing is crucial in ensuring the quality and safety of healthcare services. It involves verifying the credentials and qualifications of healthcare providers and evaluating their competency to provide medical services. We’ll examine the importance of proper medical credentialing and how it benefits both healthcare providers and patients. What is Medical Credentialing? […]

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Credentialing, Credentialing Accreditation, Credentialing Accuracy, credentialing process, Credentialing Verification, education verification, healthcare, healthcare credentialing, medical credentialing

Medical Credentialing: Understanding the Process and Its Importance

February 1, 2023 / admin / Articles, Credentialing, Credentialing On-Boarding, Healthcare, Healthcare Credentialing, HIPAA, HIPAA Compliant, Medical Credentialing
Medical Credentialing Woman

The Process and Importance of Medical Credentialing What is Medical Credentialing? Medical credentialing is a vital process for ensuring the quality of healthcare services. It involves verifying the education, training, and professional experience of healthcare providers to ensure that they meet the standards for practicing in their field. This process helps to ensure that patients […]

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Credentialing, healthcare, healthcare credentialing, Medical, medical credentialing, what is medical credentialing

Payer Contracting, What Healthcare Providers Should Understand

November 7, 2022 / admin / Articles, Credentialing, Credentialing On-Boarding, Enrollment, Healthcare Credentialing, Healthcare Outcomes, Measuring Healthcare Outcomes, Medicaid, Medical Credentialing, Medicare, Payer Contracting, Private Insurers
Payer Contracting White Female

Let’s begin with this set-up: Let’s say you’re hunting for a new job and receive a call from a would-be employer informing you that the job is yours. Of course, you’re thrilled by the news and inquire about your starting salary. Your new employer replies that you need to wait for your first paycheck to […]

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Credentialing, healthcare credentialing, medicaid, medicare, private insurers, Provider Credentialing, provider networks, reimbursement rates

Payer Enrollment Versus Credentialing, What’s the Difference?

November 6, 2022 / admin / Credentialing, Credentialing On-Boarding, Enrollment, Healthcare, Healthcare Credentialing, Payer Contracting, Payer Enrollment, Payer Negotiation
Payer Contracting White Female

Bringing new providers aboard is invigorating, yet a complex process with plenty of moving parts. If you’ve ever had the opportunity to hire a physician or mid-level professional, you know just how much work is involved. Payer enrollment is maybe one of the more essential, yet misunderstood pieces of the puzzle. No doubt, making your […]

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Credentialing, credentialing on-boarding, enrollment, healthcare, healthcare credentialing, medical credentialing, Payer Contract, Payer Contracting, Payer enrollment

6 Advantages of Outsourced Medical Billing

September 1, 2022 / admin / Articles, Billing, Billing Automation, Billing Revenue, Credentialing, Full Service Medical Billing, Healthcare, Healthcare Billing, Healthcare Credentialing, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Medical Credentialing, Outsource Medical Billing, Outsourced Medical Billing, Outsourcing Medical Billing

Medical Practice Management Challenges Solved by Outsourced Medical Billing Quality, Outsourced Medical Billing is the Answer The billing team at Capitol Healthcare practice had been reaching a high bar of excellence. But that bar was endangered when long-time staff members began to retire. “Some of the staff had been here for a long time, like […]

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Healthcare Billing, insurance, Medical Billing, Medical Billing Service, medical billing strategy, medical credentialing, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, Revenue Cycle Management, revenue cycle optimization

The Role of AI in Medical Billing and Coding

August 29, 2022 / admin / AI, Articles, Artificial Intelligence, Billing, Billing AI, Health Level 7, Healthcare, Healthcare AI, Healthcare Billing, Healthcare Credentialing, Healthcare KPIs, Healthcare Outcomes, HL7, Measuring Healthcare Outcomes, Medical Billing, Medical Billing AI, Medical Billing Artificial Intelligence, RPA
AI in Medical Billing and Coding

Example of AI in Medical Billing and Coding Artificial Intelligence (AI) is a hot topic right now with many speculating on how it will change the way we live our lives. In fact, we’ve already discovered that in the medical field, there are numerous ways that AI can be employed to improve overall performance. As […]

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AI, artificial intelligence, artificial intelligence healthcare, billing, Billing AI, EHR, EHR RPA, Health Level 7, Healthcare AI, HL7, insurance, Medical Billing, Medical Billing AI, Medical Billing Artificial Intelligence, RPA

Easier Medical Billing and Credentialing

March 24, 2021 / admin / Articles, Best Medical Billing Companies in USA, Best Medical Billing Company, Credentialing, Full Service Medical Billing, Healthcare, Healthcare Credentialing, HIPAA, HIPAA Compliant, Medical Billing, Medical Billing Companies, Medical Credentialing, Payer Enrollment, Payor Contracting
Medical Billing

Medical Billing and Credentialing Made Easy “There just has to be an easier way to perform our billing and credentialing.” Does any of this sound familiar? I’m tired of dealing with insurance companies! I got into healthcare because I wanted to focus on patients, not paperwork and red tape! I’d rather do without having to […]

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Charlotte Medical Billing, Cleveland Medical Billing, Detroit Medical Billing, HIPAA, Louisville Medical Billing, Medical Billing, medical credentialing, Miami Medical Billing, New Jersey Medical Billing, payor contracting, payor enrollment, Philadelphia Medical Billing, Phoenix Medical Billing, Tampa Bay Medical Billing, Tampa Medical Billing, Washington DC Medical Billing

The Value of Medical Credentialing

November 2, 2020 / admin / Articles, Credentialing, Healthcare, Healthcare Credentialing, In-Network, Medical Credentialing, Medical Practice Credentialing, Medicare, Payer Enrollment, Payor Contracting

Medical Credentialing is Crucial for Healthcare Providers; Here’s Why Truth is, many patients know little more about their physician’s qualifications than what they see neatly hanging from their office wall. While they’re able to access in-depth background information about their auto mechanic, it’s when they are at their most vulnerable, entrusting their family’s health to […]

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Credentialing, healthcare credentialing, in-network, insurance companies, medical credentialing, medical provider credentialing, payor contracting, payor enrollment

Medical Credentialing (On-Boarding Process)

September 25, 2018 / admin / Articles, Credentialing, Credentialing Applications, Credentialing New Providers, Credentialing On-Boarding, Credentialing Process, Credentialing Solutions, Healthcare Credentialing, Hospital Credentialing, In-Network, Medical Credentialing
Credentialing QA

Credentialing for healthcare providers, hospital groups and facilities is a tedious task that often requires a team of specialists to handle all the on-boarding information, as well as updates throughout the year. As of April, 2018, CMS now mandates that providers maintain accurate information and timely updates. Providers and facilities that do not keep up with […]

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aesculapian, CAQH, Credentialing, Credentialing Applications, Credentialing New Providers, credentialing on-boarding, credentialing process, Credentialing Solutions, DEA, healthcare credentialing, Hospital Credentialing, in-network, medical credentialing, NPPES, PECOS, Provider Credentialing

Recent Posts

  • Laboratory Billing

    Which CPT Codes are Used in Laboratory Billing?

  • Medical Credentialing Staff at a Hospital

    25 Stats Medical Credentialers Must Know

  • Older Female Doctor in need of Credentialing

    Credentialing Problems? We Can Fix Them!

  • Medical Credentialing State-by-State

    Multi-State Licensing in Provider Credentialing

  • Telehealth Provider

    Solutions for Telehealth Credentialing Challenges

Practices Served

  • Behavioral Health
  • Genetic Testing
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • COVID-19 Testing
  • Allergy Testing
  • Skilled Nursing Facilities
  • Urgent Care
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Speech Therapy
  • Substance Abuse
  • DME
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy

Practices Served

  • Behavioral Health
  • Genetic Testing
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • COVID-19 Testing
  • Allergy Testing
  • Skilled Nursing Facilities
  • Urgent Care
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Speech Therapy
  • Substance Abuse
  • DME
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy

Recent Posts

  • Laboratory Billing

    Which CPT Codes are Used in Laboratory Billing?

  • Medical Credentialing Staff at a Hospital

    25 Stats Medical Credentialers Must Know

  • Older Female Doctor in need of Credentialing

    Credentialing Problems? We Can Fix Them!

  • Medical Credentialing State-by-State

    Multi-State Licensing in Provider Credentialing

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