Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Call: (412) 219-4789 | Fax: (866) 422-9277
  • Credentialing
  • Payer Contracting
  • Medical Billing
  • 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
    • DME
    • Substance Abuse
    • Sleep Study Labs
    • Physical Therapy (PT)
    • Occupational Therapy
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  • Healthcare Outcomes

Healthcare Outcomes

Medical Provider Fee Schedules: How Do They Compare and What’s Next?

May 24, 2024 / admin / Articles, Fee Schedule Comparison, Fee Schedule Landscape, Future of Fee Schedules, Healthcare Fee Schedules, Healthcare Outcomes, Healthcare Revenue, Medical Provider Fee Schedule, RCM, RCM Optimization
Medical Provider Fee Schedules

Let’s talk about something that might not be the most riveting topic, but is incredibly important – medical provider fee schedules. We know, we know, it sounds about as exciting as watching paint dry. But hear me out, because these fee schedules have a massive impact on the cost of healthcare and how much you […]

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Fee Schedule Comparison, Fee Schedule Landscape, Future of Fee Schedules, healthcare, Healthcare Fee Schedules, Healthcare Outcomes, Healthcare Revenue, Medical, Medical Provider Fee Schedule, rcm, RCM Optimization

The Need for Transparency in Medical Billing

March 24, 2024 / admin / Articles, Billing, Billing Analytics, Billing Best Practice, Billing Transparency, CMS, Healthcare Delivery, Healthcare Outcomes, Medical Billing, Medical Billing Best Practices, Medical Billing Transparency, No Surprises Act
Medical Doctors Discussing Billing

If you’ve ever received a medical bill, chances are you were confused, frustrated, or both. The bills are often filled with inscrutable codes, massive dollar amounts that seem to make no sense, and a complete lack of clarity around what you’re actually being charged. It’s a systemic problem in the US healthcare industry that leads […]

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American Hospital Association, billing, Billing Systemic Reform, Billing Transparency, CMS, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Medical Billing Transparency, No Surprises Act, Revenue Cycle, Revenue Cycle Management

10 Key Medical Billing Challenges and Solutions

March 5, 2024 / admin / A/R, A/R Recovery, Articles, COB, Coding Accuracy, Healthcare KPIs, Healthcare Outcomes, HIPAA, HIPAA Compliance, Patient Eligibility, Patient Insurance Eligibility, Payer Contracting, RCM, RCM Challenges, Revenue, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Process, Timely Claim Submission
White Female Medical Billing Outsourced

The medical billing process is a complex and often daunting task for healthcare providers. From keeping up with ever-changing regulations and coding updates to managing denials and claim rejections, medical billers face numerous challenges that can significantly impact revenue cycle management and the financial health of a practice. We cover 10 key medical billing challenges […]

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A/R, A/R Management, Benefits Verification, COB, Coding Accuracy, denial management, HIPAA, HIPAA Compliance, Patient Eligibility, Payer Contracting, Revenue Cycle Management, Revenue Cycle Process, revenue optimization, Timely Claim Submission

Exploring the Integration of ChatGPT in Revenue Cycle Management

February 24, 2024 / admin / AI-driven RCM, Articles, Billing, ChatGPT, ChatGPT in Healthcare, ChatGPT in RCM, ChatGPT in Reimbursement, Healthcare KPIs, Healthcare Outcomes, Healthcare Revenue, Medical Billing, OpenAI, RCM, RCM Challenges, Reimbursement, Revenue Cycle, Revenue Cycle Management
ChatGPT Revenue Cycle Management

As the healthcare industry continues to embrace technological innovations, the integration of artificial intelligence (AI) solutions like ChatGPT in Revenue Cycle Management (RCM) holds immense promise for optimizing financial processes and improving operational efficiency. We cover potential applications and challenges associated with leveraging ChatGPT in RCM. Understanding Revenue Cycle Management Before delving into the potential […]

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Accounts Receivable, AI-driven RCM, ChatGPT, ChatGPT Healthcare, ChatGPT in Healthcare, ChatGPT in RCM, ChatGPT in Reimbursement, Healthcare AI, Healthcare KPIs, Medical AI, Medical KPIs, OpenAI, Revenue Cycle Management

Must-have Metrics for Measuring Medical Billing Success

September 27, 2023 / admin / Articles, Billing, Billing Revenue, Billing Services, Claim Data, Claim Denials, Claim Rejection, Coding, CPT Code, Healthcare, Healthcare Billing, Healthcare KPIs, Healthcare Outcomes, Healthcare Revenue, Medical Billing, Medical Billing AI, Medical Billing Analytics, Medical Billing Service, Revenue Cycle Management
White Female Medical Billing Outsourced

Medical billing is a complex, numbers-driven process. To elevate revenues and efficiency, healthcare practices must constantly measure, analyze and optimize their medical billing and revenue cycle performance using key metrics. The Importance of Analytics in Medical Billing In the dynamic healthcare landscape, data is king. Medical practices that succeed at leveraging data make better decisions […]

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CPT Code, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Analytics, Medical Billing Service, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation

Strategies for Reducing Accounts Receivable Days and Improving Collections

September 4, 2023 / admin / A/R, A/R Recovery, Accounts Receivable, AR, AR Recovery, Articles, Billing, Billing AI, Billing Revenue, Healthcare, Healthcare AR, Healthcare AR Recovery, Healthcare Billing, Healthcare Outcomes, Medical, Medical Billing, Revenue Cycle Management, Revenue Cycle Management (RCM)
Accounts Receivable (AR) Recovery

For any medical practice, keeping accounts receivable cycles short and patient collections high is critical for unlocking the path to financial health. When reimbursement lags become excessive or collection rates decline, financial pressures mount quickly. Covering key strategies and best practices to shorten accounts receivable days, boost patient payments, and strengthen the financial fitness of […]

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A/R, A/R Process, A/R Recovery, Accounts Receivable, Accounts Receivable Recovery, AR, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, medical billing strategy, Revenue Cycle Management, revenue cycle optimization

Uncompensated Healthcare: Charity Care and Bad Debt

January 18, 2023 / admin / Articles, Care, Charity Care, Charitycare, Healthcare, Healthcare Outcomes, Healthcare Practice, Healthcare Revenue, Healthcare Revenue Integrity, HIPAA, Medical, Revenue Cycle Management, Revenue Cycle Management (RCM), Uncompensated Healthcare
Charity Care Doctor

Uncompensated Healthcare in the Form of Charity Care and Bad Debt are Painful for Providers Uncompensated care is a widespread pain point for healthcare organizations, rising by just over a billion dollars in 2020 to $42.7 billion. And while it may not be thinkable to get rid of it, there are tactics you can introduce […]

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Charity Care, Charitycare, healthcare, Healthcare Debt, Medical, Medical Care, medical charity, rcm, Revenue Cycle Management (RCM), Uncompensated Healthcare

Emerging Trends in Revenue Cycle Management

January 10, 2023 / admin / Articles, Coronavirus, COVID, COVID Testing Billing, COVID-19, COVID-19 Billing, Healthcare, Healthcare KPIs, Healthcare Outcomes, RCM, Revenue, Revenue Cycle Management
RCM Optimization

In the wake of months of social distancing and virtual visits during the COVID-19 pandemic, patients are once again veering towards a need to see their physicians in person. As patient volume recovers, it’s a great time to take a look at a healthcare practice’s Revenue Cycle Management (RCM) program and make sure it’s still […]

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AI, artificial intelligence, artificial intelligence healthcare, Covid, COVID-19, Data Security, Machine Learning, Medical Billing, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization

HL7 Standards: Building a Conduit Between Modern Healthcare and Advancing IT

November 16, 2022 / admin / Health Level 7, Healthcare, Healthcare Delivery, Healthcare KPIs, Healthcare Outcomes, HL7, HL7 Format

HL7: Building the Connection Between Healthcare and IT What Exactly is HL7? HL7 (Health Level Seven) is a standard for swapping health information between medical applications. This standard identifies a format for the transmission of health-related information. Information transmitted using the HL7 standard is sent as a collection of one or more messages. Each message sends […]

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Healthcare Delivery, Healthcare Format, Healthcare HL7, HL7, HL7 Standards

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

4 Ways to Improve Patient Telehealth Experience

September 16, 2022 / admin / Articles, Healthcare, Healthcare AI, Healthcare Delivery, Healthcare KPIs, Healthcare Outcomes, Telehealth, telemedicine
telehealth medicine

Improving Patient Telehealth Experience Telehealth Assessment Gaining access to healthcare has become even more essential than ever. The COVID-19 pandemic didn’t prevent healthcare workers from discharging their oath and tackling medical issues quickly and properly. In fact, the use and popularity of telehealth expanded significantly in response to the COVID-19 pandemic. An assessment of telehealth […]

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healthcare, Healthcare AI, HIPAA, HIPPA Compliant, medical providers, telehealth, telehealth delivery, telehealth experience, telehealth improvements, telehealth services, telehealth software, Telemedicine, telemedicine improvements

Vaping and What Healthcare Providers Need to Know

September 8, 2022 / admin / Articles, Cancer, CDC, e-cigarette, Healthcare, Healthcare Outcomes, News, Vaping

What Healthcare Providers Need to Know about Vaping Both the U.S Food & Drug Administration and the Centers for Disease Control are working determinedly to look into the disturbing occurrences of severe respiratory illness connected with the use of vaping products. Both organizations are diligently working with state and local health officials to investigate these […]

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cancer, CDC, e-cigarette, EHR, healthcare, Lung Association, vape, vape pen, vaping, vapor

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

Is Telehealth Here to Stay?

March 28, 2022 / admin / Articles, Healthcare, Healthcare Delivery, Healthcare Outcomes, Telehealth, telemedicine
telehealth medicine

Telehealth, the Provision of Remote Healthcare Telehealth is Useful, but is it Here to Stay? Maybe we really don’t want to talk about it, but truth is, major calamities like the COVID-19 pandemic often lead to innovations in healthcare.   As a prime example, the use of virtual care skyrocketed as people – asked to socially […]

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Corona, Corona Virus, Coronavirus, Covid, COVID-19, healthcare, telehealth, Telemedicine

Does Artificial Intelligence (AI) Help or Hurt Healthcare Processes?

March 1, 2022 / admin / Articles, Artificial Intelligence, Healthcare, Healthcare Billing, Healthcare Delivery, Healthcare KPIs, Healthcare Outcomes
AI in RCM

Artificial Intelligence (AI) in Healthcare Advantages and Disadvantages of Using Artificial Intelligence (AI) in Healthcare No matter the industry, artificial intelligence (AI) has become routine and commonplace. When it comes to healthcare, AI helps practitioners streamline tasks, expand operational efficiencies and simplify complicated medical procedures. AI in medical billing and coding is becoming increasingly more […]

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AI, AI healthcare, AI medical, artificial intelligence, artificial intelligence healthcare, healthcare, Healthcare KPIs, Healthcare Outcomes, Medical Billing

Does Medicare Cover (Mental Health Services) such as Therapy?

February 9, 2022 / admin / Articles, Behavioral Health, Behavioral Health Billing, Healthcare, Healthcare Outcomes, Medicare Coverage, Mental Health, Mental Health Billing
mental-health-treatment-medicare

Are Mental Health Services (like Therapy) Covered Under Medicare? Behavioral / Mental Health Services + Medicare Sometimes it can be problematic for older adults to differentiate indicators of mental health difficulties for typical aging-related changes. They may think that experiencing sadness or anxiety is an ordinary symptom of growing older, particularly when they live with […]

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Behavioral Health, Behavioral Health Billing, medicaid, medicare, medicare coverage, Medicare Therapy, Mental Health, Mental Health Billing

What Does Medicare Cover for Home Healthcare?

February 9, 2022 / admin / Articles, Billing, Billing Revenue, Healthcare, Healthcare Billing, Healthcare Outcomes, Medicaid, Medical Billing, Medical Claims, Medical Providers, Medicare, Occupational Therapy, Physical Therapy, Speech Therapy
home-healthcare-services-medicare

Home Health Services + Medicare What does Medicare Cover for Home Healthcare? If you’re looking for an answer to the question, “What does Medicare cover for home healthcare?”, you’ve probably typed it into a search engine and immediately closed the tab. The amount of information and the level of detail can quickly become confusing and […]

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healthcare, healthcare services, home health care, home health services, home healthcare, medicaid, medicaid billing, medicaid coverage, medicare, medicare billing, medicare coverage

Meeting the Challenge of Revenue Cycle Management

September 16, 2021 / admin / A/R, A/R Recovery, Articles, Healthcare, Healthcare Billing, Healthcare Outcomes, Medical Billing, Medical Billing Companies, Medical Claims, Patient Billing, Patient Collections, Revenue Cycle Management
Medical Billing, Credentialing

Revenue Cycle Management Challenges If a healthcare provider doesn’t set up an efficient billing process, it runs the risk of losing quite a bit of money. With high-deductible insurance plans becoming more widespread, patients are shelling out additional money out of pocket. Or, if the patient is uninsured or underinsured, problems arise since there’s not […]

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A/R, A/R Process, A/R Recovery, Accounts Receivable, Healthcare Billing, Healthcare Outcomes, healthcare revenue cycle, Measuring Healthcare Outcomes, Medical Billing, medical claims, Medical Revenue Cycle, Patient Billing, Patient Collections, Revenue Cycle Management

Why Measuring Healthcare Outcomes is Important

August 28, 2021 / admin / Articles, Healthcare, Healthcare KPIs, Healthcare Outcomes, Measuring Healthcare Outcomes, Medical KPIs
healthcare key performance indicators

Measuring Healthcare Outcomes Healthcare Practice Key Performance Indicators Matter So, your healthcare practice is running smoothly. You’ve hired fantastic people, followed a marketing plan, placed the right technology and your patient retention policy is in full swing with a low churn rate. Things are going great, right? Well, there’s no way of really knowing for […]

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Common Practice KPIs, healthcare, Healthcare KPIs, Healthcare Outcomes, Measuring Healthcare Outcomes, Medical, Medical Key Performance Indicators, Medical KPIs

The Importance of Ethical Medical Billing Practices

August 17, 2021 / admin / Articles, Healthcare, Healthcare Billing, Healthcare Outcomes, Medical Billing, Medical Billing Companies, Medical Billing Cost, Medical Claims, Outsource Medical Billing, Outsourcing Medical Billing, Patient Billing

The Gravity of Ethical Medical Billing Practices The Hypothetical Case of Dr. Michael Stevens’ Unethical Medical Billing Behavior The case of Dr. Michael Stevens is an illustration of the worst-case scenario when unethical behavior impacts medical billing. An anesthesiologist and owner of a pain management clinic, Dr. Stevens was obliged to relinquish his medical license […]

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Basics of Medical Billing, Ethical Medical Billing, healthcare ethics, Medical Billing, Medical Billing Ethics, medical billing fraud

Recent Posts

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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

  • 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

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