Is Revenue Integrity Critical in Healthcare? What is Revenue and Why is it Important? The exact wording may vary, but you can look for terms such as “gross revenue,” “gross sales,” or “total sales.” This figure is the amount of money a business brought in during the time period covered by the income statement. The […]
Healthcare
The Importance of Small Business Insurance for Healthcare Providers

As a healthcare provider, your goal is to help people. However, this type of work is unsure at times. If a healthcare worker makes a misstep, they could harm a person’s health. Even if there hasn’t been any maltreatment or mistake on the part of the healthcare practitioner, disagreements can result when physicians’ and patients’ […]
General Liability, General Liability Insurance, Health Insurance, Healthcare, Healthcare Practice, Insurance, Medical, Medical Billing, Medical Credentialing, Medical PracticeWhy Aren’t Patients Using Patient Portals?

Why Your Patients are Failing to Use Your Portal Properly Patient Portal Challenges Healthcare consumers vary from tech-savvy Generation Z, Y and Millennials, familiar with rapid click-throughs, to straightforward answers, to patients with little or no faith or proficiency in computing tools. In any instance, just a few words can sum up the probable value-added […]
Confusion, Medical Patients, Medical Practice, Patient Portal, Patient Portal Problems, SecurityHL7 Standards: Building a Conduit Between Modern Healthcare and Advancing IT

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 one record or item of health-related information. Background on HL7 Format Two […]
Healthcare Delivery, Healthcare Format, Healthcare HL7, HL7, HL7 StandardsPayer Enrollment Versus Credentialing, What’s the Difference?

Hiring new providers brings energy and growth to any medical practice. Whether you’re bringing on a physician, nurse practitioner, or physician assistant, adding talented healthcare professionals to your team opens doors to serving more patients and expanding your services. But there’s a catch that trips up even experienced practice managers, getting these new providers ready […]
Credentialing, credentialing on-boarding, Enrollment, Healthcare, Healthcare Credentialing, Medical Credentialing, Payer EnrollmentVaping and What Healthcare Providers Need to Know

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 […]
Cancer, CDC, e-cigarette, EHR, Healthcare, Lung Association, Vape, Vape Pen, Vaping, VaporIs Telehealth Here to Stay?

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 distance, looked for substitutes for in-person visits. […]
AI, AI in Healthcare, AI in Telehealth, AI Telehealth, Corona, Corona Virus, Coronavirus, COVID, COVID-19, Healthcare, Healthcare Delivery, Healthcare Outcomes, Ian Tong, Meg Barron, Telehealth, Telehealth AI, TelemedicineDoes Artificial Intelligence (AI) Help or Hurt Healthcare Processes?

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 crucial. Although AI is certainly transforming the healthcare industry, this technology is still quite new. As […]
AI, AI Healthcare, AI medical, Artificial Intelligence, Artificial Intelligence Healthcare, Healthcare, Healthcare KPIs, Healthcare Outcomes, Medical BillingDoes Medicare Cover (Mental Health Services) such as Therapy?

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 taxing health conditions or lose loved ones. Deteriorating health […]
Behavioral Health, Behavioral Health Billing, Medicaid, Medicare, Medicare Coverage, Medicare Therapy, Mental Health, Mental Health BillingWhat Does Medicare Cover for Home Healthcare?

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 […]
Healthcare, Healthcare Services, Home Health Care, Home Health Services, Home Healthcare, Medicaid, Medicaid Billing, Medicaid Coverage, Medicare, Medicare Billing, Medicare CoverageWhat Do Patients Want from Billing?

Healthcare Patient Billing Expectations Patients believe every aspect of their healthcare experience contributes to their care, including the medical payment and billing process. And a negative payment incident could impact a patient’s overall impression of a healthcare organization, even if the rest of their experience was positive. According to survey results, patient satisfaction ratings fall […]
Billing, Billing Service, Healthcare, Medical, Medical Bill, Medical Bill Process, Medical Claims, Medical Patients, Medical Payment9 Steps for a Proactive Medical Billing Strategy

Isn’t it Time to Become More Proactive in Your Medical Billing Payment Strategies? “Do you believe in miracles?” During the 1980 Winter Olympics, the U.S. National Hockey Team miraculously vanquished the Soviet Union Team (who had won the gold medal in the six previous Olympics). It has been noted that one of the chief factors […]
Basics of Medical Billing, Collection Process, Medical Billing, Medical Billing Strategies, Medical Billing Strategy, Outsourced Medical Billing, Patient Collections, Revenue Cycle Management, Robotic Process Automation, RPAMedical Providers: Never Underestimate the Importance of Your Front Desk Staff

Medical Providers Should Never Underestimate Front Desk Staff Value Patient/Customer Relations Whether it’s a medical practice or any other type of business, there is nothing as critical as patient/customer relations. What helps distinguish thriving medical practices from others is the interface of patients with your front desk staff. After all, it’s here where they handle […]
Healthcare, Healthcare Billing, Medical Billing, Medical Front Desk, Medical Office Staff, Medical Patient Flow, Medical Patients, Medical Provider, Patient Flow, Patient Relations, RCMMeeting the Challenge of Revenue Cycle Management

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 […]
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 ManagementWhy Measuring Healthcare Outcomes is Important

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 […]
Common Practice KPIs, Healthcare, Healthcare KPIs, Healthcare Outcomes, Measuring Healthcare Outcomes, Medical, Medical Key Performance Indicators, Medical KPIsThe Importance of Ethical Medical Billing Practices

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 […]
Basics of Medical Billing, Ethical Medical Billing, Healthcare Ethics, Medical Billing, Medical Billing Ethics, Medical Billing FraudMedical Billing Myths

Understanding Medical Billing Myths Dr. John Smith owns a small practice in Pittsburgh’s South Hills. He’s in the midst of a conversation with one of his nurses. Nurse: “Doctor, do you think we should be posting signs concerning the payment of co-pays once the patient is finished with their appointment?” Doctor: “I agree to a […]
Healthcare Billing, Healthcare Providers, Medical Billing, Medical Billing Myths, Medical Billing Service, Outsource Billing, Outsource Medical billing, Outsourced Billing, Pittsburgh Medical BillingMedwave Billing & Credentialing is one of the Top Medical Billing Companies 2021

Top Medical Billing Companies 2021 by SuperbCompanies We are excited to announce that Medwave Billing & Credentialing has been named one of the top Medical Billing Companies 2021 by SuperbCompanies. With more than 20 years of experience, we have accumulated many accomplishments, and each award is special for us. A huge team of experts works […]
Medical Billing, Medical Billing Services, SuperbCompanies, Top Medical Billing Companies, Top Medical Billing CompanyHow Much Does a Medical Billing Service Cost?

How Does Pricing Work in Medical Billing? The most familiar question medical billing companies hear, “What are your prices?” It’s an entirely reasonable question. After all, price is a sizable component in any business decision. In in the undermentioned content, we’ll try to clarify some of the misunderstandings surrounding medical billing service rates. We’ll also […]
Basics of Medical Billing, Billing, Healthcare Billing, Medical Billing, Medical Billing Service, Medical Provider Billing, Outsource Medical billing, Pittsburgh Medical Billing, RCM, Revenue Cycle, Revenue Cycle Management, Revenue Cycle OptimizationWhat’s a Medical Billing Service?

The Basics of Medical Billing As a healthcare provider, you wear quite a few hats. Chances are medical billing might be one of them. But is there a better way? Let’s discuss the advantages for your healthcare practice to consider outsourcing to a professional medical billing company. An Understanding of Medical Billing Medical billing is […]
Healthcare Billing, Medical Billing, Medical Billing 101, Medical Billing Service, Medical Provider BillingCase Study: Behavioral Health Billing

Type of Practice: Behavioral Health Group The Challenge: A successful behavioral health practice approached Medwave to manage their billing process. Up until now, they were performing their own billing in-house using various staff members who had had some formal training. However, they were finding that these staff members were spending an inordinate amount of time […]
Behavioral Health, Behavioral Health Billing, Medical Billing, Mental Health, Mental Health Billing, Pittsburgh Behavioral Health BillingSecure the Best Medical Billing and Coding Partner

Billing and Coding Partner for Healthcare Medwave is a premier provider of medical billing and coding services. But, exactly why are billing and coding so important and how can Medwave help your healthcare center perform these functions? It’s certainly no surprise that the healthcare business is thriving, and its growth is projected to endure well […]
Billing, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Medical Billing, Medical CodingThe Value of Medical Credentialing

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 a qualified healthcare professional, is when they must hope […]
Credentialing, Credentialing Value, Healthcare Credentialing, In-Network, Insurance Companies, Medical Credentialing, Medical Provider Credentialing, Payor Contracting, Payor Enrollment, Provider CredentialingDoes Medical Billing Software Improve Productivity?

Medical Billing Software and Productivity Questioned Does technology really benefit us? The right technology can make our lives easier; however, if they don’t have the right features, they can end up hurting us more than benefiting us. Medical billing software has revolutionized the medical industry. With easier retrieval of medical histories and reduced paperwork, using […]
Claim Denial Manager, e-prescribing, Healthcare Analytics, Medical Billing, Medical Billing Software, Patient Portal, Voice RecognitionWhat is Medical Billing? (w/ Powerpoint Download)

What is Medical Billing? Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services rendered by a healthcare provider. It involves coding and classification of diseases, procedures, and treatments and submission of claims to insurance companies for reimbursement. The goal of medical billing is […]
Basics of Medical Billing, Medical Billing, Medical Billing Powerpoint, Medical Billing PPT, Medical Billing Service, Medical Coding, Medical Credentialing, Pittsburgh Medical Billing
