Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Healthcare

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

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 crucial. Although AI is certainly transforming […]

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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
Mid 60's White Female Credentialing Expert

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 […]

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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 Service (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

What Do Patients Want from Billing?

November 26, 2021 / admin / Articles, Billing, Healthcare, Healthcare Billing, Medical Billing
Medical Bills, Stethoscope

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 […]

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Billing, Billing Service, Healthcare, Medical, Medical Bill, Medical Bill Process, Medical Claims, Medical Patients, Medical Payment

9 Steps for a Proactive Medical Billing Strategy

November 22, 2021 / admin / Articles, Billing Revenue, Full Service Medical Billing, Healthcare, Healthcare Billing, Medical Billing, Medical Billing Companies, Medical Billing Cost, Medical Billing Outsourcing, Medical Providers, RCM, Robotic Process Automation, RPA
Medical Billing Specialist

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 […]

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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, RPA

Medical Providers: Never Underestimate the Importance of Your Front Desk Staff

November 19, 2021 / admin / Articles, Healthcare, Medical Billing, Medical Providers, Patient Flow, RCM
Medical Billing Doctors

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 […]

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Healthcare, Healthcare Billing, Medical Billing, Medical Front Desk, Medical Office Staff, Medical Patient Flow, Medical Patients, Medical Provider, patient flow, patient relations, rcm

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
Medical Billing Specialist

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

Medical Billing Myths

July 31, 2021 / admin / Articles, Full Service Medical Billing, Healthcare, Medicaid, Medical Billing, Medical Billing Companies, Medical Billing Myths, Medicare, What is Medical Billing?
Medical Billing Experts

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 […]

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Healthcare Billing, Healthcare Providers, Medical Billing, Medical Billing Myths, Medical Billing Service, Outsource Billing, Outsource Medical billing, outsourced billing, Pittsburgh Medical Billing

Medwave Billing & Credentialing is one of the Top Medical Billing Companies 2021

May 17, 2021 / admin / Articles, Healthcare, Medical Billing, Medical Billing Companies, News
SuperCompanies Logo

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 […]

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Medical Billing, Medical Billing Services, SuperbCompanies, Top Medical Billing Companies, Top Medical Billing Company

How Much Does a Medical Billing Service Cost?

April 23, 2021 / admin / Articles, Billing, Healthcare, Medical, Medical Billing, Medical Billing Companies, Medical Billing Cost, Medical Billing Outsourcing, Outsourced Billing, Outsourced Medical Billing, Outsourcing, Pricing, RCM, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization
Medical Billing Outsourced

Medical Billing Service Costs 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 […]

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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 optimization

What’s a Medical Billing Service?

April 15, 2021 / admin / Articles, Healthcare, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Patient Billing, What is Medical Billing?
Medical Billing White Guy

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 […]

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Healthcare Billing, Medical Billing, Medical Billing 101, Medical Billing Service, Medical Provider Billing

Easier Medical Billing and Credentialing

March 24, 2021 / admin / Articles, Billing, Credentialing, Healthcare, Healthcare Credentialing, HIPAA, HIPAA Compliant, Medical Billing, Medical Billing Companies, Medical Credentialing, Payer Enrollment, Payor Contracting
White Male Medical Doctor at Desk

Medical Billing and Credentialing Made Easy “There just has to be an easier way to perform our billing and credentialing.” If you’ve had to perform your own billing and credentialing, you know exactly what we’re talking about.  For any number of healthcare practices, in-house billing and credentialing is an unpleasant, yet necessary, chore. This is […]

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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

Case Study: Behavioral Health Billing

February 13, 2021 / admin / Articles, Behavioral Health, Behavioral Health Billing, Healthcare, Medical Billing, Medical Billing Companies, Mental Health Billing
Behavioral Health Billing, Credentialing

Behavioral Health Billing Case Study 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 […]

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Behavioral Health, Behavioral Health Billing, Medical Billing, Mental Health, Mental Health Billing, Pittsburgh Behavioral Health Billing

Why Do Health Insurers Require Prior Authorization?

February 9, 2021 / admin / Articles, Healthcare, Medical Billing, Medical Credentialing, Medicare, Prior Authorization, Revenue Cycle Management, Utilization Management
Prior Authorization Medical Billing

Health Insurers and Prior Authorization Like sands through the hourglass, so are the days of prior authorization “This procedure will require prior authorization.” Words that no patient or healthcare provider wants to hear when they are ready to proceed with a doctor-approved procedure for a medical matter. However, it’s one of the utilization management tools […]

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Health Insurance, Healthcare, Healthcare Providers, Medical Billing, Medical Credentialing, Medical Practice, prior authorization, utilization management

Secure the Best Medical Billing and Coding Partner

January 8, 2021 / admin / Articles, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Medical Coding
Medical Billing

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 […]

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Billing, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Medical Billing, Medical Coding

The Value of Medical Credentialing

November 2, 2020 / admin / Articles, Credentialing, Credentialing Value, Healthcare, Healthcare Credentialing, In-Network, Medical Credentialing, Medical Practice Credentialing, Medicare, Payor Contracting, Provider Credentialing
White Male Lab Analyst in Need of 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 […]

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Credentialing, Credentialing Value, Healthcare Credentialing, In-Network, Insurance Companies, Medical Credentialing, Medical Provider Credentialing, payor contracting, payor enrollment, Provider Credentialing

Does Medical Billing Software Improve Productivity?

December 5, 2019 / admin / Articles, Healthcare, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Top Medical Billing Companies
Medical Billing Software

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 […]

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Claim Denial Manager, e-prescribing, Healthcare Analytics, Medical Billing, Medical Billing Software, patient portal, voice recognition

Tips for Choosing the Right Medical Billing Company

September 20, 2019 / admin / Articles, Best Medical Billing Company, Healthcare, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Outsource Medical Billing, Revenue Cycle Management
Medical Credentialing Services

Choose a Qualified Medical Billing Group Since there are a large number of companies offering medical billing services, it’s often difficult for a healthcare provider to choose the best-fit, third party billing group for their organization. Healthcare providers have to ask billing companies the right questions on systems and services rendered, thereby making it much […]

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Medical Billing, Medical Coding, Medical Credentialing, Pittsburgh Medical Billing, Pittsburgh Medical Credentialing, Revenue Cycle Management

What is Medical Billing? (w/ Powerpoint Download)

September 16, 2019 / admin / Articles, Healthcare, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Pittsburgh Medical Billing, What is Medical Billing?
White Female Medical Billing Outsourced

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 […]

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Basics of Medical Billing, Medical Billing, Medical Billing Powerpoint, Medical Billing PPT, Medical Billing Service, Medical Coding, Medical Credentialing, Pittsburgh Medical Billing

How Does an Economic Recession Affect Medical Providers?

September 3, 2019 / admin / Articles, Coronavirus, COVID, COVID-19, Healthcare, Healthcare Delivery, Recession, SARS
Medical Billing, Healthcare Recession

What an Economic Recession Could Mean for Healthcare It’s looming, in the coming months or next year, many financial experts foresee an inevitable economic recession in the United States and elsewhere. A large downturn in the economy will adversely affect the aspect of most people’s lives. Their finances, lifestyle and healthcare. Initially, the effect(s) of […]

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AAFP, Coronavirus, COVID, COVID-19, Future Recession, Healthcare, Healthcare Issues, Healthcare Providers, Healthcare Recession, Medical Billing, Medical Recession, recession, recession survey, SARS
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Practices Served

  • Behavioral Health
  • DME
  • Genetic Testing
  • Urgent Care
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • Substance Abuse
  • Allergy Testing
  • Speech Therapy
  • Skilled Nursing Facilities
  • Oncology
  • Pathology
  • OBGYN
  • 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
  • Genetic Testing
  • Urgent Care
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • Substance Abuse
  • Allergy Testing
  • Speech Therapy
  • Skilled Nursing Facilities
  • Oncology
  • Pathology
  • OBGYN
  • 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

  • Florida Medical Billing, Credentialing

    Florida Medical Billing, Credentialing: The Sunshine State’s Standards

  • American Independence; Healthcare Business Freedom

    Healthcare Provider Freedom: Declaring Independence from Administrative Tyranny

  • Healthcare Provider Data Management

    What is Healthcare Provider Data Management?

  • Credentialing Needed Female Medical Doctor

    Medicare Modifiers: a Complete Guide

  • White Male Medical Doctor Holding Stethoscope

    Competency-Based Credentialing in Healthcare

  • White Male Medical Doctor Needs Credentialing

    The Worst Credentialing Problems and How to Solve Them

  • Asian Male Doctor in Need of Credentialing

    What are the Main Types of Medical Credentials?

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