Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Call: (412) 219-4789 | Fax: (866) 422-9277
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HL7 FHIR

Technologies Transforming Medical Credentialing

April 25, 2025 / admin / API, Articles, Cloud Computing, Cloud-Based Credentialing, Credentialing, Credentialing Automation, Credentialing Management Systems, FHIR, FHIR API, HL7, HL7 FHIR, MD Staff, OneView, Primary Source Verification, PSV, RPA, Symplr, Verity
Credentialing Techie: from Paper to Digital

Medical credentialing, the process of verifying the qualifications of healthcare providers, has undergone significant technological transformation. What was once a predominantly paper-based, labor-intensive process has now embraced digital innovation to improve efficiency, accuracy, and compliance. The Evolution of Credentialing Technology Cloud Computing in Credentialing Primary Source Verification Technology Primary source verification (PSV), confirming credentials directly […]

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API, Cloud Computing, Cloud-Based Credentialing, Credentialing, Credentialing Automation, Credentialing Management Systems, FHIR, FHIR API, HL7, HL7 FHIR, MD Staff, OneView, Primary Source Verification, PSV, RPA, Symplr, Verity

Denial Management in RPA Billing

September 10, 2024 / admin / Articles, Denial Management, Denial Management Process, Denial Prevention Strategy, Denial Trends, Denials, Denied Claims, HL7, HL7 FHIR, HL7 Interface, HL7 messaging, HL7 Standards, Robotic Process Automation, RPA
Denial Management Resource

In recent years, Robotic Process Automation (RPA) has emerged as a game-changing technology in healthcare revenue cycle management, particularly in the realm of denial management. The promise of RPA to streamline processes, reduce errors, and improve efficiency has led many healthcare organizations to invest heavily in automating their billing and denial management workflows. However, the […]

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denial management, Denial Management Process, Denial Prevention Strategy, Denial Trends, Denials, denied claims, HL7, HL7 FHIR, HL7 interface, HL7 messaging, HL7 Standards, Robotic Process Automation, RPA

Connect Your EHR to a Clearinghouse

May 29, 2024 / admin / Articles, Clearinghouse, EHR, EHR API, EHR Integration, Electronic Claims, EMR, EMR Integration, Health Level 7, HL7, HL7 FHIR, HL7 messaging, HL7 Standard, Interoperability, Medical, Medical Billing, Medical Billing AI

Have you connected your electronic health record (EHR) system to a clearinghouse? I know what you might be thinking, “Another tech integration? Ugh, more headaches!” But bear with me, because this one’s a game-changer. If you’re still relying on manual processes for submitting claims, verifying patient eligibility, or handling remittances, you’re basically stuck in the […]

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clearinghouse, EHR, EHR API, EHR Integration, EHRs, Electronic Claims, EMR, EMR integration, Health Level 7, healthcare, HL7, HL7 FHIR, HL7 messaging, HL7 Standard, Interoperability, Medical, Medical Billing, Medical Billing AI

HL7 vs FHIR: The Key Differences

February 22, 2024 / admin / Articles, Fast Healthcare Interoperability Resources, FHIR Adoption, FHIR API, FHIR APIs, FHIR Bundles, Health Level 7, HL7, HL7 API, HL7 FHIR, HL7 Interface, HL7 messaging, HL7 Standard, HL7 v2.x, HL7 vs FHIR, HTTP Methods, JSON, JSON/XML, RESTful web APIs, XML
HL7 versus FHIR

Health information exchange (HIE) is crucial for improving healthcare quality, safety, efficiency, and reducing costs. Two major standards for exchanging healthcare information electronically are Health Level 7 (HL7) and Fast Healthcare Interoperability Resources (FHIR). Both play important roles in healthcare interoperability, but have key differences. We take an in-depth look at HL7 and FHIR, their […]

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API, Fast Healthcare Interoperability Resources, FHIR, FHIR Adoption, FHIR APIs, FHIR Bundles, GET {serverURL}, Health Level 7, HL7 v2.x, HL7 vs FHIR, HTTP Methods, JSON, JSON/XML, POST {serverURL}, PUT {serverURL}, RESTful APIs, RESTful web APIs, XML

How to Connect an EHR to a Clearinghouse: A Step-by-Step Guide

January 23, 2024 / admin / Articles, Clearinghouse, EHR, EHR API, EHR Integration, EHRs, Electronic Claims, EMR, EMR Integration, Health Level 7, Healthcare, HL7, HL7 FHIR, HL7 messaging, HL7 Standard, Interoperability, Medical, Medical Billing, Medical Billing AI

Electronic health records (EHRs) have become an indispensable part of healthcare operations. EHRs allow providers to store patient information electronically and share it securely. However, to transmit claims and other data to payers, providers need to connect their EHR system to a clearinghouse. A clearinghouse acts as an intermediary between providers and insurance companies by […]

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clearinghouse, EHR, EMR, healthcare, Healthcare Billing, HL7, HL7 interface, HL7 interoperability, HL7 messaging, HL7 Standards, Medical, Medical Billing, Revenue Cycle Management, revenue cycle optimization

Medical Providers and the Untapped Potential of HL7

January 9, 2024 / admin / Articles, Billing, Billing Automation, Billing RPA, Billing Software, EHR, EHR Integration, EMR, EMR Integration, Health Level 7, Healthcare, HL7, HL7 FHIR, HL7 Format, HL7 Interface, HL7 messaging, HL7 Standard, HL7-enabled, Interoperability, Medical, Medical Billing

The healthcare industry has undergone massive changes in recent years, fueled by advances in technology and a shift towards patient-centered care. However, one area that still has untapped potential is the use of Health Level 7 (HL7) standards. HL7 provides a framework for exchanging clinical and administrative data between software applications used by various healthcare […]

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billing, EHR, EHR Integration, EMR, EMR Interoperability, Health Level 7, Healthcare HL7, HL7, HL7 adoption, HL7 FHIR, HL7 interface, HL7 interoperability, HL7 messaging, HL7 Standard, HL7 v2.x, HL7 v3.0, HL7-enabled, Medical Billing

HL7 Standards: Enabling Healthcare Interoperability

September 29, 2023 / admin / Articles, Care Record Summary, CCD, CDA, Clinical Document Architecture, EHR API, EHR Interoperability, FHIR, Health Level 7, Healthcare, HL7, HL7 FHIR, HL7 Format, HL7 Interface, HL7 Standard, IHE, IHE Framework, PACS, RESTful APIs

Healthcare providers today rely on a diverse set of information systems to manage patient data, including electronic health records (EHRs), laboratory information systems (LIS), billing systems, and imaging systems. A major challenge is exchanging information seamlessly across these disparate systems. HL7 provides a framework to facilitate this interoperability through standardized messaging formats and protocols. We […]

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Care Record Summary, CCD, CDA, CDA and CCD, Clinical Document Architecture, EHR, EHR API, EHR Interoperability, EHRs, FHIR, HL7, HL7 FHIR, HL7 Standard, HL7 v2.x, HL7 v3.0, IHE, IHE Framework, Interoperability Standards, LIS, PACS, RESTful APIs, RIS

Recent Posts

  • Laboratory Billing

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  • 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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