Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Call: (412) 219-4789 | Fax: (866) 422-9277
  • Credentialing
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    • 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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    • Occupational Therapy
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Medicaid

Decoding Medical Billing in Texas (The Lone Star State)

December 9, 2023 / admin / Articles, Billing, Billing Revenue, Healthcare, Healthcare Billing, Medicaid, Medical, Medical Billing, Medicare, Texas Medical Billing
Texas Medical Billing

With nearly 30 million residents, Texas maintains the second largest state population in the country. This burgeoning community includes diverse urban metropolises like Dallas, Houston, San Antonio and Austin as well as remote rural towns and border communities. The variability in patient demographics and healthcare access models across Texas locations generates pronounced impacts on medical […]

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Austin Medical Billing, Dallas Medical Billing, healthcare, Healthcare Billing, Houston Medical Billing, Medical, Medical Billing, Medical Billing Service, outsourced billing, outsourced medical billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, San Antonio Medical Billing, Texas Care Delivery, Texas Medical Billing

Navigating the Complexities of Medical Billing Services in Florida

December 3, 2023 / admin / Articles, Claim Billing, Florida Medical Billing, Healthcare, HIPAA Compliant, HL7, Medicaid, Medicaid HMO, Medical, Medical Billing, Medical Billing Service, Medicare Advantage, Miami Medical Billing, Orlando Medical Billing, Tampa Medical Billing
Florida Medical Billing

With over 21 million residents, Florida maintains one of the largest and most demographically diverse state populations across the country. This presents unique dynamics around healthcare delivery and insurance for which medical billing service providers must adapt. From an aging population to an influx of northern transplants, to the millions relying on government insurance plans […]

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Billing Services Florida, Florida Billing, Florida Billing Services, Florida Medical Billing, healthcare, Healthcare Billing, Medicaid HMO, Medical, Medical Billing, Medical Billing Service, Medicare Advantage, Miami Medical Billing, Orlando Medical Billing, Revenue Cycle Management, revenue cycle optimization, Tampa Medical Billing

Brace for Impact: Managing the Surge of New Medical Billing Regulations

November 27, 2023 / admin / Articles, Billing, Billing Regulations, Billing Revenue, Claim Data, Good Faith Estimates, Health Level 7, Healthcare, HL7, Interoperability, Medicaid, Medical Billing Regulations, Medicare, No Surprises Act, Pre-Authorization
Medical Billing Software White Male User

As US healthcare costs continue rising steeply – now over $4 trillion representing nearly 20% of GDP – both federal and state policymakers urgently seek ways to contain runaway expenditure growth. This drive manifests through expansion of programs like Medicare Advantage and Medicaid managed care coupled with accelerating passage of game-changing legislation like No Surprises […]

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billing, Billing Best Practice, Billing Disruption, billing revenue, Claim Data, Consumer-Centered Billing, Good Faith Estimates, Health Level 7, healthcare, HL7, Interoperability, medicaid, Medical Billing Regulations, medicare, No Surprises Act, Pre-Authorization

Detecting and Preventing Healthcare Fraud and Abuse: A Comprehensive Guide

July 5, 2023 / admin / Articles, Healthcare, Healthcare Abuse, Healthcare Fraud, Medicaid, Medicaid Fraud, Medical, Medicare, Medicare Fraud
hcc-coding-white-male-doctor-at-laptop-medical-billing

At Medwave, we are dedicated to providing valuable insights and guidance on detecting and preventing healthcare fraud and abuse. We will equip you with the knowledge and tools necessary to safeguard your organization and patients from these malicious activities. By implementing the strategies outlined below, you can enhance the integrity of your healthcare services and […]

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fraud, healthcare, Healthcare Abuse, Healthcare Fraud, medicaid, medicaid fraud, Medical, Medical Fraud, medicare, medicare fraud, Phantom billing

Medicare and Medicaid Fraud: A Growing Problem in the Healthcare Industry

February 2, 2023 / admin / Articles, Billing, Billing Services Not Rendered, Claim Billing, False Certification, Fraud, Healthcare, Healthcare Billing, Kickbacks, Medicaid, Medicaid Fraud, Medical Billing, Medical Claims, Medicare, Medicare Fraud, Phantom Billing, Prescription drug fraud, Supply Fraud, Unlawful Self-Referral, Upcoding, Whistleblower Protection Act
Medicare Fraud

Medicare and Medicaid Fraud is a Massive Healthcare Industry Problem Medicare and Medicaid Fraud Vulnerability The Medicare and Medicaid programs provide crucial support to millions of Americans, offering access to healthcare services for those who may not otherwise be able to afford it. Unfortunately, these programs are also vulnerable to fraud, with criminals exploiting the […]

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Billing for services not rendered, billing fraud, False certification, fraud, Kickbacks, medicaid, medicaid fraud, medical billing fraud, medicare, medicare fraud, Phantom billing, Prescription drug fraud, Supply fraud, Unlawful self-referral, Upcoding, Whistleblower, Whistleblower Protection Act

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

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

10 Ways to Best Achieve Revenue Cycle Optimization

September 25, 2021 / admin / Articles, Medicaid, Medical Billing, Medical Claims, Medical Coding, Medicare, Revenue Cycle Management, What is Medical Billing?, Why Outsource Your Medical Billing
Medical Billing Techniques

The healthcare industry is changing rapidly, creating a host of challenges for healthcare providers. Cutbacks in reimbursements, bad debt and regulatory reforms all affect a provider’s revenue. Moreover, the failure to recognize claim submission mistakes heightens the risk of inadequate reimbursement and even nonpayment. While concentrating on ever-pressing needs, it’s difficult for providers to spot […]

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healthcare revenue cycle, Medical Billing, Outsource Billing, Outsource Medical billing, outsourced billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, revenue loss, revenue optimization

Why Perform a Medical Billing Assessment?

August 25, 2021 / admin / Articles, Healthcare Billing, Medicaid, Medical Billing, Medical Billing Assessment, Medical Billing Companies, Medical Billing Outsourcing, Medicare, Outsourced Medical Billing
Medical Billing and Credentialing

The Reasons Why a Medical Billing Assessment is Needed Medical Billing Assessments Running a healthcare practice means keeping a tight ship for the sake of your patients and your reputation, as well as your financial well-being. But, let’s face it, practices are only as successful as their medical billing performance. If you have a prosperous […]

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Healthcare Billing, Medical Billing, Medical Billing Assessment, Medical Billing Company, medical billing cycle, Medical Billing Profit, Medical Billing Service, medical billing strategy, outsourced medical billing

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

Common Examples of Medicare, Medicaid Fraud

May 8, 2021 / admin / Articles, False Claims Act, Fraud, Medicaid, Medicaid Fraud, Medicaid Fraud Examples, Medicare, Medicare Fraud, Medicare Fraud Examples, Phantom Billing, Unbundling, Upcoding
Medicare Fraud

Medicare, Medicaid Fraud Examples and Steps to Ensure You Don’t Commit It A medical doctor invoiced his patient’s Medicare insurance for both the services he actually delivered and for services that were not delivered. He fabricated his patient’s medical records to indicate office visits and treatments that never took place. A gerontologist obtained the outcomes […]

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billing fraud, false claims act, fraud, medicaid, medicaid billing, medicaid fraud, Medicaid Fraud Examples, medical billing fraud, medicare, medicare billing, medicare fraud, Medicare Fraud Examples, Upcoding

Medical Marijuana Providers Need Billing, Payment Processing Options

December 15, 2020 / admin / Articles, Medicaid, Medical Billing, Medical Marijuana, Medical Marijuana Billing, Medicare
Medical Cannabis Billing

Billing & Payment Processing for Medical Marijuana Cannabis A Proven Commodity Marijuana Cannabis is projected to be one of the fastest-growing industries over the next decade. Worldwide cannabis sales more than tripled, from $3.4 billion to $10.9 billion between 2014 and 2018, and Wall Street has forecast that sales will grow $30 billion by 2025. […]

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Cannabis Billing, Cannabis-Friendly Payment Processors, Cannabiz, Marijuana Billing, Marijuana Payment Processing, Mary Jane Billing, Medical Billing, Medical Cannabis, Medical Cannabis Billing, Medical Marijuana, Medical Marijuana Billing, Outsource Medical billing

4 (Medical Billing) Techniques that Can Assist Your Practice

August 22, 2019 / admin / Articles, Best Medical Billing Company, Denials Managements, Healthcare Delivery, Medicaid, Medical Billing, Medical Billing Companies, Medical Billing Customer Service, Medicare, Patient Billing, Patient Medical Billing, Top Medical Billing Companies
Medical Biller Techie

Medical Billing Techniques that Can Be Installed to Help Your Medical Practice Health care providers should periodically review their financials and revenue cycle, so that they can take corrective measures at the earliest if required. A great deal of medical offices / health care providers find that medical billing is one area which could be […]

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AI, Automation, EHR, medicaid, Medical Billing, medicare, MIPS, Outsource Medical billing, Pittsburgh Medical Billing

Recent Posts

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  • Medical Credentialing State-by-State

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  • Telehealth Provider

    Solutions for Telehealth Credentialing Challenges

  • Telehealth Credentialing Specialist

    What is Telehealth Credentialing?

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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