Billing & Credentialing Cranberry Twp. (Pittsburgh)
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  • Medical Billing Best Practices

Medical Billing Best Practices

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

How to Verify Insurance Eligibility and Benefits Like a Pro

August 23, 2023 / admin / Articles, Billing, Billing Best Practice, Billing Revenue, Healthcare Billing, Healthcare Revenue, Insurance Eligibility, Medical Billing, Medical Billing Best Practices, Medical Billing Service, Verify Insurance, Verify Insurance Eligibility
Insurance Eligibility Verification

Verifying a patient’s insurance eligibility and benefits is a critical first step in the medical billing process. Doing it thoroughly and accurately helps prevent claim denials and delays in payment down the road. We reveal proven techniques to verify eligibility and benefits like a seasoned medical billing pro. Insurance Eligibility Verifying insurance eligibility is crucial in […]

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Benefits Verification, Eligibility, Healthcare, Healthcare Billing, Insurance Eligibility, Medical Billing, Medical Billing Service, Medical Billing Strategy, Outsource Billing, Outsource Medical billing, Outsourced Billing, Outsourced Medical Billing, Outsourced Verification, Revenue Cycle Management, Revenue Cycle Optimization, Smarter Verification, Verify Eligibility, Verify Insurance Eligibility

Understanding Medical Billing for New vs. Established Patients

April 27, 2023 / admin / Articles, Billing, Billing Revenue, Billing Services, Existing Patients, Healthcare, Healthcare Billing, Medical Billing, Medical Billing Assessment, Medical Billing Best Practices, New Patients, Revenue Cycle Management
Therapist talking to patient

Efficient and accurate medical billing is crucial for healthcare providers and patients alike. Whether it’s handling billing for new or established patients, understanding the intricacies of medical billing practices is essential. We take an in-depth look into the key aspects of medical billing for new and established patients, exploring the differences, challenges, and best practices […]

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Medical Billing, Medical Billing Service, Medical Billing Strategy, Outsource Billing, Outsource Medical billing, Outsourced Billing, Outsourced Medical Billing, Revenue Cycle Management, Revenue Cycle Optimization

The Gravity of Medical Billing Compliance

February 23, 2023 / admin / Articles, Billing, Billing Best Practice, Billing Services, Claim Billing, HIPAA, HIPAA Compliant, Medical, Medical Billing, Medical Billing Best Practices
Medical Billing White Guy

Medical billing compliance refers to the adherence to laws, regulations, and ethical standards that govern the billing process. Billing procedures are complex and involve many stakeholders, including healthcare providers, patients, insurance companies, and government agencies. Compliance with regulations is critical to ensuring that healthcare providers receive reimbursement for services rendered, patients are charged correctly for […]

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AKS, Anti-Kickback Statute, Billing, False Claims Act, FCA, Healthcare Billing, HIPAA, HIPAA Compliant, Medical Billing, Medical Billing Compliance, Medical Billing Regulation, Stark Law, The Health Insurance Portability and Accountability Act (HIPAA)

How Both Healthcare Providers and Medical Billing Companies Succeed

February 3, 2023 / admin / Articles, Billing Best Practice, Claim Status, Claim Status Updates, Healthcare Provider's Expectations, Medical Billing Best Practices, Medical Billing Expectations, Reimbursement, Reimbursement Regulations
Medical Billing Healthcare Provider Handshake

The Business Relationship Between a Healthcare Provider and Medical Billing Company has to be Built on a Solid Foundation What are the Steps in Achieving a Healthy Business Relationship Between a Healthcare Provider and a Medical Billing Company? A good understanding of both sides’ expectations is crucial to the success of both parties. The healthcare […]

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Claim Status Updates, Customer Service, Healthcare, Healthcare Provider's Expectations, Healthcare Providers, Medical Billing, Medical Billing Customer Service, Medical Billing Expectations, Medical Billing Service, Medical Billing Strategy, Medical Claims, Outsourced Billing, Reimbursement, Reimbursement Regulations, Revenue Cycle Management

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  • Behavioral Health Credentialing, Billing & Contracting Use Case

    Use Case: Behavioral Health Contracting

  • Group of Medical Doctors Discussing Charge Capture at Hospital

    10 Billing KPIs Every Healthcare Provider Should Know

  • Tax Status Dictates Contract Structure (Doctor Signing)

    Tax Status Dictates Contract Structure

Practices Served

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

  • Bridge Gap Healthcare Business

    Bridging the Credentialing Gap Between Payer & Provider Organizations

  • CareSource Credentialing

    A Guide to Provider Credentialing with CareSource

  • Middle-Aged White Male Medical Doctor

    Credentialing Denials: The Ugly Truth

  • Behavioral Health Credentialing, Billing & Contracting Use Case

    Use Case: Behavioral Health Contracting

  • Group of Medical Doctors Discussing Charge Capture at Hospital

    10 Billing KPIs Every Healthcare Provider Should Know

  • Tax Status Dictates Contract Structure (Doctor Signing)

    Tax Status Dictates Contract Structure

  • Blonde Female Healthcare Provider / Owner

    New NCQA 2025 Rules and Their Impact

  • Black Male and Female Medical Doctors

    Payer Contracting: Unlock Your Revenue Potential

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