Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Call: (412) 219-4789 | Fax: (866) 422-9277
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    • Behavioral Health
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  • Medical Coding

Medical Coding

Medical Provider Resources

March 29, 2025 / admin / Articles, Billing Accuracy, Clinical Documentation, Credentialing, Healthcare Provider Resources, Medical Billing, Medical Coding, Medical Provider Resources, Medicare, Provider Resources
White Male Medical Doctor at Desk

Medical Provider Credentialing Resources Provider Credentialing and Data Management Maintaining accurate provider information across multiple platforms is essential for seamless healthcare operations. The CAQH ProView serves as a central repository where healthcare providers can input and maintain their professional data once, which then feeds into multiple health plan databases automatically. This streamlined approach reduces administrative […]

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Billing Accuracy, CAQH, Clinical Documentation, Coalition for Affordable Quality Healthcare, Credentialing, Healthcare Provider Resources, ICD-10, ICD-10 lookup, Medical Billing, medical coding, medical credentialing, medical provider resources, medicare, NPI, provider resources

Efficient Modifier Usage Streamlines Billing Success

October 19, 2024 / admin / Articles, Billing, Billing Codes, Coding, Coding and Billing, Medical Billing, Medical Coder, Medical Coding, Modifier 22, Modifier 25, Modifier 26, Modifier 50, Modifier 51, Modifier 59, Modifier TC
Crazy Medical Coder Biller

Efficient and accurate billing practices are essential for maintaining the financial health of healthcare providers and ensuring proper reimbursement for services rendered. One key element in optimizing medical billing processes is the effective use of modifiers. These two-digit codes provide additional information about medical procedures and services, allowing for more precise billing and reducing the […]

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billing, Billing Codes, Coding, Coding Accuracy, coding and billing, Medical Billing, Medical Coder, medical coding, Medical Coding Accuracy, Modifier, Modifier 22, Modifier 25, Modifier 26, Modifier 50, Modifier 51, Modifier 59, Modifier TC

For Medical Billers, Coding Accuracy is Valued Above All

September 21, 2024 / admin / Articles, Coding, Coding Accuracy, Coding and Billing, Coding and Documentation, Coding Intricacies, Coding versus Billing, Medical Coder, Medical Coders, Medical Coding, Medical Coding Accuracy, Medical Coding Quality
Female Medical Coder

Medical billing stands as a crucial link between healthcare providers and payers. At the heart of this process lies a fundamental principle that every medical biller must embrace: the paramount importance of accuracy in coding. We delve deep into why coding accuracy is not just a best practice, but an absolute necessity in medical billing, […]

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billing, Coding, Coding Accuracy, coding and billing, Coding and Documentation, Coding Intricacies, Coding versus Billing, Medical Billing, Medical Coder, Medical Coders, medical coding, Medical Coding Accuracy, Medical coding quality, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization

How AI is Improving Medical Coding Accuracy and Efficiency

September 19, 2024 / admin / AI, AI Bot, AI Coding, AI in Healthcare, AI into RCM, AI Medical Coding, AI Models, AI RCM, AI-driven RCM, Articles, Coding, Coding and Billing, Medical Coding, Natural Language Processing
AI in RCM

Accurate and efficient medical coding is crucial for proper billing, reimbursement, and overall patient care. As the healthcare industry continues to evolve, artificial intelligence (AI) is emerging as a game-changing technology in the field of medical coding. We inspect how AI is revolutionizing the medical coding process, improving accuracy, and boosting efficiency in ways that […]

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AI, AI Bot, AI Coding, AI in Healthcare, AI into RCM, AI Medical Coding, AI Models, AI RCM, AI-driven RCM, Coding, coding and billing, medical coding, Natural Language Processing

Medical Coding vs. Medical Billing: Understanding Their Difference

September 13, 2024 / admin / Articles, Billing, Billing Codes, Coding, Coding and Billing, Coding versus Billing, Healthcare Billing, Healthcare Revenue, Medical Billing, Medical Billing and Coding, Medical Coder, Medical Coding
Coding versus Billing

Two crucial roles often cause confusion due to their interconnected nature: medical coding and medical billing. While both are essential components of the healthcare revenue cycle, they involve distinct responsibilities, skill sets, and career paths. We aim to demystify these professions, highlighting their differences, similarities, and importance in the healthcare industry. Introduction to Medical Coding […]

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billing, Billing Codes, Coding, coding and billing, Coding versus Billing, Healthcare Billing, Healthcare Revenue, Medical Billing, Medical Billing and Coding, Medical Coder, medical coding

Maximizing Healthcare Provider Reimbursement

August 9, 2024 / admin / Articles, Charge Capture, Data Analytics, Denial Management, Fee Schedule, Medical Coding, Outsourced Billing, Payer Contract, Payer Contracting, RCM, Reimbursement, Reimbursement Models, Reimbursement Optimization, Value-based Care
Medical Reimbursement

Achieving maximum reimbursement is crucial for healthcare providers to maintain financial stability and continue delivering high-quality patient care. We explore key strategies and best practices that healthcare providers in the United States can implement to optimize their reimbursement processes and maximize revenue. Understanding the Reimbursement Landscape Before diving into specific strategies, it’s essential to understand […]

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Charge Capture, Data Analytics, denial management, Fee Schedule, medical coding, outsourced billing, Payer Contract, Payer Contracting, rcm, reimbursement, Reimbursement Models, Reimbursement Optimization, Value Based Care

Genetic Testing: Navigating the Complex Landscape of Coverage and Reimbursement

March 9, 2024 / admin / Articles, Genetic Testing, Genetic Testing Billing, Genetic Testing Coverage, Genetic Testing Reimbursement, Genetic Testing Services Billing, Medical, Medical Billing, Medical Coding, Regulatory Bodies
Genetic Testing Lab

The field of genetics has experienced remarkable advancements in recent years, revolutionizing our understanding of human health and disease. Genetic testing, in particular, has become an invaluable tool in the diagnosis, treatment, and prevention of various conditions. However, the rapid pace of innovation has also brought forth a complex landscape of coverage and reimbursement challenges. […]

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billing, Coverage and Reimbursement, DNA, DNA Testing, genetic testing, genetic testing billing, Genetic Testing Coverage, Genetic Testing Coverage and Reimbursement, Genetic Testing Reimbursement, Genetics, healthcare, Medical Billing, Medical Billing Service, rcm, Regulatory Bodies, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization

Unveiling Some of the Key CPT Codes in Medical Coding

February 20, 2024 / admin / Allergy Testing Billing, Articles, Behavioral Health Billing, Chiropractic Billing, Coding, DME Billing, Genetic Testing Billing, Hospital Billing, Hospitalist Billing, Lab Billing, Medical Billing, Medical Coding, Pharmacogenetics Billing, Skilled Nursing Billing, Telehealth Billing, Toxicology Billing
White Female Medical Billing Outsourced

In the intricate world of medical billing and coding, understanding Common Procedural Terminology (CPT) codes is paramount. These codes act as a universal language, facilitating seamless communication between healthcare providers and insurance entities. Let’s delve into the realm of CPT codes, exploring their significance and shedding light on the most commonly used ones. Decoding CPT […]

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Allergy Testing Billing, Behavioral Health Billing, billing, Coding, COVID-19 billing, CPT codes, DME Billing, Family Practice Billing, genetic testing billing, Healthcare Billing, Medical Billing, medical coding, Medical Reimbursement, Occupational Therapy Billing, outsourced billing, PT Billing, Revenue Cycle Management, revenue cycle optimization, speech therapy billing, toxicology billing

10 Medical Coding Mistakes That Could Cost You

February 14, 2024 / admin / AHIMA, AMA, Articles, Coding, Coding Errors, Common Coding Errors, E/M Coding, ICD diagnosis code, Incorrect E/M, Medical Coder, Medical Coding, Medical Coding Quality, NOS codes, POA indicators
Female Medical Coder

Medical coding is a complex and detail-oriented job. Even experienced coders can make mistakes that lead to costly errors and compliance issues. Avoiding common coding mistakes is crucial for accurate reimbursement, proper record-keeping, and avoiding penalties. Medical coding is highly intricate, yet accuracy is critical for proper reimbursement, compliance, and data reporting. Even minor coding […]

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(not otherwise specified) codes, AHIMA, AMA, CMS, Coding, Coding Errors, Common Coding Errors, E/M coding, ICD diagnosis code, Incorrect E/M, medical coding, Medical coding quality, National Correct Coding Initiatives, NCCI Edits, NOS codes, POA indicators, Unbundling

What are and When to Use Modifier Codes

February 10, 2024 / admin / Anatomic Modifiers, Articles, Bilateral Surgery Modifiers, CMS, Coding, CPT, CPT Codes, CPT Definitions, Global Surgery Modifiers, HCPCS Codes, Medical, Medical Billing, Medical Coding, Missing Modifiers, Modifier Codes, Modifiers, Procedure Modifiers
Medical Billing White Guy

Modifier codes are an important part of medical billing and coding. They provide additional information about a medical procedure or service to help ensure proper reimbursement. Knowing when to use modifier codes can improve claim accuracy and prevent costly payment delays or denials. We explain what modifier codes are, why they are used, the most […]

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Anatomic Modifiers, Bilateral Surgery Modifiers, billing, Coding, coding and billing, CPT, CPT definitions, CPT-10, Global Surgery Modifiers, HCPCS, healthcare, Healthcare Billing, Medical, Medical Billing, medical coding, medical necessity, NCCI, NCCI Edits, payer policies, Procedure Modifiers, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization

The Ultimate Guide to the Best Schools for Medical Billing and Coding

May 16, 2023 / admin / Articles, Billing, Coding, CPT, CPT Code, CPT Codes, HIPAA, Medical Billing, Medical Billing and Coding, Medical Billing and Coding FAQs, Medical Coder, Medical Coding
Medical Billing, Coding Universities, with Blonde Girl Studying

Are you passionate about healthcare administration and interested in pursuing a career in medical billing and coding? As the demand for skilled professionals in this field continues to grow, it’s crucial to choose the right educational institution that provides comprehensive training and prepares you for a successful career. We take a look at some of […]

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AAPC, AHIMA, American Academy of Professional Coders, American Health Information Management Association, Career Step, DeVry University, Drexel University, Keiser University, Medical Billing, medical billing education, medical billing programs, medical billing training, medical coding, medical coding education, medical coding training, University of Phoenix

What to Know Before Starting Your Own Medical Billing Company?

March 9, 2023 / admin / Articles, Billing, Billing Services, Healthcare, Healthcare Billing, Medical Billing, Medical Billing Careers, Medical Billing Companies, Medical Billing Jobs, Medical Billing Services, Medical Coding, RCM, Revenue Cycle Management
Medical Billing Outsourced

Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services provided by healthcare providers. With the increasing complexity of medical billing and coding procedures, there has been a surge in demand for medical billing companies. Many entrepreneurs are now considering starting their […]

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Medical, Medical Billing, Medical Billing Service, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, rcm, Revenue Cycle Management

Which CPT Codes are Used in Toxicology Lab Billing?

March 7, 2023 / admin / Articles, Biling Codes, Billing, CPT Codes, Medical Coding, Toxicology Billing, Toxicology Lab Billing, Toxicology Labs
Toxicology Lab Billing

Toxicology testing is the analysis of biological samples, such as urine or blood, to detect the presence of drugs or other substances. The results of these tests can be critical in determining a patient’s treatment plan, medication management, or drug rehabilitation program. Toxicology labs play a crucial role in the diagnosis and treatment of various […]

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CPT, CPT codes, CPT-10, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, toxicology, toxicology billing, Toxicology CPT Codes, toxicology lab billing, toxicology laboratory billing

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

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

9 Thoughts on Why You Should (Outsource Your Medical Billing)

April 9, 2019 / admin / Articles, Medical Billing, Medical Billing Companies, Medical Billing Customer Service, Medical Billing Outsourcing, Medical Coding, Why Outsource Your Medical Billing
Medical Billing Outsourced

Outsourced Medical Billing Outsourcing your medical billing and coding to a qualified medical billing staff provides your office with the following: Decrease in office overhead, as outsourcing to our billing team saves time and money Support with operating and setting up Electronic Health Records (EHR) and Medical Billing Software Utilizing online portals for electronic billing […]

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Basics of Medical Billing, Billing Medical, Medical Billing, Medical Billing and Coding, medical billing cycle, medical provider billing, new medical practices, Revenue Cycle Management

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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

  • California Medical Billing, Credentialing

    Managing California’s Medical Billing and Credentialing Needs

  • Top 10 Highest Paying Medical Credentialing Jobs

    10 Highest Paying Jobs in Medical Credentialing

  • White Male Payer Contracting Specialist

    How to Properly Negotiate Payer Contracts

  • Cardiovascular Diseases CPT Codes

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