Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Payer Contract Management

Why Providers Need Both Credentialing and Contracting

October 1, 2025 / admin / Articles, Contract Management, Contract Negotiation, Contracting, Credentialing, Credentialing and Contracting, Medical Credentialing, Payer Contract, Payer Contract Management, Payer Contracting, Payor Contract, Payor Contracting
A White, Male Medical Doctor Signing Paperwork. Sitting at a desk.

Healthcare providers often view credentialing and contracting as separate administrative hurdles they must clear to start practicing. While these processes might seem distinct on the surface, they’re actually two sides of the same coin, both essential components of establishing a viable healthcare practice. Knowing why both are necessary, and how they work together, can save […]

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Contract Management, Contract Negotiation, Contracting, Credentialing, Credentialing and Contracting, Medical Credentialing, Payer Contract, Payer Contracting, Payor Contract, Payor Contracting

Building Profitable Relationships Through Payer Contracting

September 10, 2025 / admin / Articles, Payer Contract, Payer Contract Management, Payer Contract Negotiation, Payer Contract Re-Negotiation, Payer Contracting, Payer Contracts, Payor Contract Management, Payor Contracting, Reimbursement, Reimbursement Rates
Payer Contract Management in Healthcare

Healthcare providers today face an increasingly challenging landscape when it comes to securing favorable contracts with insurance payers. The art of payer contracting goes far beyond simply negotiating rates, it’s about creating mutually beneficial partnerships that drive sustainable revenue growth while maintaining quality patient care. When done right, these relationships become the foundation of a […]

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Payer Contract, Payer Contract Management, Payer Contract Negotiation, Payer Contract Re-Negotiation, Payer Contracting, Payer Contracts, Payor Contract Management, Payor Contracting, Reimbursement, Reimbursement Rates

10 Payer Contracting Use Cases

September 4, 2025 / admin / Articles, Payer Contract, Payer Contract Management, Payer Contract Negotiation, Payer Contract Re-Negotiation, Payer Contracting, Payer Contracts, Payor Contract Management, Payor Contracting, Reimbursement, Reimbursement Rates
Payer Contract Negotiations, with White Male Medical Doctor

Payer contracting can make or break a healthcare organization’s financial health. The difference between a well-negotiated contract and a mediocre one often means millions in revenue over the contract term. At Medwave, we’ve helped many thousands of healthcare providers optimize their payer relationships, and we’ve seen firsthand how the right approach transforms both revenue and […]

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Payer Contract, Payer Contract Management, Payer Contract Negotiation, Payer Contract Re-Negotiation, Payer Contracting, Payer Contracts, Payor Contract Management, Payor Contracting, Reimbursement, Reimbursement Rates

Payer Contract Management Strategies for Healthcare Providers

August 27, 2025 / admin / Payer Contract, Payer Contract Management, Payer Contract Negotiation, Payer Contract Re-Negotiation, Payer Contracting, Payer Contracts, Payor Contract Management, Payor Contracting, Reimbursement, Reimbursement Rates
Payer Contract Management in Healthcare

Healthcare providers face mounting pressure to optimize their revenue streams while maintaining quality patient care. At the heart of this challenge lies payer contract management, a critical function that directly influences both financial sustainability and patient access to services. Knowing how to negotiate, manage, and optimize these agreements can mean the difference between thriving and […]

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Payer Contract, Payer Contract Management, Payer Contract Negotiation, Payer Contract Re-Negotiation, Payer Contracting, Payer Contracts, Payor Contract Management, Payor Contracting, Reimbursement, Reimbursement Rates

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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
  • 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
  • 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

  • Behavioral Health Credentialing

    Revolutionizing Behavioral Health Credentialing for the Modern Era

  • Variety of medical doctors discussing an issue

    Foundation of Trust: Core Elements of Medical Credentialing

  • Artificial Intelligence Robot Thinking

    AI-Powered Denial Management and Predictive Analytics

  • Two Professional Caucasian Medical Doctors Needing Credentialing and Contracting

    The Difference Between Credentialing and Contracting

  • Confused, Female, Mulatto Medical Doctor

    Managing Provider Payer Audits

  • White Male Doctor w/ Black Female Administrator

    Top 12 Reasons Why Claims Get Denied

  • White Male and Female Doctors in Need of Credentialing

    How Does Credentialing with Insurance Companies Work?

  • A White, Male Medical Doctor Signing Paperwork. Sitting at a desk.

    Why Providers Need Both Credentialing and Contracting

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