Billing & Credentialing Cranberry Twp. (Pittsburgh)
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  • RCM Challenges

RCM Challenges

5 Ways to Boost Revenue Cycle Management

June 4, 2024 / admin / Articles, RCM, RCM Automation, RCM Challenges, RCM KPIs, RCM Metrics, RCM Optimization, Revenue Cycle, Revenue Cycle Automation, Revenue Cycle Management, Revenue Cycle Optimization, Revenue Optimization
RCM Optimization

If you’re running a healthcare organization, you know how crucial it is to have an efficient revenue cycle management (RCM) process. After all, it’s the backbone of your financial operations, ensuring that you get paid for the services you provide. But let’s be real, managing the revenue cycle can be a complex and daunting task, […]

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rcm, RCM Automation, rcm challenges, RCM KPIs, RCM Metrics, RCM Optimization, Revenue Cycle, Revenue Cycle Automation, Revenue Cycle Management, revenue cycle optimization, revenue optimization

Revenue Cycle Metrics for Healthcare Financial Success

May 3, 2024 / admin / Articles, RCM, RCM Challenges, RCM KPIs, RCM Metrics, RCM Optimization, Revenue, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization, Revenue Cycle Process, Revenue Optimization
RCM Optimization

We all know how critical it is to keep a sharp eye on those revenue cycle metrics, right? Those numbers have the power to make or break your financial game. Understand them, optimize them – that’s the difference between rolling in dough or scraping by. But let’s keep it a hundred – digging into revenue […]

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rcm, rcm challenges, RCM KPIs, RCM Metrics, RCM Optimization, Revenue, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Revenue Cycle Process, revenue optimization

Exploring the Integration of ChatGPT in Revenue Cycle Management

February 24, 2024 / admin / AI-driven RCM, Articles, Billing, ChatGPT, ChatGPT in Healthcare, ChatGPT in RCM, ChatGPT in Reimbursement, Healthcare KPIs, Healthcare Outcomes, Healthcare Revenue, Medical Billing, OpenAI, RCM, RCM Challenges, Reimbursement, Revenue Cycle, Revenue Cycle Management
ChatGPT Revenue Cycle Management

As the healthcare industry continues to embrace technological innovations, the integration of artificial intelligence (AI) solutions like ChatGPT in Revenue Cycle Management (RCM) holds immense promise for optimizing financial processes and improving operational efficiency. We cover potential applications and challenges associated with leveraging ChatGPT in RCM. Understanding Revenue Cycle Management Before delving into the potential […]

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Accounts Receivable, AI-driven RCM, ChatGPT, ChatGPT Healthcare, ChatGPT in Healthcare, ChatGPT in RCM, ChatGPT in Reimbursement, Healthcare AI, Healthcare KPIs, Medical AI, Medical KPIs, OpenAI, Revenue Cycle Management

Boosting Revenue Integrity: 7 Keys to Unlocking Efficient, Effective Medical Billing

December 18, 2023 / admin / Articles, Billing, Billing Revenue, Claims Management, Denial Management, Healthcare, Healthcare Billing, KPI, Medical Billing, Medical Billing KPIs, RCM, RCM Challenges, Revenue, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Management (RCM), Revenue Cycle Optimization, Revenue Integrity
Medical Billing White Guy

Amidst an increasingly complex healthcare payer environment, medical billing has direct implications on the financial viability of providers to maintain daily operations and invest in advancing care. However, antiquated systems still relying on manual workflows struggle to effectively navigate critical revenue cycle processes and optimization in the modern digital era. The resulting claims denials, patient […]

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Payer Enrollment vs. Credentialing: Understanding The Differences

November 13, 2023 / admin / Articles, Enrollment, Payer Contract, Payer Contracting, Payer Enrollment, Payer Negotiation, RCM, RCM Challenges, Revenue Cycle Management, Revenue Cycle Management (RCM), Revenue Cycle Management Challenges
Medical Billing Credentialing Team

What is Payer Enrollment? Payer enrollment is a process by which healthcare providers enroll with insurance companies to receive payment for services rendered. This process involves completing an application, providing necessary documentation, and meeting specific requirements set by the payer. The payer may review the application and documentation to determine if the healthcare provider meets […]

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Credentialing, credentialing process, enrollment, healthcare, Medical, medical credentialing, Payer Contracting, Payer enrollment

Getting Paid Faster: Strategies to Improve Cash Flow Cycles

October 16, 2023 / admin / Articles, Billing, Cash Flow Cycles, RCM, RCM Challenges, Reimbursement, Reimbursement Rates, Reimbursement Regulations, Revenue, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Management (RCM), Revenue Cycle Management Challenges
Billing Cash Flow Cycles

For any medical practice, timely insurance reimbursement is essential for financial viability and supporting smooth practice operations. However, elongated claim payment cycles strain cash flow and necessitate borrowing to cover costs in the interim. Below, we explore techniques to accelerate payer payments and optimize the speed of the medical revenue cycle. Diagnosing Causes of Lagging […]

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Cash Flow Cycles, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, medical billing strategy, rcm, reimbursement, reimbursement rates, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization

Growing Risk of Claim Denials: How to Protect Your Practice

October 6, 2023 / admin / Articles, Billing, Billing Denied Claims, Claim Denials, Claim Rejection, Claim Status, Claim Status Updates, Denial Codes, Denial Management, Denial Prevention Strategy, Denial Trends, Denied Claims, Denied Medical Claims, RCM, RCM Challenges, Revenue, Revenue Cycle Management, Revenue Integrity, Revenue Leakage
Medical Claim Denied

For medical practices, claim denials have always been a fact of life when dealing with health insurers. However, trends show claim denial rates growing year over year, driven by increased utilization management efforts by payers. Denials directly impact practice revenues and the time/costs tied to appealing denials. Below, we take a gander at the factors […]

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Claim Denials, Denial Codes, Denial Prevention Strategy, Denial Trends, Denials, denied medical claims, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Revenue Cycle Management, revenue cycle optimization

Revenue Cycle Management (RCM): The Key to Optimizing Healthcare Finances

February 2, 2023 / admin / Articles, RCM, RCM Challenges, Revenue, Revenue Cycle Management, Revenue Cycle Management (RCM), Revenue Cycle Management Challenges, Revenue Integrity, Revenue Leakage
White Female Revenue Cycle Management

The Key to Optimizing Healthcare Finances through Revenue Cycle Management (RCM) The Importance of Revenue Cycle Management (RCM) for Healthcare Providers’ Success Revenue cycle management (RCM) is a crucial process in the healthcare industry, as it involves managing all aspects of healthcare billing and payment processes, from patient registration to payment collections. RCM is critical […]

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healthcare rcm, Healthcare Revenue, healthcare revenue cycle, Medical RCM, Medical Revenue Integrity, rcm, rcm challenges, Revenue Cycle Management, Revenue Cycle Management (RCM), Revenue Cycle Management Concerns

Where Does Your Revenue Cycle Management Need to Be?

December 1, 2021 / admin / Articles, Medical Billing, Medical Billing Companies, RCM, RCM Challenges, Revenue Cycle Management, Revenue Cycle Management Challenges
revenue-cycle-management-services

Your Revenue Cycle Management Status Healthcare providers faced a tidal wave of challenges at the beginning of the COVID-19 pandemic, many of which endure consequences today. It’s not surprising that the revenue cycle did not evade these challenges. The shutdown and transfer to a generally virtual care world presented substantial bedlam that the revenue cycle […]

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rcm, rcm challenges, rcm essentials, revenue cycle challenges, Revenue Cycle Management, Revenue Cycle Management Concerns, Revenue Cycle Management Issues, revenue cycle optimization

Healthcare Revenue Cycle Management Challenges

November 23, 2021 / admin / Articles, RCM, RCM Challenges, Revenue Cycle Management, Revenue Cycle Management Challenges
Hospital Revenue Cycle Challenges

Healthcare Practices Face RCM Challenges Healthcare providers of all shapes and sizes are struggling to fine-tune their revenue cycle to adapt to changes in the billing world. Constant changes to the healthcare system have brought about a variety of new challenges for providers and patients alike. This is particularly true for smaller practices who must […]

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healthcare rcm, Medical Billing, medical billing software, rcm, rcm practices, rcm support, Revenue Cycle, revenue cycle challenges, Revenue Cycle Management, revenue cycle optimization

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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

  • Credentialing Needed Female Medical Doctor

    Medicare Modifiers: a Complete Guide

  • White Male Medical Doctor Holding Stethoscope

    Competency-Based Credentialing in Healthcare

  • White Male Medical Doctor Needs Credentialing

    The Worst Credentialing Problems and How to Solve Them

  • Asian Male Doctor in Need of Credentialing

    What are the Main Types of Medical Credentials?

  • 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

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