Billing & Credentialing Cranberry Twp. (Pittsburgh)
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  • Reimbursement Optimization

Reimbursement Optimization

Tough Questions Providers May Ask Billers

December 1, 2024 / admin / Articles, Billing, Claim Denial Rate, Claim Denials, Compliance, EHR, EMR, Interoperability, Medical Billers, Medical Billing, Medical Billing Questions, Modifiers, Reimbursement, Reimbursement Models, Reimbursement Optimization
Latina Female Medical Provider Owner

The relationship between medical providers and their billing teams has become increasingly crucial to practice success. As reimbursement models grow more complicated and regulatory requirements more stringent, providers often find themselves grappling with challenging questions about their revenue cycle management. We’ll address the most demanding and complex questions that medical providers frequently ask their billing […]

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Billing, Claim Denial Rate, Claim Denials, Compliance, EHR, EMR, Interoperability, Medical Billers, Medical Billing, Medical Billing Questions, Modifiers, Reimbursement, Reimbursement Models, Reimbursement Optimization

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

Navigating Fee Schedules and Reimbursement Rates

May 12, 2024 / admin / Articles, Fee Schedule, Fee Schedules and Reimbursement Rates, Optimizing Reimbursements, Reimbursement, Reimbursement Model Shift, Reimbursement Models, Reimbursement Optimization, Reimbursement Rates, Reimbursement Regulations
Navigating Fee Schedules and Reimbursement Rates

Few topics get finance teams and medical billing professionals quite as fired up as fee schedules and reimbursement rates. It’s the core of how healthcare providers generate revenue and keep operations humming. At the same time, it’s an arena loaded with complexity, regulatory scrutiny, and often mind-numbing minutiae. If you’re reading this, you’re probably intimately […]

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Fee Schedule, Fee Schedules and Reimbursement Rates, Optimizing Reimbursements, Reimbursement, Reimbursement Model Shift, Reimbursement Models, Reimbursement Optimization, Reimbursement Rates, Reimbursement Regulations

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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

  • Life Science Lab Doctor Using Microscope AI

    How Artificial Intelligence (AI) is Reshaping Life Sciences

  • White Male Doctor w/ Black Female Administrator

    10 Credentialing KPIs Every Healthcare Provider Should Know

  • Artificial Intelligence Robot Thinking

    How is AI Being Used in Healthcare?

  • Payer Contract Negotiations, with White Male Medical Doctor

    10 Payer Contracting Use Cases

  • White Male Medical Doctor Needing Credentialing

    Struggling with Credentialing? Medwave Can Help!

  • Agreement to Negotiate Contracts in Healthcare

    How to Restructure Payer Contracts

  • White Female Medical Doctor Smiling

    Credentialing for New Graduates: From Residency to Practice

  • Payer Contract Management in Healthcare

    Payer Contract Management Strategies for Healthcare Providers

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