Billing & Credentialing Cranberry Twp. (Pittsburgh)
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  • Revenue Cycle Management (Page 3)

Revenue Cycle Management

Common Revenue Cycle Management Mistakes and How to Avoid Them

September 17, 2021 / admin / A/R, A/R Recovery, Articles, Billing Revenue, Medical Billing, Medical Billing Companies, Revenue Cycle Management
Hospital Revenue Cycle Challenges

Common Revenue Cycle Management Mistakes Is Your Revenue Cycle Management in Top-Notch Condition? Let’s face it, we all make mistakes, even as veterans in revenue cycle management. Sometimes, though, our biggest mistakes are the ones right under our noses – the ones we simply don’t identify as mistakes because we’ve been making them for so […]

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Healthcare, Healthcare Billing, Healthcare RCM, Medical Billing, Medical Credentialing, RCM, RCM Practices, RCM Support, Revenue Cycle Management

Meeting the Challenge of Revenue Cycle Management

September 16, 2021 / admin / A/R, A/R Recovery, Articles, Healthcare, Healthcare Billing, Healthcare Outcomes, Medical Billing, Medical Billing Companies, Medical Claims, Patient Billing, Patient Collections, Revenue Cycle Management
Medical Billing, Credentialing

Revenue Cycle Management Challenges If a healthcare provider doesn’t set up an efficient billing process, it runs the risk of losing quite a bit of money. With high-deductible insurance plans becoming more widespread, patients are shelling out additional money out of pocket. Or, if the patient is uninsured or underinsured, problems arise since there’s not […]

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A/R, A/R Process, A/R Recovery, Accounts Receivable, Healthcare Billing, Healthcare Outcomes, Healthcare Revenue Cycle, Measuring Healthcare Outcomes, Medical Billing, Medical Claims, Medical Revenue Cycle, Patient Billing, Patient Collections, Revenue Cycle Management

Higher Accuracy of Medical Claims Saves Revenue

July 10, 2021 / admin / Articles, HIPAA, HIPAA Compliant, Medical Billing, Medical Billing Companies, Medical Billing Cost, Medical Claims, Revenue Cycle Management
Medical Billing Techniques

Healthcare Practices Save Money with Higher Accuracy of Medical Claims Reimbursement for medical practices has been impacted by numerous trends and healthcare industry changes over the past five to ten years. Medicare and Medicaid are constantly cutting physician reimbursement, third-party payers (UnitedHealth, BCBS, Humana, Anthem, Aetna, Cigna, etc.) have bargained for fee-for-service contracts with healthcare […]

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Healthcare RCM, Healthcare Revenue Cycle, HIPAA, Medical Billing, Medical Claim Accuracy, Medical Claims, Outsourced Billing, Outsourced Medical Billing, RCM, Revenue Cycle Management, Revenue Loss

How Much Does a Medical Billing Service Cost?

April 23, 2021 / admin / Articles, Billing, Healthcare, Medical, Medical Billing, Medical Billing Cost, Medical Billing Outsourcing, Outsourced Billing, Outsourced Medical Billing, Outsourcing, RCM, Revenue Cycle, Revenue Cycle Management
Medical Billing Outsourced

How Does Pricing Work in Medical Billing? The most familiar question medical billing companies hear, “What are your prices?” It’s an entirely reasonable question. After all, price is a sizable component in any business decision. In in the undermentioned content, we’ll try to clarify some of the misunderstandings surrounding medical billing service rates. We’ll also […]

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Basics of Medical Billing, Billing, Healthcare Billing, Medical Billing, Medical Billing Service, Medical Provider Billing, Outsource Medical billing, Pittsburgh Medical Billing, RCM, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization

Why Do Health Insurers Require Prior Authorization?

February 9, 2021 / admin / Articles, Healthcare, Medical Billing, Medical Credentialing, Medicare, Prior Authorization, Prior Authorization Process, Revenue, Revenue Cycle, Revenue Cycle Management, Utilization Management
Female Mulatto Doctor Prior Authorization

“This procedure will require prior authorization.” Words that no patient or healthcare provider wants to hear when they are ready to proceed with a doctor-approved procedure for a medical matter. However, it’s one of the utilization management tools that insurance companies have fostered to decide if specific prescribed procedures, services and medications are medically required […]

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Health Insurance, Healthcare, Healthcare Providers, Medical Billing, Medical Credentialing, Medical Practice, Medicare, Prior Authorization, Prior Authorization Process, Revenue, Revenue Cycle, Revenue Cycle Management, Utilization Management

Tips for Choosing the Right Medical Billing Company

September 20, 2019 / admin / Articles, Best Medical Billing Company, Healthcare, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Outsource Medical Billing, Revenue Cycle Management
Medical Credentialing Services

Choose a Qualified Medical Billing Group Since there are a large number of companies offering medical billing services, it’s often difficult for a healthcare provider to choose the best-fit, third party billing group for their organization. Healthcare providers have to ask billing companies the right questions on systems and services rendered, thereby making it much […]

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Medical Billing, Medical Coding, Medical Credentialing, Pittsburgh Medical Billing, Pittsburgh Medical Credentialing, Revenue Cycle Management

How to Prevent (Denied Medical Claims)

August 20, 2019 / admin / Articles, Billing, Billing Accuracy, Billing AI, Denials Managements, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Patient Medical Billing, Revenue Cycle Management
Denied Medical Claim

It’s approximated that $3 trillion worth of medical claims are submitted every year to insurance companies, etc., with $262 billion worth of these claims denied. Approximately 65% of the denied medical claims are not resubmitted to the organization which denied the claim. Statistical data indicates that commercial payers are denying 58% of those claims. Appealing […]

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Denial Management, Denials Managements, Denied Medical Claim Prevention, Denied Medical Claims, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Medical Claim Denial, Medical Claims, Patient Billing, Patient Medical Billing, Revenue Cycle Management, upstream process
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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

  • Amazon Healthcare One Medical

    Amazon’s Healthcare Revolution: Transforming Patient Care

  • robotic-process-automation-RPA-example-code

    How RPA Can Save Your Medical Billing

  • Group of Ethnically Diverse Medical Doctors Discussing Charge Capture

    Getting Charge Capture Right

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

    Value-Based Care Billing: Preparing for the Transition

  • Female Mulatto Doctor Prior Authorization

    What is Prior Authorization?

  • Twin White Male Medical Doctors Looking at Each Other

    What Comes First: Credentialing or Contracting?

  • Artificial Intelligence Robot Thinking

    How AI Saves Your Medical Practice (Money)

  • Payer Contracting Negotiation

    Payer Contract Optimization Strategies

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