Billing & Credentialing Cranberry Twp. (Pittsburgh)
  • Facebook
  • Linkedin
  • Twitter
  • YouTube
  • RSS
Call: (412) 219-4789 | Fax: (866) 422-9277
  • Credentialing
  • Payer Contracting
  • Medical Billing
  • Specialties
    • Behavioral Health
    • Toxicology
    • Genetic Testing
    • Pharmacogenetic (PGx) Testing
    • 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
    • DME
    • Substance Abuse
    • Sleep Study Labs
    • Physical Therapy (PT)
    • Occupational Therapy
  • HL7 Integration
  • RPA
  • Blog
  • Contact
  • Home
  • Value-based Care

Value-based Care

Beyond Basic Credentialing: Implementing Competency-Based Provider Assessment Models

January 6, 2025 / admin / Articles, Case Reviews, CBME, Competency-Based Assessment, Competency-Based Provider Assessment, Credentialing, Credentialing AI, Credentialing Automation, Machine Learning, Value-based Care, Value-Based Models
White Male Credentialer

Let’s talk about something that’s revolutionizing how we evaluate healthcare providers. Gone are the days when a medical degree and a license were all you needed to prove your worth as a healthcare professional. The modern healthcare landscape demands so much more, and that’s where competency-based assessment comes into play. The Limitations of Traditional Credentialing […]

Read More

360-Degree Feedback, AI, Case Reviews, CBME, Competency-Based Assessment, Competency-Based Provider Assessment, Credentialing, Direct Observation, Machine Learning, medical credentialing, Outcome Metrics, Simulation Exercises, Value Based Care, Value-Based Care Models

The Impact of Value-Based Care on Credentialing Requirements

November 8, 2024 / admin / Articles, Credentialing, Credentialing Criteria, Recredentialing, Value Based Care, Value Based System, Value-Based, Value-based Care, Value-Based Care Adoption, Value-Based Care Models, Value-Based Models
Value-Based Care Models

The healthcare landscape is undergoing a seismic shift. Gone are the days when healthcare providers could simply bill for services rendered and expect payment based on volume alone. Welcome to the era of value-based care (VBC), where compensation is increasingly tied to quality outcomes and patient satisfaction. This transformation isn’t just affecting how care is […]

Read More

Credentialing, Credentialing Criteria, credentialing on-boarding, Recredentialing, Value Based Care, Value Based System, Value-Based, Value-Based Care Adoption, Value-Based Care Models, Value-Based Models

Value-Based Care: Transforming Healthcare Delivery and Outcomes

September 16, 2024 / admin / Articles, Value Based Care, Value Based System, Value-Based, Value-based Care, Value-Based Care Adoption, Value-Based Care Models, Value-Based Models, Value-Based Pricing
Value-Based Care Models Woman

The healthcare industry is undergoing a significant transformation, shifting from traditional fee-for-service models to a more patient-centric, outcome-focused approach known as Value-Based Care (VBC). This paradigm shift represents a fundamental change in how healthcare is delivered, measured, and reimbursed. Value-Based Care aims to improve patient outcomes while simultaneously reducing healthcare costs, creating a win-win situation […]

Read More

Value Based Care, Value Based System, Value-Based, Value-Based Care Adoption, Value-Based Care Models, Value-Based Models, Value-Based Pricing

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 […]

Read More

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

What Are the Most Common Value-Based Care Models?

May 28, 2024 / admin / Accountable Care Organization, ACO, Articles, P4P, P4P Model, Patient-Centered Medical Home, Pay-for-Performance, PCMH, Value-based Care, Value-Based Care Adoption, Value-Based Care Models, Value-Based Models, Value-Based Pricing, Value-based Reimbursement
Value-Based Care Models

We’re going to cruise into a topic that’s been shaking up the healthcare world – value-based care models. These models are all about shifting the focus from just treating illnesses to actually keeping people healthy and delivering better outcomes for patients. Traditional Fee-for-Service: The Old School Approach But before we get into the nitty-gritty of […]

Read More

Accountable Care Organization, ACO, P4P, P4P Model, Patient-Centered Medical Home, Patient-Centered Medical Home (PCMH), Pay-for-Performance, PCMH, Value Based Care, Value-Based Care Adoption, Value-Based Care Models, Value-Based Models, Value-Based Pricing, Value-based Reimbursement

What is CAQH? A Comprehensive Look

May 26, 2024 / admin / Articles, CAQH, CAQH CORE Certification, CAQH Impact, CAQH Index, CAQH ProView System, CORE, Council for Affordable Quality Healthcare, Value-based Care, Value-Based Care Models, Value-Based Models, Value-Based Pricing
What is CAQH?

Let’s jump into a topic that might seem a bit dry at first glance, but trust me, it’s super important – especially if you’re in the healthcare industry. We’re going to be talking about CAQH, and by the end of this blog post, you’ll know everything there is to know about this organization and why […]

Read More

CAQH, CAQH CORE Certification, CAQH Impact, CAQH Index, CAQH ProView System, CORE, Council for Affordable Quality Healthcare, Value Based Care, Value-Based Care Models, Value-Based Models, Value-Based Pricing

Essentials of Revenue Optimization in Healthcare

March 4, 2024 / admin / Articles, Better Payer Contracts, Billing, Clinical Documentation, Patient Collections, Renegotiate Payer Contracts, Revenue, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization, Revenue Integrity, Revenue Leakage, Revenue Optimization, Value Based Care, Value-based Care, Value-Based Models
Revenue Cycle Management Coins

The healthcare industry is undergoing massive changes. With rising costs, declining reimbursements, and shift towards value-based care, healthcare providers face significant financial pressures. At the same time, patients demand superior access, quality, and lower out-of-pocket costs. To thrive in this environment, healthcare organizations must adopt a strategic approach to revenue optimization. Revenue optimization involves systematically […]

Read More

Better Payer Contracts, billing, Clinical Documentation, healthcare, Healthcare Billing, Medical, Medical Billing, patient payments, rcm, Renegotiate Payer Contracts, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Revenue Integrity, revenue optimization, Value Based Care, Value Based System

The Reimbursement Model Shift in Medical Billing

January 29, 2024 / admin / Accountable Care Organizations, Articles, Billing, Billing Operations, Bundled Payments, Capitation, Fee-for-Service, Fee-for-service Model, Medical Billing, P4P, P4P Model, Pay-for-Performance, Reimbursement Disruption, Reimbursement Models, Value-based Care, Value-Based Models, Value-based Reimbursement
Medical Billing Company Employees

The healthcare industry in the United States has undergone massive changes in recent decades. One of the most significant shifts has been in how healthcare providers get reimbursed for services. The traditional fee-for-service model is giving way to value-based models that tie reimbursement to quality of care and patient outcomes. This transformation in reimbursement is […]

Read More

Accountable Care Organizations, Billing Operations, Bundled Payments, Capitation, Fee-for-Service, fee-for-service model, P4P, P4P Model, Pay-for-Performance, reimbursement, Reimbursement Disruption, Value Based System, Value-Based Models, Value-based Reimbursement

The Benefits and Challenges of Adopting Value-Based Care in Healthcare

March 19, 2023 / admin / Articles, EHR, Healthcare, HIPAA, Medical, Value Based Care, Value Based System, Value-Based, Value-based Care, Value-Based Care Adoption, Value-Based Care Models, Value-Based Models, Value-Based Pricing, VBC
medical-doctor-insurance-healthcare-billing

Value-based care (VBC) is a healthcare delivery model that aims to achieve better health outcomes and cost-effectiveness by focusing on the value of care provided to patients. This model shifts the focus from the traditional fee-for-service approach, where healthcare providers are paid based on the number of services they provide, to a system where providers […]

Read More

EHR, healthcare, Healthcare Outcomes, HIPAA, Medical, Value Based Care, Value Based System, Value-Based, Value-Based Care Adoption, Value-Based Care Models, Value-Based Models, Value-Based Pricing, VBC

Recent Posts

  • Laboratory Billing

    Which CPT Codes are Used in Laboratory Billing?

  • Medical Credentialing Staff at a Hospital

    25 Stats Medical Credentialers Must Know

  • Older Female Doctor in need of Credentialing

    Credentialing Problems? We Can Fix Them!

  • Medical Credentialing State-by-State

    Multi-State Licensing in Provider Credentialing

  • Telehealth Provider

    Solutions for Telehealth Credentialing Challenges

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

  • Laboratory Billing

    Which CPT Codes are Used in Laboratory Billing?

  • Medical Credentialing Staff at a Hospital

    25 Stats Medical Credentialers Must Know

  • Older Female Doctor in need of Credentialing

    Credentialing Problems? We Can Fix Them!

  • Medical Credentialing State-by-State

    Multi-State Licensing in Provider Credentialing

Quick Links

  • About Medwave
  • Regions Served
  • Medical Billing
  • Medical Credentialing
  • Payer Contracting
  • Specialties
  • HL7 Integration
  • Robotic Process Automation (RPA)
  • Denial Management
  • Revenue Cycle Consulting
  • Telehealth
  • New Practice
  • A/R Recovery
  • CPT Code Category Index
  • FAQ
  • Pricing
  • Blog
  • Contact

Quick Connect

  • (412) 219-4789
  • Fax: (866) 422-9277
  • Contact Us
    • Tumblr
    • Linkedin
    • Facebook
    • Twitter
    • Pinterest
    • YouTube


Medwave | Alignable

© 2024, Medwave Medical Billing, LLC. | Cranberry Township, PA, 16066 | Phone: (412) 219-4789 | Fax: (866) 422-9277 | Sitemap | Privacy Policy