Billing & Credentialing Cranberry Twp. (Pittsburgh)
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  • Posts tagged "Compliance"

Posts tagged "Compliance"

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

Credentialing vs. Privileging in Healthcare

November 10, 2024 / admin / Articles, Compliance, Credentialing, Credentialing vs. Privileging, Healthcare Credentialing, Legal Compliance, Medical Credentialing, Privileging
White Female Credentialing Professional

The terms “credentialing” and “privileging” are often used interchangeably, but they actually serve distinct and critical roles. Failing to understand the differences between these two processes can lead to administrative errors, compliance issues, and even patient safety concerns. As healthcare organizations strive to streamline workflows and ensure the highest standards of care, it’s essential for […]

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Compliance, Credentialing, Credentialing vs. Privileging, Healthcare Credentialing, Legal Compliance, Medical Credentialing, Privileging

The Complete Guide to Fixing Common Medical Billing Errors

February 3, 2024 / admin / Articles, Billing, Billing Automation, Billing Errors, Common Medical Billing Errors, Denial Analytics, Diagnosis Code Errors, Incorrect Modifiers, Medical Billing Errors, MGMA, Missing Pre-Authorizations, Procedure Code Mistakes
Successful Medical Billing Team

Improve revenue, reduce denials, and ensure compliance by following these expert billing tips for healthcare providers. Frequent billing mistakes can hurt your medical practice’s bottom line. Discover the most common medical billing errors, their financial impact, and proven steps to prevent them. This extensive billing guide for providers, clinics, and medical billers will help fix […]

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Automation, Billing Automation, Billing Errors, Common Medical Billing Errors, Compliance, Denial Analytics, Diagnosis Code Errors, Incorrect Modifiers, Medical Billing Errors, MGMA, Missing Pre-Authorizations, Procedure Code Mistakes, Revenue, RPA

Recent Posts

  • Abstract, Punk Rock Female Medical Doctor

    What are Peer and Professional References in Credentialing?

  • Older, Female Medical Doctor Writing a Prescription

    Healthcare Consolidation: How It Affects (Credentialing Timelines)

  • Explanation of Benefits or EOB

    EOBs: A Guide to Explanation of Benefits

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

    Top 25 Physician Procedures w/ CPT Codes

  • Amazon Healthcare One Medical

    Amazon’s Healthcare Revolution: Transforming Patient Care

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

    How RPA Can Save Your Medical Billing

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

  • Abstract, Punk Rock Female Medical Doctor

    What are Peer and Professional References in Credentialing?

  • Older, Female Medical Doctor Writing a Prescription

    Healthcare Consolidation: How It Affects (Credentialing Timelines)

  • Explanation of Benefits or EOB

    EOBs: A Guide to Explanation of Benefits

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

    Top 25 Physician Procedures w/ CPT Codes

  • 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

  • Caucasian Red-Headed Male Medical Doctor

    Value-Based Care Billing: Preparing for the Transition

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