Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Call: (412) 219-4789 | Fax: (866) 422-9277
  • Credentialing
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    • Behavioral Health
    • Toxicology
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    • Pharmacogenetic (PGx) Testing
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  • Posts tagged "EMR"

Posts tagged "EMR"

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

Are Medical Billing Codes Universal?

October 8, 2024 / admin / Artificial Intelligence, Billing Codes, Billing KPIs, Billing Outcomes, Blockchain, ICD, ICD Codes, ICD-10, ICD-10 to ICD-11, ICD-11, IHTSDO, Non-Universality Coding, SNOMED CT
Female Medical Coder

Medical billing codes are the backbone of healthcare administration worldwide, serving as a standardized way to communicate diagnoses, procedures, and treatments between healthcare providers, insurers, and government agencies. However, the question of whether these codes are truly universal is complex and multifaceted. We dissect the various medical coding systems used globally, their similarities and differences, […]

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billing, CPT, CPT codes, EHR, EMR, Healthcare Billing, ICD-10, ICD-10 coding, ICD-11, IHTSDO, Medical Billing, Non-Universality Coding, outsourced billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPA, SNOMED CT, Systematized Nomenclature of Medicine, Value Based Care

Blockchain in Healthcare: Secure Billing and Data Integrity

June 10, 2024 / admin / Articles, Blockchain, Blockchain for Health Data, Blockchain in Healthcare, Blockchain Technology, Data Interoperability, Data Management, EHR, EHR Integration, EHR Interoperability, EMR, Healthcare Blockchain
Blockchain in Healthcare

The healthcare industry is at a pivotal juncture, grappling with the pressing need to embrace technological advancements while safeguarding the integrity and privacy of patient data. As the custodians of our most intimate and sensitive information, healthcare providers face an array of challenges, from ensuring accurate billing practices to maintaining the confidentiality of medical records. […]

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Blockchain, Blockchain for Health Data, Blockchain in Healthcare, Blockchain Technology, Data Interoperability, Data Management, EHR, EHR Integration, EHR Interoperability, EMR, Healthcare Blockchain

Connect Your EHR to a Clearinghouse

May 29, 2024 / admin / Articles, Clearinghouse, EHR, EHR API, EHR Integration, Electronic Claims, EMR, EMR Integration, Health Level 7, HL7, HL7 FHIR, HL7 messaging, HL7 Standard, Interoperability, Medical, Medical Billing, Medical Billing AI

Have you connected your electronic health record (EHR) system to a clearinghouse? I know what you might be thinking, “Another tech integration? Ugh, more headaches!” But bear with me, because this one’s a game-changer. If you’re still relying on manual processes for submitting claims, verifying patient eligibility, or handling remittances, you’re basically stuck in the […]

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clearinghouse, EHR, EHR API, EHR Integration, EHRs, Electronic Claims, EMR, EMR integration, Health Level 7, healthcare, HL7, HL7 FHIR, HL7 messaging, HL7 Standard, Interoperability, Medical, Medical Billing, Medical Billing AI

Mastering Charge Capture: A Roadmap for Healthcare Providers

April 13, 2024 / admin / Articles, Automation, Billing, Billing Automation, Charge Capture, Charge Capture Challenges, Charge Capture Strategy, Coding, Coding and Billing, Denials, EHR, EMR, Missed Charges, Optimized Charge Capture, Revenue Leakage
Charge Master Work

If you’re a healthcare provider, you know how important it is to get paid accurately and on time for the services you provide. But the revenue cycle management process can be a tangled web of codes, documentation requirements, and insurance rules. One of the biggest pain points? Charge capture. Charge capture is the process of […]

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billing, Charge Capture, Charge Capture Challenges, Charge Capture Strategy, Denials, EHR, EMR, Medical Billing, Missed Charges, Optimized Charge Capture, Revenue Cycle Management, Revenue Leakage

How to Choose The Right Clearinghouse Services

April 9, 2024 / admin / Articles, CAQH, CAQH CORE Certification, Claim Transmission, Claims Management, Clearinghouse, Clearinghouse Service, EHNAC Accreditation, EHR, EHR Integration, EHR Interoperability, EMR, EMR Integration, HIPAA, HIPAA Compliance, HL7, HL7 Standards
Medical Billing Clearinghouse

Clearinghouses play a crucial role in facilitating the electronic exchange of data between providers, payers, and other entities. Clearinghouses act as intermediaries, converting data from proprietary formats used by different systems into standardized formats that can be understood by all parties involved. With so many clearinghouse options available, selecting the right one can be a […]

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CAQH CORE Certification, clearinghouse, EHNAC Accreditation, EHR, EHR Integration, EMR, EMR integration, HIPAA Compliance, HL7, HL7 interoperability, HL7 Standards, Regulatory Compliance, Value-Added Services

Which Medical Billing Technologies Should Healthcare Providers Adopt?

April 7, 2024 / admin / Articles, Billing Technologies, Business Intelligence, Claim Scrubbing, Data Analytics, Data Transparency, Denial Management, EHR, EHR Integration, EMR, EMR Integration, Medical Billing, Medical Billing AI, Medical Billing Analytics, RPA, RPA Adoption
Medical Biller Techie

If you’re a healthcare provider, dealing with medical billing is probably one of your least favorite parts of the job. It’s a total pain – keeping track of patient information, filing claims, following up on denials, and ensuring you actually get paid for your services. And let’s be honest, the medical billing process is incredibly […]

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A/R, Billing Tech, Billing Technologies, Business Intelligence, Claim Scrubbing, Data Analytics, Denials, EHR, EMR, KPIs, Patient Portals, RPA, Rules-Based Claim Scrubbing

How Robotic Process Automation is Replacing Manual Entry in Medical Billing

April 1, 2024 / admin / Articles, Automated Billing, Automation, Billing AI, Billing Automation, Billing Best Practice, EHR, EHR Integration, EHR Interoperability, EMR, EMR Data Extraction, EMR Integration, Revenue Cycle, Revenue Cycle Automation, Robotic Process Automation, RPA, RPA Adoption
robotic-process-automation-RPA-example-code

Let’s be real – medical billing can be a huge pain. For those who perform it internally and externally. At times, it’s one of those mind-numbingly tedious tasks that makes you question your career choices. Hours upon hours of copying and pasting data from one system to another, checking and re-checking codes, filling out endless […]

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Automation, Billing Automation, EHR, EMR, EMR Data Extraction, EMR RPA, Medical Billing Automation, Robotic Process Automation, Robotic Process Automation Billing, Robotic Process Automation Medical Billing, RPA, RPA Adoption

Streamline Your Medical Billing Workflow: Best Practices for Efficiency

March 11, 2024 / admin / Articles, Billing, Billing Best Practice, Billing Challenges, Billing Workflow, Coding Intricacies, Interoperability, Medical Billing, Medical Billing Workflow, NLP, Payer Regulations, Robotic Process Automation, RPA, Streamlined Medical Billing Workflow
Medical Billing Workflow

Efficient medical billing processes are crucial for maintaining a healthy revenue cycle and to ensure the financial well-being of healthcare providers. With the increasing complexity of payer regulations, coding intricacies, and patient expectations, medical billing workflows can quickly become convoluted and inefficient, leading to costly delays, errors, and dissatisfied patients. Fortunately, through the implementation of […]

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billing, Billing Challenges, Billing Workflow, Coding Intricacies, EHR, Electronic Health Records, EMR, Future-Proof, healthcare, Healthcare Billing, Interoperability Standards, Medical, Medical Billing, Medical Billing Service, Medical Billing Workflow, NLP, Payer Regulations, Practice Management Systems, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Streamlined Medical Billing Workflow

How to Connect an EHR to a Clearinghouse: A Step-by-Step Guide

January 23, 2024 / admin / Articles, Clearinghouse, EHR, EHR API, EHR Integration, EHRs, Electronic Claims, EMR, EMR Integration, Health Level 7, Healthcare, HL7, HL7 FHIR, HL7 messaging, HL7 Standard, Interoperability, Medical, Medical Billing, Medical Billing AI

Electronic health records (EHRs) have become an indispensable part of healthcare operations. EHRs allow providers to store patient information electronically and share it securely. However, to transmit claims and other data to payers, providers need to connect their EHR system to a clearinghouse. A clearinghouse acts as an intermediary between providers and insurance companies by […]

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clearinghouse, EHR, EMR, healthcare, Healthcare Billing, HL7, HL7 interface, HL7 interoperability, HL7 messaging, HL7 Standards, Medical, Medical Billing, Revenue Cycle Management, revenue cycle optimization

Medical Providers and the Untapped Potential of HL7

January 9, 2024 / admin / Articles, Billing, Billing Automation, Billing RPA, Billing Software, EHR, EHR Integration, EMR, EMR Integration, Health Level 7, Healthcare, HL7, HL7 FHIR, HL7 Format, HL7 Interface, HL7 messaging, HL7 Standard, HL7-enabled, Interoperability, Medical, Medical Billing

The healthcare industry has undergone massive changes in recent years, fueled by advances in technology and a shift towards patient-centered care. However, one area that still has untapped potential is the use of Health Level 7 (HL7) standards. HL7 provides a framework for exchanging clinical and administrative data between software applications used by various healthcare […]

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billing, EHR, EHR Integration, EMR, EMR Interoperability, Health Level 7, Healthcare HL7, HL7, HL7 adoption, HL7 FHIR, HL7 interface, HL7 interoperability, HL7 messaging, HL7 Standard, HL7 v2.x, HL7 v3.0, HL7-enabled, Medical Billing

Find the Best Medical Billing Software Solution for Your Healthcare Practice

February 6, 2023 / admin / Articles, AthenaHealth, CareCloud, CureMD, DrChrono, EHR, EHR Integration, EMR, Kareo, Medical Billing, Medical Billing Analytics, Medical Billing Software, NextGen, NueMD, Practice Fusion, Practice Management, PrognoCIS, PUREDI
Medical Billing Software White Male User

Discover the Most Advanced Medical Billing Software on the Market and Improve Your Practice’s Efficiency Uncover the Key Features of Medical Billing Software Medical billing software refers to a type of software specifically designed to help healthcare practices manage their billing and revenue cycle processes. This software is an essential tool for healthcare providers, enabling […]

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AthenaHealth, clearinghouse, CureMD, DrChrono, EHR, EHR Integration, EMR, EMR integration, healthcare, Healthcare Billing, Kareo, Medical Billing, medical billing software, NextGen, NueMD, Practice Fusion, PUREDI, rcm, Revenue Cycle Management

Electronic Claim Attachments: The Future Is Now

December 5, 2022 / admin / Billing, Billing Automation, Billing Revenue, Billing RPA, EHR, Electronic Claim Attachments, Electronic Claims, EMR, Medical Billing, Medical Billing AI, Medical Billing Artificial Intelligence, RCM, Revenue Cycle Management, Robotic Process Automation, RPA
electronic-claim-attachments

Submitting Electronic Claim Attachments One of the major strains on healthcare providers is the dependence on paper and manual procedures. This duo frequently adds up to harmful mistakes and costly denials, which demand significantly more time and effort to resolve, if left unchecked. Among the manual processes most difficult to manage are claim attachments that […]

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clearinghouse, EHR, Electronic Claim Attachments, Electronic Claims, EMR, Medical Billing, medical billing software, medical billing team, medical billing tool, outsourced billing, outsourced medical billing, rcm, Revenue Cycle Management

Why You Should Integrate EHR Systems and Medical Billing

September 23, 2022 / admin / Articles, Billing, Billing AI, Billing Automation, Billing Revenue, Billing RPA, EHR, EHR Integration, EMR, EMR Integration, Health Level 7, HL7, Medical Billing, Medical Billing AI, Medical Billing Artificial Intelligence, Medical Billing Automation

EHR Systems + Medical Billing Integration Medical billing and practice management has long been a labor-intensive task for healthcare providers. There’s little doubt, however, that the use of EHR (Electronic Health Records) or sometimes known as EMR (Electronic Medical Records) has considerably slashed these tasks by offering providers a proven method to effectively streamline their […]

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billing, Billing AI, Billing Automation, billing revenue, billing service, EHR, EHR (Electronic Health Records), EHR Integration, EHR Interoperability, Electronic Health Records, Electronic Medical Records, EMR, EMR (Electronic Medical Record), Health Level 7, HL7, insurance, Interoperability, Interoperability Standards, Medical Billing

Medical Billing Robotic Process Automation (RPA)

February 22, 2022 / admin / Articles, Billing Automation, Billing RPA, Health Level 7, HL7, Medical Billing Automation, Medical Billing RPA, RCM, Revenue Cycle Management, Robotic Process Automation, RPA
Robotic Process Automation (RPA) Medical Billing

Robotic Process Automation (RPA) in Medical Billing What Exactly is Robotic Process Automation? When you come across the term “robotic process automation,” you might think it sounds rather futuristic. However, RPA, as it’s often termed, is a technology being deployed more and more in the healthcare industry, including medical billing. Robotic process automation (software) consists […]

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Billing Automation, Billing RPA, EHR, EHR RPA, EMR, EMR RPA, Health Level 7, HL7, insurance, Medical Billing, Medical Billing Automation, Medical Billing Robotic Process Automation, Medical Billing RPA, rcm, Revenue Cycle Management, Robotic Process Automation, Robotic Process Automation Billing, Robotic Process Automation Medical Billing, RPA, RPA Billing

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

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