Billing & Credentialing Cranberry Twp. (Pittsburgh)
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  • Posts tagged "healthcare" (Page 3)

Posts tagged "healthcare"

Strategies for Reducing Accounts Receivable Days and Improving Collections

September 4, 2023 / admin / A/R, A/R Recovery, Accounts Receivable, AR, AR Recovery, Articles, Billing, Billing AI, Billing Revenue, Healthcare, Healthcare AR, Healthcare AR Recovery, Healthcare Billing, Healthcare Outcomes, Medical, Medical Billing, Revenue Cycle Management, Revenue Cycle Management (RCM)
Accounts Receivable (AR) Recovery

For any medical practice, keeping accounts receivable cycles short and patient collections high is critical for unlocking the path to financial health. When reimbursement lags become excessive or collection rates decline, financial pressures mount quickly. Covering key strategies and best practices to shorten accounts receivable days, boost patient payments, and strengthen the financial fitness of […]

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A/R, A/R Process, A/R Recovery, Accounts Receivable, Accounts Receivable Recovery, AR, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, medical billing strategy, Revenue Cycle Management, revenue cycle optimization

A Comprehensive Overview of Medical Billing and Coding Salaries

August 25, 2023 / admin / Articles, Billing, Billing Salaries, Billing Services, Coding, Healthcare, Healthcare Billing, Healthcare Salaries, Medical, Medical Billing, Medical Billing and Coding, Medical Billing and Coding Salaries, Medical Billing Salaries, Medical Coders, Medical Coding Salaries, Medical Salaries
Medical Biller, Coder Salary

Medical billers and coders play a critical role in the healthcare revenue cycle. Their work processing medical claims ensures providers receive accurate reimbursement for services rendered. But what can these professionals expect to earn as their billing and coding career progresses? We explore key factors influencing medical billing and coding salaries, average pay ranges, top […]

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billing, healthcare, Healthcare Billing, Medical, Medical Biller, Medical Billing, Medical Billing and Coding Salaries, Medical Billing Salary, Medical Coder, Medical Coding Salary

How to Verify Insurance Eligibility and Benefits Like a Pro

August 23, 2023 / admin / Articles, Billing, Billing Best Practice, Billing Revenue, Healthcare, Healthcare Billing, Healthcare Revenue, Insurance Eligibility, Medical, Medical Billing, Medical Billing Best Practices, Medical Billing Service, Verify Insurance, Verify Insurance Eligibility
insurance-eligibility-verification

Verifying a patient’s insurance eligibility and benefits is a critical first step in the medical billing process. Doing it thoroughly and accurately helps prevent claim denials and delays in payment down the road. We reveal proven techniques to verify eligibility and benefits like a seasoned medical billing pro. Insurance Eligibility Verifying insurance eligibility is crucial in […]

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Benefits Verification, Eligibility, healthcare, Healthcare Billing, Insurance Eligibility, Medical Billing, Medical Billing Service, medical billing strategy, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, Outsourced Verification, Revenue Cycle Management, revenue cycle optimization, Smarter Verification, Verify Eligibility, Verify Insurance Eligibility

Credentialing New Providers? Don’t Forget These Crucial Steps

August 22, 2023 / admin / Articles, Credentialing, Credentialing Accuracy, Credentialing AI, Credentialing New Providers, Credentialing On-Boarding, FTP, Medical Recredentialing, Provider Recredentialing, Recredentialing
Medical Credentialing Woman

Adding new providers to your practice brings growth opportunities, but also important billing considerations. Navigating payor credentialing, enrollment paperwork, and proper system setup keeps revenue flowing smoothly for new clinicians. We expose the key steps medical billers / credentialers should take when onboarding new providers to ensure claims pay as expected. Why Provider Credentialing Matters […]

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Credentialing, Credentialing AI, Credentialing New Providers, credentialing on-boarding, EHR, FTP, healthcare, Medical, medical credentialing, Medical Recredentialing, Payer enrollment, Pre-screening, Provider Recredentialing, Recredentialing, Revenue Cycle Management, revenue cycle optimization

Medical Billing KPIs and Metrics Every Practice Should Track

August 22, 2023 / admin / Articles, Billing, Billing Best Practice, Healthcare, Healthcare Billing, KPI, KPIs, Measuring Healthcare Outcomes, Medical, Medical Billing, Medical Billing KPIs
Medical Billing Credentialing Team

How do you know your medical billing operation is performing optimally? Key performance indicators (KPIs) and metrics provide the critical insights. By regularly tracking the right quantitative measures, you gain visibility into what’s working, uncover issues early, and identify areas for improvement. We reveal essential medical billing KPIs and metrics every practice should monitor. Why […]

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healthcare, Healthcare Billing, Healthcare KPIs, KPI, KPIs, Medical, Medical Billing, Medical Billing KPIs, Medical Billing Service, Medical KPIs, Revenue Cycle Management

Why Medwave is the Best Medical Billing Company for Your Practice

August 22, 2023 / admin / Articles, Automation, Billing, Billing AI, Billing Automation, Billing Best Practice, Billing Revenue, Billing Services, Denial Management, HIPAA, Medical Billing, Revenue Cycle Management, Robotic Process Automation, RPA
Accounts Receivable (AR) Recovery

Selecting the right medical billing company is key to ensuring smooth claim processing, optimal reimbursement, and an improved bottom line. As the healthcare revenue cycle becomes more complex, outsourcing to specialists is an increasingly attractive option. Below, we’ll explore why Medwave rises above the rest as the top medical billing service for providers. Deep Medical […]

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healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, medical billing strategy, medical credentialing, Outsource Medical billing, outsourced billing, outsourced medical billing, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPA

AR Recovery: Unlocking the Path to Financial Health

August 17, 2023 / admin / Accounts Receivable, AR Recovery, Articles, Billing, Healthcare, Healthcare Billing, Healthcare Revenue
Medical Owner White Businessman

In the complex landscape of medical billing, the term “AR Recovery” holds significant importance. This article will delve into the depths of AR Recovery, shedding light on its significance, process, and benefits. Whether you’re a healthcare provider, a patient, or simply curious about medical billing intricacies, this guide will provide you with valuable insights. AR […]

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A/R Recovery, Accounts Receivable, Accounts Receivable Recovery, AR Medical Billing, AR Recovery, healthcare, Healthcare Billing, Medical Billing, Medical Billing Service, Revenue Cycle Management, revenue cycle optimization

Which CPT Codes are Used in Intensivist Billing?

August 4, 2023 / admin / Articles, Biling Codes, Billing, Billing Automation, Billing Services, Claim Billing, Critical Care Services, FAQs, Healthcare, Healthcare Billing, HL7, ICD-10, Intensivist, Intensivist Billing, Medical Billing
White Female Medical Billing Outsourced

Navigating the complex world of medical billing requires a deep understanding of Current Procedural Terminology (CPT) codes. For intensivists, accurate coding is crucial to ensure proper reimbursement for the critical care services they provide. We’ll jump into the realm of intensivist billing and explore the key CPT codes that play a pivotal role. Whether you’re […]

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99291, 99292, Arterial Line Insertion, Central Venous Catheterization, Chest X-rays, Complex Chronic Care Coordination, Critical Care Services, Electrocardiogram, End-of-Life Care, Extensive Care Plan Oversight, healthcare, Healthcare Billing, Hemodynamic Monitoring, Informed Consent, Intensivist, Intensivist Billing, Mechanical Ventilation Management, Medical, Medical Billing, Medical Billing Service, Medical Team Conferences, Revenue Cycle Management, Telemedicine Services, Ultrasound Guidance, Wound Care

Which CPT Codes are Used in Hospitalist Billing?

August 2, 2023 / admin / Articles, Billing, Billing Revenue, Billing Services, Claim Billing, Claim Data, Claim Denials, CPT Codes, Denial Management, Denied Claims, Denied Medical Claims, Healthcare, Healthcare Billing, HL7, Hospitalist, Hospitalist Billing, Hospitalist Medicine, ICD-10, Medical, Medical Billing
Medical Billing Software White Male User

In the realm of medical billing and coding, precision and accuracy are paramount. Hospitalist billing, a specialized area, relies on specific CPT (Current Procedural Terminology) codes to ensure proper reimbursement for services rendered. These codes serve as a universal language that communicates medical procedures and services to insurance companies. In this comprehensive guide, we’ll delve […]

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99221, 99231, 99233, 99238, CPT codes, CPT Codes in Hospitalist Billing, healthcare, Healthcare Billing, Hospitalist, Hospitalist Billing, Hospitalist Medical Billing, ICD-10, Medical, Medical Billing, Medical Billing Service

Detecting and Preventing Healthcare Fraud and Abuse: A Comprehensive Guide

July 5, 2023 / admin / Articles, Healthcare, Healthcare Abuse, Healthcare Fraud, Medicaid, Medicaid Fraud, Medical, Medicare, Medicare Fraud
hcc-coding-white-male-doctor-at-laptop-medical-billing

At Medwave, we are dedicated to providing valuable insights and guidance on detecting and preventing healthcare fraud and abuse. We will equip you with the knowledge and tools necessary to safeguard your organization and patients from these malicious activities. By implementing the strategies outlined below, you can enhance the integrity of your healthcare services and […]

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fraud, healthcare, Healthcare Abuse, Healthcare Fraud, medicaid, medicaid fraud, Medical, Medical Fraud, medicare, medicare fraud, Phantom billing

Payer Enrollment: Streamlining Healthcare Billing and Reimbursement

June 30, 2023 / admin / Articles, Credentialing, Healthcare, Medical, Medical Billing, Payer Contract, Payer Contracting, Payer Enrollment, Payer Negotiation, Provider Credentialing, Provider-Payer, Reimbursement, Reimbursement Rates, Reimbursement Regulations, Revenue Cycle Management
Payer Contracting White Female

Understanding Payer Enrollment What is Payer Enrollment? Payer enrollment refers to the process through which healthcare providers, such as hospitals, clinics, and individual practitioners, become registered with insurance payers or healthcare plans. It involves submitting the necessary documentation and information to establish a contractual relationship with these payers. By enrolling with payers, providers gain the […]

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Credentialing, healthcare, Healthcare Billing, healthcare credentialing, Medical, Medical Billing, Medical Billing Service, medical credentialing, payor enrollment, Revenue Cycle Management, revenue cycle optimization

The Importance of Robotic Process Automation in Medical Billing

June 26, 2023 / admin / Articles, Automation, Billing, Billing Automation, Billing Best Practice, Billing Revenue, Billing RPA, Billing Services, Healthcare, HIPAA, HIPAA Compliant, HL7, Medical, Medical Billing, Medical Billing AI, Medical Billing Automation, Robotic Process Automation, RPA
robotic-process-automation-RPA-example-code

In today’s fast-paced world, the healthcare industry faces numerous challenges when it comes to managing medical billing processes efficiently. With the increasing complexity of healthcare systems and the constant changes in regulations, there is a growing need for automation to streamline and optimize medical billing operations. Robotic Process Automation (RPA) has emerged as a game-changing […]

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healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Robotic Process Automation, Medical Billing Service, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, Robotic Process Automation Billing, Robotic Process Automation Medical Billing, RPA

Why Outsource Your Medical Billing?

June 26, 2023 / admin / Articles, Billing, Billing Automation, Billing Best Practice, Billing Revenue, Billing Services, Claim Billing, Claim Denials, Claim Rejection, Commonly Asked Medical Billing Questions, FAQs, Full Service Medical Billing, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Medical, Medical Billing
White Female Medical Billing Outsourced

In today’s fast-paced healthcare industry, medical billing plays a crucial role in the financial stability and success of medical practices. However, managing the complexities of medical billing can be overwhelming for healthcare providers. This is where outsourcing your medical billing can be a game-changer. In this article, we will explore the reasons why outsourcing your […]

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healthcare, Healthcare Billing, Medical Billing, Medical Billing Service, medical billing strategy, medical claims, Outsource Medical billing, outsourced billing, outsourced medical billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization

Which CPT Codes are Used in Substance Abuse Billing?

June 22, 2023 / admin / Articles, CPT, CPT Code, CPT Codes, FAQ, FAQs, Healthcare, Medical, Medical Billing, Substance Abuse, Substance Abuse Billing
Substance Abuse Billing

Substance abuse treatment plays a crucial role in addressing addiction and supporting individuals on their path to recovery. Alongside the provision of quality care, it is essential to have a streamlined billing process to ensure efficient reimbursement for the services rendered. This article aims to explore the common Current Procedural Terminology (CPT) codes used in […]

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Behavioral health assessment, Case management, CPT, CPT-10, Detoxification and withdrawal management, Evaluation and Management, Family therapy, Group therapy, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Medication management, Psychotherapy, substance abuse, Substance Abuse and Mental Health Services Administration, Substance Abuse Billing

Which CPT Codes are Used in Urgent Care Billing?

May 28, 2023 / admin / Articles, Billing, Billing Codes, E/M Codes, E/M Coding, Healthcare, Healthcare Billing, ICD-10, ICD-10 coding, Medical Billing, Medical Billing and Coding, Procedural Codes, Procedure Modifiers, Urgent Care CPT Codes, Urgent Care Diagnosis Codes, Urgent Care Modifiers
Urgent Care CPT Codes

Urgent care clinics have become an increasingly popular option for patients seeking prompt medical attention for non-life-threatening conditions. These facilities provide convenient, affordable, and timely care for a wide range of illnesses and injuries that are too severe to wait for a scheduled appointment but not serious enough to warrant a visit to the emergency […]

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Articles, billing, Billing Codes, E/M codes, E/M coding, healthcare, Healthcare Billing, ICD-10, ICD-10 coding, Medical Billing, Medical Billing and Coding, Procedural Codes, Procedure Modifiers, Urgent Care Billing, Urgent Care CPT Codes, Urgent Care Diagnosis Codes, Urgent Care Modifiers

Denial Codes in Medical Billing: A Comprehensive Guide

May 21, 2023 / admin / Articles, Billing, Billing Best Practice, Billing Services, Claim Billing, Claim Denials, Claim Rejection, Claim Status, Denial Codes, Denials Managements, Denied Claims, Denied Medical Claims, Rejected Claims
Rejected, Denied Medical Claim

Welcome to our comprehensive guide on denial codes in medical billing. As a leading authority in the healthcare industry, we understand the challenges healthcare providers face when it comes to navigating the complex world of medical billing. Our goal is to provide you with valuable insights and actionable strategies to help you overcome denial code challenges […]

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Denial Codes, denial management, denied medical claims, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, outsourced billing, Revenue Cycle Management, revenue cycle optimization

Why is Credentialing So Important to Medical Providers?

May 12, 2023 / admin / Articles, Credentialing, Credentialing Accuracy, Credentialing AI, Credentialing On-Boarding, Healthcare, Healthcare Credentialing, HIPAA, HIPAA Compliant, Medical Credentialing
White Female Credentialing Professional

As the healthcare industry continues to grow and evolve, credentialing has become an essential aspect of ensuring the safety and quality of care provided to patients. Credentialing is the process of verifying a healthcare provider’s qualifications, experience, and professional history to ensure that they meet the necessary standards for patient care. We disclose why credentialing […]

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Credentialing, credentialing challenges, credentialing process, healthcare, healthcare credentialing, Medical, medical credentialing

Qualities of an Outstanding Physician Billing Solution

May 5, 2023 / admin / Articles, Artificial Intelligence, Billing, Billing AI, Billing Automation, Billing Best Practice, Billing Revenue, Billing Services, Claim Billing, Denied Claims, Denied Medical Claims, EHR, EHR Integration, Electronic Claims, Healthcare, Healthcare Billing, HIPAA Compliant, HL7, Medical, Medical Billing, Robotic Process Automation, RPA, RPA HL7
Medical Billing Software White Male User

As a leading provider of healthcare services, we understand the importance of an efficient and reliable physician billing solution. Medical billing is a critical aspect of healthcare management, and selecting the right solution can significantly impact the success and profitability of a practice. In this article, we will explore the key qualities that define a […]

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billing, denial management, EHR, Electronic Health Records, healthcare, Healthcare Billing, HL7, Medical, Medical Billing, Robotic Process Automation, Robotic Process Automation Medical Billing, RPA

What is EOB in Medical Billing?

May 1, 2023 / admin / Articles, Billing, EOB, EOBs, Explanation of Benefits, Healthcare, Healthcare Billing, Medical, Medical Billing
What-is-EOB-in-Medical-Billing

In the complex world of medical billing, an Explanation of Benefits (EOB) plays a crucial role in helping patients understand the costs and coverage associated with their healthcare services. An EOB is a document that provides a detailed breakdown of a medical claim, outlining the services rendered, the amount billed, the insurance coverage, and the […]

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EOB, EOBs, Explanation of Benefits, healthcare, Healthcare Billing, Medical, Medical Billing

Understanding the Difference Between Medical Billing and Revenue Cycle Management

May 1, 2023 / admin / Articles, Billing AI, CPT, CPT Code, CPT Codes, Healthcare, Healthcare Billing, Healthcare Revenue, ICD-10, Medical, Medical Billing, RCM, Revenue, Revenue Cycle Management, Revenue Cycle Management (RCM)
White Female Medical Billing Outsourced

In the complex world of healthcare, managing the business side of things can often be overwhelming, especially for those new to the field. One common question that arises is the distinction between medical billing and revenue cycle management (RCM). Although the term “medical billing” has been around for a long time, RCM encompasses the entire […]

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CPT, healthcare, Healthcare Billing, ICD, Medical, Medical Billing, Medical Billing Service, medical billing software, medical credentialing, rcm, Revenue Cycle, Revenue Cycle Management

Streamline Your Private Practice: A Comprehensive Guide to Registering with CAQH

April 27, 2023 / admin / Articles, CAQH, Council for Affordable Quality Healthcare, Credentialing, Healthcare, Healthcare Credentialing, Medical, Medical Credentialing
CAQH Medical Handshake

As a healthcare professional running a private practice, streamlining administrative processes is crucial for optimizing efficiency and providing quality care to your patients. One essential step in this regard is registering with the Council for Affordable Quality Healthcare (CAQH). We’ve created this guide to help you understand the importance of CAQH registration and navigate the […]

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accreditation, CAQH, Council for Affordable Quality Healthcare, Credentialing, healthcare, healthcare credentialing, medical credentialing, Revenue Cycle Management

How to Choose the Correct CPT Code

April 21, 2023 / admin / Articles, Biling Codes, Billing, CPT, CPT Codes, Healthcare, Healthcare Billing, Medical, Medical Billing
CPT Codes Options

How to Choose the Correct CPT Code for Your Medical Billing and Coding Services As a medical biller or coder, choosing the correct Current Procedural Terminology (CPT) code is crucial for accurate reimbursement. However, with thousands of codes available, it can be overwhelming to find the right one for your services. We offer a free […]

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billing, Correct CPT Code, CPT, CPT Billing Codes, CPT Code, CPT codes, CPT-10, CPT-10 Codes, healthcare, Healthcare Billing, Medical, Medical Billing

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 […]

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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

Which CPT Codes are Used in Toxicology Lab Billing?

March 7, 2023 / admin / Articles, Biling Codes, Billing, CPT Codes, Medical Coding, Toxicology Billing, Toxicology Lab Billing, Toxicology Labs
Toxicology Lab Billing

Toxicology testing is the analysis of biological samples, such as urine or blood, to detect the presence of drugs or other substances. The results of these tests can be critical in determining a patient’s treatment plan, medication management, or drug rehabilitation program. Toxicology labs play a crucial role in the diagnosis and treatment of various […]

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CPT, CPT codes, CPT-10, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, toxicology, toxicology billing, Toxicology CPT Codes, toxicology lab billing, toxicology laboratory billing

Which CPT Codes are Used in Genetic Testing Billing?

March 6, 2023 / admin / Articles, CPT Codes, Genetic Testing, Genetic Testing Billing, Genetic Testing Medical Billing, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Lab Billing, Laboratory Billing, Medical, Medical Billing
Genetic Testing Lab

Genetic testing has become an essential tool in medicine, providing valuable insights into a patient’s health and disease risk. As genetic testing becomes more prevalent, medical professionals must navigate the complex world of billing and coding for these tests. Correct coding ensures that the provider is reimbursed for the services provided, and it also provides […]

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CPT, CPT Code, CPT-10, genetic testing, genetic testing billing, Genetic Testing CPT Codes, genetic testing labs, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Revenue Cycle Management
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Practices Served

  • Behavioral Health
  • Genetic Testing
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • COVID-19 Testing
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  • 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

  • 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

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