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

Posts tagged "Medicaid"

Medicaid Changes Under The One Big Beautiful Bill Act

July 28, 2025 / admin / Articles, Coverage Loss, DJT, Donald J. Trump, Donald Trump, Federal Cuts, Medicaid, Medicaid Changes, Medicaid Fraud, Medicaid-Specific Impact, OBBBA, One Big Beautiful Bill Act, Trump, Work Requirement, Work Requirement for Medicaid
One Big Beautiful Bill Act Outcomes

The One Big Beautiful Bill Act, officially designated as H.R. 1 in the 119th Congress, represents one of the most significant pieces of domestic policy legislation in recent years. The House July 3 voted 218-214 to pass the final version of the One Big Beautiful Bill Act (H.R. 1), which enacts many of President Trump’s […]

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Coverage Loss, DJT, Donald J. Trump, Donald Trump, Federal Cuts, Medicaid, Medicaid Changes, Medicaid Fraud, Medicaid-Specific Impact, OBBBA, One Big Beautiful Bill Act, Trump, Work Requirement, Work Requirement for Medicaid

Brace for Impact: Managing the Surge of New Medical Billing Regulations

November 27, 2023 / admin / Articles, Billing, Billing Regulations, Billing Revenue, Claim Data, Good Faith Estimates, Health Level 7, Healthcare, HL7, Interoperability, Medicaid, Medical Billing Regulations, Medicare, No Surprises Act, Pre-Authorization
Medical Billing Software White Male User

As US healthcare costs continue rising steeply – now over $4 trillion representing nearly 20% of GDP – both federal and state policymakers urgently seek ways to contain runaway expenditure growth. This drive manifests through expansion of programs like Medicare Advantage and Medicaid managed care coupled with accelerating passage of game-changing legislation like No Surprises […]

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Billing, Billing Best Practice, Billing Disruption, Billing Revenue, Claim Data, Consumer-Centered Billing, Good Faith Estimates, Health Level 7, Healthcare, HL7, Interoperability, Medicaid, Medical Billing Regulations, Medicare, No Surprises Act, Pre-Authorization

Detecting and Preventing Healthcare Fraud and Abuse: A Comprehensive Guide

July 5, 2023 / admin / Articles, Detecting Healthcare Fraud, Healthcare, Healthcare Abuse, Healthcare Fraud, Healthcare Fraud Abuse, Medicaid, Medicaid Fraud, Medical, Medicare, Medicare Fraud, Preventing Healthcare Fraud, Unbundling, Unusual Billing Patterns
Group of Medical Doctors Sitting at Table

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. Implementing the strategies outlined below allows you to enhance the integrity of your healthcare services and […]

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Detecting Healthcare Fraud, Fraud, Healthcare, Healthcare Abuse, Healthcare Fraud, Healthcare Fraud Abuse, Medicaid, Medicaid Fraud, Medical, Medical Fraud, Medicare, Medicare Fraud, Phantom billing, Preventing Healthcare Fraud, Unbundling, Unusual Billing Patterns

Medicare and Medicaid Fraud: A Growing Problem in the Healthcare Industry

February 2, 2023 / admin / Articles, Billing, Billing Services Not Rendered, Claim Billing, False Certification, Fraud, Healthcare, Healthcare Billing, Kickbacks, Medicaid, Medicaid Fraud, Medical Billing, Medical Claims, Medicare, Medicare Fraud, Phantom Billing, Prescription drug fraud, Supply Fraud, Unlawful Self-Referral, Upcoding, Whistleblower Protection Act
Medicare Fraud

Medicare and Medicaid Fraud is a Massive Healthcare Industry Problem Medicare and Medicaid Fraud Vulnerability The Medicare and Medicaid programs provide crucial support to millions of Americans, offering access to healthcare services for those who may not otherwise be able to afford it. Unfortunately, these programs are also vulnerable to fraud, with criminals exploiting the […]

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Billing for Services Not Rendered, Billing Fraud, False certification, Fraud, Kickbacks, Medicaid, Medicaid Fraud, Medical Billing Fraud, Medicare, Medicare Fraud, Phantom billing, Prescription Drug Fraud, Supply fraud, Unlawful self-referral, Upcoding, Whistleblower, Whistleblower Protection Act

Payer Contracting, What Healthcare Providers Should Understand

November 7, 2022 / admin / Articles, Credentialing, Credentialing On-Boarding, Enrollment, Healthcare Credentialing, Healthcare Outcomes, Measuring Healthcare Outcomes, Medicaid, Medical Credentialing, Medicare, Payer Contracting, Private Insurers
Payer Contracting White Female

Let’s begin with this set-up: Let’s say you’re hunting for a new job and receive a call from a would-be employer informing you that the job is yours. Of course, you’re thrilled by the news and inquire about your starting salary. Your new employer replies that you need to wait for your first paycheck to […]

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Credentialing, Healthcare Credentialing, Medicaid, Medicare, Private Insurers, Provider Credentialing, Provider Networks, Reimbursement Rates

Does Medicare Cover (Mental Health Services) such as Therapy?

February 9, 2022 / admin / Articles, Behavioral Health, Behavioral Health Billing, Healthcare, Healthcare Outcomes, Medicare Coverage, Mental Health, Mental Health Billing
Mid 60's White Female Credentialing Expert

Behavioral / Mental Health Services + Medicare Sometimes it can be problematic for older adults to differentiate indicators of mental health difficulties for typical aging-related changes. They may think that experiencing sadness or anxiety is an ordinary symptom of growing older, particularly when they live with taxing health conditions or lose loved ones. Deteriorating health […]

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Behavioral Health, Behavioral Health Billing, Medicaid, Medicare, Medicare Coverage, Medicare Therapy, Mental Health, Mental Health Billing

What Does Medicare Cover for Home Healthcare?

February 9, 2022 / admin / Articles, Billing, Billing Revenue, Healthcare, Healthcare Billing, Healthcare Outcomes, Medicaid, Medical Billing, Medical Claims, Medical Providers, Medicare, Occupational Therapy, Physical Therapy, Speech Therapy
Home Healthcare Service (Medicare)

Home Health Services + Medicare What does Medicare Cover for Home Healthcare? If you’re looking for an answer to the question, “What does Medicare cover for home healthcare?”, you’ve probably typed it into a search engine and immediately closed the tab. The amount of information and the level of detail can quickly become confusing and […]

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Healthcare, Healthcare Services, Home Health Care, Home Health Services, Home Healthcare, Medicaid, Medicaid Billing, Medicaid Coverage, Medicare, Medicare Billing, Medicare Coverage

Common Cases of Medicare, Medicaid Fraud

December 8, 2021 / admin / Articles, False Claims Act, Fraud, Medicaid, Medicaid Fraud, Medicaid Fraud Examples, Medicare, Medicare Fraud, Medicare Fraud Examples, Phantom Billing, Unbundling, Upcoding
Medicare Fraud

Medicare, Medicaid Fraud Examples and Steps to Ensure You Don’t Commit It *These are examples of fraud as it relates to Medicare and Medicaid. Medical fraud is the intentional deception or misrepresentation of healthcare transactions by the provider for the sake of receiving unauthorized benefits or financial gain. Healthcare fraud is committed when a dishonest […]

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Billing Fraud, False Claims Act, Fraud, Medicaid, Medicaid Billing, Medicaid Fraud, Medicaid Fraud Examples, Medical Billing Fraud, Medicare, Medicare Billing, Medicare Fraud, Medicare Fraud Examples, Upcoding

4 (Medical Billing) Techniques that Can Assist Your Practice

August 22, 2019 / admin / Articles, Best Medical Billing Company, Denials Managements, Healthcare Delivery, Medicaid, Medical Billing, Medical Billing Companies, Medical Billing Customer Service, Medicare, Patient Billing, Patient Medical Billing, Top Medical Billing Companies
Medical Biller Techie

Medical Billing Techniques that Can Be Installed to Help Your Medical Practice Health care providers should periodically review their financials and revenue cycle, so that they can take corrective measures at the earliest if required. A great deal of medical offices / health care providers find that medical billing is one area which could be […]

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AI, Automation, EHR, Medicaid, Medical Billing, Medicare, MIPS, Outsource Medical billing, Pittsburgh Medical Billing

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Practices Served

  • Behavioral Health
  • DME
  • Genetic Testing
  • Urgent Care
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • Substance Abuse
  • Allergy Testing
  • Speech Therapy
  • Skilled Nursing Facilities
  • Oncology
  • Pathology
  • Internal Medicine
  • OBGYN
  • 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
  • Genetic Testing
  • Urgent Care
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • Substance Abuse
  • Allergy Testing
  • Speech Therapy
  • Skilled Nursing Facilities
  • Oncology
  • Pathology
  • Internal Medicine
  • OBGYN
  • 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

  • AI in Medical Credentialing

    How is AI Being Used in Medical Credentialing?

  • Arizona Medical Billing, Credentialing

    Arizona’s Medical Billing & Credentialing Partner

  • One Big Beautiful Bill Act Outcomes

    Medicaid Changes Under The One Big Beautiful Bill Act

  • Indian Woman Physician Assistant Needing Credentialing

    What to Do If Your Medical Credentialing is Denied?

  • California Medical Billing, Credentialing

    California Medical Billing: Golden State’s Complex Healthcare Landscape

  • Medical Credentialing Engine Fueling American Healthcare

    Credentialing: Fueling America’s Healthcare Engine

  • Texas Medical Billing, Credentialing

    Texas Medical Billing & Credentialing Solutions

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