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

Posts tagged "medical coding"

New Medical Coding Modifiers for 2025

December 7, 2024 / admin / Articles, Modifier -AI1, Modifier -AI2, Modifier -CC1, Modifier -CC2, Modifier -CC3, Modifier -PM1, Modifier -PM2, Modifier -PM3, Modifier -RB1, Modifier -RB2, Modifier -TH2, Modifier -TH3, Modifier -TH4
Medical Coding Modifiers for 2025

If you’re in the healthcare provider world, you know that modifiers are like the secret sauce of medical coding. They provide those crucial extra details that can make or break a claim. Think of them as the fine-print heroes that ensure you’re getting paid correctly for the exact services you’ve provided. The Landscape of Change […]

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Billing Codes, Complex Modifiers, Medical Billing, Medical Coder, medical coding, Modifier -AI1, Modifier -AI2, Modifier -CC1, Modifier -CC2, Modifier -CC3, Modifier -PM1, Modifier -PM2, Modifier -PM3, Modifier -RB1, Modifier -RB2, Modifier -TH2, Modifier -TH3, Modifier -TH4, Remote Services Modifiers, Specialized Treatment Modifiers, Technological Intervention Modifiers, Telehealth Modifiers, Time-Based Modifiers

Efficient Modifier Usage Streamlines Billing Success

October 19, 2024 / admin / Articles, Billing, Billing Codes, Coding, Coding and Billing, Medical Billing, Medical Coder, Medical Coding, Modifier 22, Modifier 25, Modifier 26, Modifier 50, Modifier 51, Modifier 59, Modifier TC
Crazy Medical Coder Biller

Efficient and accurate billing practices are essential for maintaining the financial health of healthcare providers and ensuring proper reimbursement for services rendered. One key element in optimizing medical billing processes is the effective use of modifiers. These two-digit codes provide additional information about medical procedures and services, allowing for more precise billing and reducing the […]

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billing, Billing Codes, Coding, Coding Accuracy, coding and billing, Medical Billing, Medical Coder, medical coding, Medical Coding Accuracy, Modifier, Modifier 22, Modifier 25, Modifier 26, Modifier 50, Modifier 51, Modifier 59, Modifier TC

For Medical Billers, Coding Accuracy is Valued Above All

September 21, 2024 / admin / Articles, Coding, Coding Accuracy, Coding and Billing, Coding and Documentation, Coding Intricacies, Coding versus Billing, Medical Coder, Medical Coders, Medical Coding, Medical Coding Accuracy, Medical Coding Quality
Female Medical Coder

Medical billing stands as a crucial link between healthcare providers and payers. At the heart of this process lies a fundamental principle that every medical biller must embrace: the paramount importance of accuracy in coding. We delve deep into why coding accuracy is not just a best practice, but an absolute necessity in medical billing, […]

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billing, Coding, Coding Accuracy, coding and billing, Coding and Documentation, Coding Intricacies, Coding versus Billing, Medical Billing, Medical Coder, Medical Coders, medical coding, Medical Coding Accuracy, Medical coding quality, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization

How AI is Improving Medical Coding Accuracy and Efficiency

September 19, 2024 / admin / AI, AI Bot, AI Coding, AI in Healthcare, AI into RCM, AI Medical Coding, AI Models, AI RCM, AI-driven RCM, Articles, Coding, Coding and Billing, Medical Coding, Natural Language Processing
AI in RCM

Accurate and efficient medical coding is crucial for proper billing, reimbursement, and overall patient care. As the healthcare industry continues to evolve, artificial intelligence (AI) is emerging as a game-changing technology in the field of medical coding. We inspect how AI is revolutionizing the medical coding process, improving accuracy, and boosting efficiency in ways that […]

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AI, AI Bot, AI Coding, AI in Healthcare, AI into RCM, AI Medical Coding, AI Models, AI RCM, AI-driven RCM, Coding, coding and billing, medical coding, Natural Language Processing

Medical Coding vs. Medical Billing: Understanding Their Difference

September 13, 2024 / admin / Articles, Billing, Billing Codes, Coding, Coding and Billing, Coding versus Billing, Healthcare Billing, Healthcare Revenue, Medical Billing, Medical Billing and Coding, Medical Coder, Medical Coding
Coding versus Billing

Two crucial roles often cause confusion due to their interconnected nature: medical coding and medical billing. While both are essential components of the healthcare revenue cycle, they involve distinct responsibilities, skill sets, and career paths. We aim to demystify these professions, highlighting their differences, similarities, and importance in the healthcare industry. Introduction to Medical Coding […]

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billing, Billing Codes, Coding, coding and billing, Coding versus Billing, Healthcare Billing, Healthcare Revenue, Medical Billing, Medical Billing and Coding, Medical Coder, medical coding

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 […]

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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

Which CPT Codes are Used in Breast Cancer Treatment Billing?

March 2, 2024 / admin / Articles, Billing, Breast Cancer, Breast Cancer Billing, Breast Cancer Care, Breast Cancer Coding, Breast Cancer CPT Codes, Coding, Coding and Billing, CPT, CPT Codes, CPT Definitions, Medical Billing, Medical Billing and Coding
Breast Cancer CPT Codes

Breast cancer is one of the most common cancers among women in the United States, with about 1 in 8 women developing invasive breast cancer over their lifetime. As breast cancer incidence has increased over the past several decades, advances in screening, diagnosis, and treatment have also greatly improved. Breast cancer death rates have fallen […]

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billing, Biomarker Billing, Breast Cancer, Breast Cancer Billing, Breast Cancer Care, Breast Cancer CPT Codes, Breast MRI Billing, Breast Ultrasound Billing, Cancer Billing, Cancer Screening Billing, Chemotherapy Billing, Coding, CPT codes, healthcare, Healthcare Billing, Mammography Billing, Medical, Medical Billing, Medical Billing and Coding, medical coding, rcm, Revenue Cycle, Revenue Cycle Management

Unveiling Some of the Key CPT Codes in Medical Coding

February 20, 2024 / admin / Allergy Testing Billing, Articles, Behavioral Health Billing, Chiropractic Billing, Coding, DME Billing, Genetic Testing Billing, Hospital Billing, Hospitalist Billing, Lab Billing, Medical Billing, Medical Coding, Pharmacogenetics Billing, Reimbursement, Skilled Nursing Billing, Telehealth Billing, Toxicology Billing
White Female Medical Billing Outsourced

In the intricate world of medical billing and coding, understanding Common Procedural Terminology (CPT) codes is paramount. These codes act as a universal language, facilitating seamless communication between healthcare providers and insurance entities. Let’s delve into the realm of CPT codes, exploring their significance and shedding light on the most commonly used ones. Decoding CPT […]

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Allergy Testing Billing, Behavioral Health Billing, billing, Coding, COVID-19 billing, CPT codes, DME Billing, Family Practice Billing, genetic testing billing, Healthcare Billing, Medical Billing, medical coding, Medical Reimbursement, Occupational Therapy Billing, outsourced billing, PT Billing, Revenue Cycle Management, revenue cycle optimization, speech therapy billing, toxicology billing

10 Medical Coding Mistakes That Could Cost You

February 14, 2024 / admin / AHIMA, AMA, Articles, Coding, Coding Errors, Common Coding Errors, E/M Coding, ICD diagnosis code, Incorrect E/M, Medical Coder, Medical Coding, Medical Coding Quality, NOS codes, POA indicators
Female Medical Coder

Medical coding is a complex and detail-oriented job. Even experienced coders can make mistakes that lead to costly errors and compliance issues. Avoiding common coding mistakes is crucial for accurate reimbursement, proper record-keeping, and avoiding penalties. Medical coding is highly intricate, yet accuracy is critical for proper reimbursement, compliance, and data reporting. Even minor coding […]

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(not otherwise specified) codes, AHIMA, AMA, CMS, Coding, Coding Errors, Common Coding Errors, E/M coding, ICD diagnosis code, Incorrect E/M, medical coding, Medical coding quality, National Correct Coding Initiatives, NCCI Edits, NOS codes, POA indicators, Unbundling

What are and When to Use Modifier Codes

February 10, 2024 / admin / Anatomic Modifiers, Articles, Bilateral Surgery Modifiers, CMS, Coding, CPT, CPT Codes, CPT Definitions, Global Surgery Modifiers, HCPCS Codes, Medical, Medical Billing, Medical Coding, Missing Modifiers, Modifier Codes, Modifiers, Procedure Modifiers
Medical Billing White Guy

Modifier codes are an important part of medical billing and coding. They provide additional information about a medical procedure or service to help ensure proper reimbursement. Knowing when to use modifier codes can improve claim accuracy and prevent costly payment delays or denials. We explain what modifier codes are, why they are used, the most […]

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Anatomic Modifiers, Bilateral Surgery Modifiers, billing, Coding, coding and billing, CPT, CPT definitions, CPT-10, Global Surgery Modifiers, HCPCS, healthcare, Healthcare Billing, Medical, Medical Billing, medical coding, medical necessity, NCCI, NCCI Edits, payer policies, Procedure Modifiers, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization

Staffing Shortages Force New Medical Billing Strategies

January 12, 2024 / admin / Articles, Automation, Billing, Billing AI, Billing Automation, Billing Best Practice, Billing Revenue, Billing Services, Billing Software, Billing Staff, Claim Billing, Claim Denials, COVID, COVID-19, COVID-19 Billing, Healthcare, Healthcare Billing, Medical Billing, Medical Billing Staff, Revenue Cycle, Revenue Cycle Management
Pharmacogenetic (PGx) Testing Billing

The healthcare industry is facing a critical staffing shortage that is impacting medical billing operations and revenue cycle management. With an aging population and expanded access to healthcare, the demand for healthcare services is rising. However, there is a shortage of healthcare workers, including medical billers and coders, to meet this growing demand. This is […]

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billing, Billing Staff, COVID billing, COVID-19, healthcare, Healthcare Billing, Medical Billing Staff, medical coding, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation

The Ultimate Guide to the Best Schools for Medical Billing and Coding

May 16, 2023 / admin / Articles, Billing, Coding, CPT, CPT Code, CPT Codes, HIPAA, Medical Billing, Medical Billing and Coding, Medical Billing and Coding FAQs, Medical Coder, Medical Coding
Medical Billing, Coding Universities, with Blonde Girl Studying

Are you passionate about healthcare administration and interested in pursuing a career in medical billing and coding? As the demand for skilled professionals in this field continues to grow, it’s crucial to choose the right educational institution that provides comprehensive training and prepares you for a successful career. We take a look at some of […]

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AAPC, AHIMA, American Academy of Professional Coders, American Health Information Management Association, Career Step, DeVry University, Drexel University, Keiser University, Medical Billing, medical billing education, medical billing programs, medical billing training, medical coding, medical coding education, medical coding training, University of Phoenix

Secure the Best Medical Billing and Coding Partner

January 8, 2021 / admin / Articles, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Medical Coding
Medical Billing

Billing and Coding Partner for Healthcare Medwave is a premier provider of medical billing and coding services. But, exactly why are billing and coding so important and how can Medwave help your healthcare center perform these functions? It’s certainly no surprise that the healthcare business is thriving, and its growth is projected to endure well […]

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billing, healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Medical Billing, medical coding

What Makes Mental Health Billing So Difficult?

October 24, 2020 / admin / Articles, Behavioral Health, Behavioral Health Billing, Medical Billing, Medical Billing Companies, Mental Health Billing
Mental Health Billing

Vexatious Aspects of Mental Health Billing Let’s face it, the healthcare industry is vast and complex, even more so for mental health providers. This is especially true when it comes to the billing process. The variety in the types of services, the time, scope and restraints put on mental health treatments make the billing process […]

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Behavioral Health, Behavioral Health Billing, ICD-10, Medical Billing, medical coding, Mental Health, Mental Health Billing, Outsource Medical billing, Pittsburgh Behavioral Health Billing

Medical Billing: In-House Issues; Outsourced Solutions

January 10, 2020 / admin / Articles, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Outsource Medical Billing, Why Outsource Your Medical Billing
Medical Billing and Credentialing

Outsource Your Medical Billing to Avoid Issues Installing a cost-effective, effectual medical billing team is one of the biggest challenges for any healthcare provider. Whether you’re a behavioral health provider, genetic testing lab or a substance abuse facility, it isn’t easy to create, maintain and scale your own internal medical billing team. Below, some of […]

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HIPAA Compliant, inhouse billing, Medical Billing, medical coding, medical credentialing, Outsource Medical billing, outsourced billing, Pittsburgh Hospital Billing, Pittsburgh Medical Billing, Pittsburgh Medical Credentialing, substance abuse

Tips for Choosing the Right Medical Billing Company

September 20, 2019 / admin / Articles, Best Medical Billing Company, Healthcare, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Outsource Medical Billing, Revenue Cycle Management

Choose a Qualified Medical Billing Group Since there are a large number of companies offering medical billing services, it’s often difficult for a healthcare provider to choose the best-fit, third party billing group for their organization. Healthcare providers have to ask billing companies the right questions on systems and services rendered, thereby making it much […]

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Medical Billing, medical coding, medical credentialing, Pittsburgh Medical Billing, Pittsburgh Medical Credentialing, Revenue Cycle Management

What is Medical Billing? (w/ Powerpoint Download)

September 16, 2019 / admin / Articles, Healthcare, Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Pittsburgh Medical Billing, What is Medical Billing?
White Female Medical Billing Outsourced

What is Medical Billing? Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services rendered by a healthcare provider. It involves coding and classification of diseases, procedures, and treatments and submission of claims to insurance companies for reimbursement. The goal of medical billing is […]

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Basics of Medical Billing, Medical Billing, medical billing powerpoint, medical billing ppt, Medical Billing Service, medical coding, medical credentialing, Pittsburgh Medical Billing

What’s the Difference Between (Medical Billing and Credentialing)?

August 7, 2017 / admin / Articles, Credentialing, Medical Billing, Payer Enrollment, Payor Contracting, Pittsburgh Credentialing
Medical Doctor Costs

Medical Billing and Credentialing Differences Medical billing and credentialing for medical providers are two different categories in the healthcare world. Before any medical billing can even be completed, the healthcare provider needs to be credentialed with insurance companies in order to be an approved provider of services. Becoming credentialed as an in-network provider dictates the […]

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Billing Versus Credentialing, Billing vs Credentialing, CAQH, Coalition for Affordable Quality Healthcare, CPT codes, Cranberry Medical Billing, Cranberry Medical Credentialing, ICD-10, Medical Billing, medical coding, medical credentialing, payor enrollment, physical therapy billing, Pittsburgh Medical Billing, Pittsburgh Medical Coding, Pittsburgh Medical Credentialing, Pittsburgh PT Billing, PT Billing

Medical Provider Resources

July 26, 2017 / admin / Articles, Credentialing, Medical Billing, Medical Coding, Medicare
Doctor and Medical Biller

Medical Provider Resources Information for medical providers, including links to NPI, CAQH and ICD-10 resources. Medicare:  https://www.novitas-solutions.com NPI Registry portal:  https://npiregistry.cms.hhs.gov CAQH provider portal: https://www.caqh.org Free ICD-10 lookup tool:  https://www.icd10data.com Navinet Provider portal:  https://navinet.navimedix.com 2017-2018 CDC Flu Vaccine Information:  https://www.cdc.gov/flu/about/season/flu-season.htm Follow my blog with Bloglovin

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CAQH, Coalition for Affordable Quality Healthcare, Cranberry Medical Billing, Cranberry Medical Credentialing, ICD-10, ICD-10 lookup, Medical Billing, medical coding, medical credentialing, medical provider resources, NPI, Pittsburgh Medical Billing, Pittsburgh Medical Coding, Pittsburgh Medical Credentialing, provider resources

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  • Home Infusion Therapy
  • Speech Therapy
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  • DME
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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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