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

Posts tagged "Prior Authorizations"

What is Prior Authorization?

September 19, 2025 / admin / Articles, Diagnostic Imaging, Pre-Approval, Pre-Authorization, Pre-Authorization Process, Prior Authorization, Prior Authorization Process, Prior Authorizations, Services Requiring Prior Authorization
Female Mulatto Doctor Prior Authorization

Prior authorization is a fundamental healthcare process that requires healthcare providers to obtain approval from insurance companies or healthcare organizations before delivering specific medical services, treatments, or procedures to patients. This approval mechanism serves as a crucial gatekeeping function that ensures medical services are medically necessary, cost-effective, and appropriate for the patient’s condition before they […]

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Articles, Diagnostic Imaging, Pre-Approval, Pre-Authorization, Pre-Authorization Process, Prior Authorization, Prior Authorization Process, Prior Authorizations, Services Requiring Prior Authorization

How to Optimize Billing Reimbursement

August 7, 2024 / admin / Articles, Automation, Charge Capture, Denial Management, Denial Management Process, Patient Collections, Payer Contracting, Payer Contracts, Payer Enrollment, Payor Contract, Prior Authorization, Prior Authorization Process, Prior Authorizations, Proper Coding, RCM, Revenue Cycle, Value-Based Models
Navigating Fee Schedules and Reimbursement Rates

Effective billing practices are crucial for healthcare providers, medical offices, and businesses across various industries to maintain financial stability and ensure proper compensation for services rendered. Optimizing reimbursement in billing involves implementing strategic processes, leveraging technology, and staying compliant with industry regulations. We discuss key strategies and best practices to maximize reimbursement rates and streamline […]

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Automation, Charge Capture, Denial Management, Denial Management Process, Patient Collections, Payer Contracting, Payer Contracts, Payer Enrollment, Payor Contract, Prior Authorization, Prior Authorization Process, Prior Authorizations, Proper Coding, RCM, Revenue Cycle, Value-Based Models

Recent Posts

  • Artificial Intelligence Robot Thinking

    AI-Powered Denial Management and Predictive Analytics

  • Two Professional Caucasian Medical Doctors Needing Credentialing and Contracting

    The Difference Between Credentialing and Contracting

  • Confused, Female, Mulatto Medical Doctor

    Managing Provider Payer Audits

  • White Male Doctor w/ Black Female Administrator

    Top 12 Reasons Why Claims Get Denied

  • White Male and Female Doctors in Need of Credentialing

    How Does Credentialing with Insurance Companies Work?

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

    Why Providers Need Both Credentialing and Contracting

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

  • Artificial Intelligence Robot Thinking

    AI-Powered Denial Management and Predictive Analytics

  • Two Professional Caucasian Medical Doctors Needing Credentialing and Contracting

    The Difference Between Credentialing and Contracting

  • Confused, Female, Mulatto Medical Doctor

    Managing Provider Payer Audits

  • White Male Doctor w/ Black Female Administrator

    Top 12 Reasons Why Claims Get Denied

  • White Male and Female Doctors in Need of Credentialing

    How Does Credentialing with Insurance Companies Work?

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

    Why Providers Need Both Credentialing and Contracting

  • Preventive Medicine Billing CPT Codes

    Which CPT Codes are Used in Preventive Medicine Billing?

  • Elevance Health Credentialing, Recredentialing, Contracting

    A Guide to Provider Credentialing with Elevance Health

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