Billing & Credentialing Cranberry Twp. (Pittsburgh)
  • Facebook
  • Instagram
  • Linkedin
  • Twitter
  • YouTube
  • RSS
Call: (412) 219-4789 | Fax: (866) 422-9277
  • Credentialing
  • Payer Contracting
  • Medical Billing
  • Rate Negotiations
  • Specialties
    • Behavioral Health
    • DME
    • Genetic Testing
    • Urgent Care
    • Pharmacogenetic (PGx) Testing
    • Toxicology
    • Substance Abuse
    • Allergy Testing
    • Speech Therapy
    • Skilled Nursing Facilities
    • 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
  • Blog
  • Contact
  • Home
  • Posts tagged "Utilization Management"

Posts tagged "Utilization Management"

Why Do Health Insurers Require Prior Authorization?

February 9, 2021 / admin / Articles, Healthcare, Medical Billing, Medical Credentialing, Medicare, Prior Authorization, Prior Authorization Process, Revenue, Revenue Cycle, Revenue Cycle Management, Utilization Management
Female Mulatto Doctor Prior Authorization

“This procedure will require prior authorization.” Words that no patient or healthcare provider wants to hear when they are ready to proceed with a doctor-approved procedure for a medical matter. However, it’s one of the utilization management tools that insurance companies have fostered to decide if specific prescribed procedures, services and medications are medically required […]

Read More

Health Insurance, Healthcare, Healthcare Providers, Medical Billing, Medical Credentialing, Medical Practice, Medicare, Prior Authorization, Prior Authorization Process, Revenue, Revenue Cycle, Revenue Cycle Management, Utilization Management

Recent Posts

  • UPMC Health Plan Credentialing

    A Guide to Provider Credentialing with UPMC Health Plan

  • 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

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

  • UPMC Health Plan Credentialing

    A Guide to Provider Credentialing with UPMC Health Plan

  • 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

Quick Links

  • About Medwave
  • Google Reviews
  • CAQH ProView Form
  • Regions Served
  • New Practice
  • Specialties
  • Medical Credentialing
  • Recredentialing
  • Payer Contracting
  • Medical Billing
  • Rate Negotiations
  • Denial Management
  • HL7 Integration
  • Robotic Process Automation (RPA)
  • A/R Recovery
  • Telehealth Billing
  • Revenue Cycle Consulting
  • CPT Code Category Index
  • FAQ
  • Pricing
  • Blog
  • HIPAA Compliance
  • Contact

Quick Connect

  • (412) 219-4789
  • Fax: (866) 422-9277
  • Contact Us
    • Linkedin
    • YouTube
    • Facebook
    • Twitter
    • Pinterest
    • Instagram

Medwave @ Goodfirms

Medwave | Alignable

Medwave @ Inc. 5000

© 2025, Medwave Medical Billing, LLC. | Cranberry Township, PA, 16066 | Phone: (412) 219-4789 | Fax: (866) 422-9277 | Sitemap | Privacy Policy