Introduction: Financial Efficiency Starts With the Right Administrative Foundation
A healthcare practice’s ability to get paid correctly and on time doesn’t just rely on patient volume or the quality of care. Much of that success hinges on proper credentialing and ensuring services are billed from the correct care setting. When physicians are not credentialed for the specific...
Care Setting Missteps Can Trigger More Than Just Claim Delays
In medical billing, the focus often falls on coding for diagnoses and procedures, but the physical setting where care is delivered is just as critical. Accurately documenting whether a service took place at a provider-owned clinic versus a facility like a hospital or surgical center can dramatically impact claim processing...
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