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Tag Archives: Credentialing

14 Nov
Articles

Payer Contract Negotiations: Key Terms & Strategies | TriumpHealth

  • November 17, 2025
  • By author-avatar Ian Lamba
Negotiating payer contracts is where margin is won or lost often in the fine print. Below is a practical guide drawn from real-world co...

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Wound Care
24 Oct
Articles

Medicare Billing Guidelines for Q-Codes with CPT 15271–15278: A Guide for Wound Care Physicians

  • November 17, 2025
  • By author-avatar Ian Lamba
Medicare reimbursement for cellular and/or tissue-based products (CTPs) — billed with Q-codes — and their associated CPT application co...

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Taxonomy
20 Oct
Articles

Why Taxonomy Codes Matter in Provider Credentialing & Medical Billing

  • October 24, 2025
  • By author-avatar Ian Lamba
In the complex world of healthcare credentialing, one small oversight can lead to delayed reimbursements, claim denials, and compliance...

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Mobile Wound Care
06 Oct
Articles

Mobile Wound Care Credentialing and Billing: What Providers Need to Know

  • October 6, 2025
  • By author-avatar Ian Lamba
Mobile wound care is one of the fastest-growing niches in healthcare. With the rise of chronic conditions like diabetes and vascular di...

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ASC
20 Sep
Articles

HCFA 1500 vs UB04: When to Bill Each for Your Ambulatory Surgery Center (ASC)

  • October 6, 2025
  • By author-avatar Ian Lamba
In the world of Ambulatory Surgery Center (ASC) billing, one of the most common points of confusion is when to use the HCFA 1500 form v...

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Wound Care
15 Sep
Articles

Wound Care Billing: Getting Skin Grafts and Substitutes Right

  • September 19, 2025
  • By author-avatar Ian Lamba
Wound care is one of the most profitable and scrutinized specialties in billing. While debridements and negative pressure wound therapy...

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medicare enrollment
10 Sep
Articles

Non-Participating Medicare Providers: What Healthcare Practices Need to Know

  • September 10, 2025
  • By author-avatar Ian Lamba
Medicare providers often face an important decision: whether to become a participating (par) provider or remain non-participating (non-...

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Billing
08 Sep
Articles

Independent Billing: A Guide for Physicians, NPs, and PAs

  • September 10, 2025
  • By author-avatar Ian Lamba
As healthcare practices balance compliance, efficiency, and revenue, the role of advanced practice providers, Nurse Practitioners (NPs)...

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Market Closures
02 Sep
Articles

Navigating Market Closures – How Single Case Agreements Support Provider Credentialing

  • September 3, 2025
  • By author-avatar Ian Lamba
For healthcare providers in competitive states like California, getting credentialed with commercial insurance plans isn’t always strai...

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Locum Tenens
28 Aug
Articles

How Locum Tenens and Temporary Providers Can Bill Under an Established Independent Practice

  • August 29, 2025
  • By author-avatar Ian Lamba
Locum Tenens and temporary healthcare providers play a critical role in filling coverage gaps for independent practices. Whether a solo...

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  • Home
  • About
    • Who We Are
    • Our Mission & Values
    • Our Customers
  • Solutions
    • Medical Billing & Revenue Cycle Management
      • Prior-Authorization
      • Charge Entry & Claims Management
      • Clinical Chart & Coding Audits
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