billing

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7 Ways to Prevent Medicaid Claim Denials

If you’re one of the 71% of U.S. providers who accept Medicaid, it’s essential you understand the billing complexities of these Government-run plans. Your practice revenue depends on it. Medicaid provides health insurance coverage to 87 million low-income adults and children, and adults with disabilities. Like all insurance plans, Medicaid has quirks that can trip …

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6 Ways Digital Health Companies Can Improve Patient Financial Engagement

No one likes receiving bills, no matter how much they are. When were you last excited about an invoice you had to pay? Like it or not, invoicing customers or patients is part of running a digital health company. And while you may not be able to induce excitement around your billing and invoices, taking …

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Provide a better billing experience

Psychological Testing: Common CPT Codes and Best Practices for Submitting Claims

As a psychologist or mental health professional, testing and diagnosis are critical to the care you provide. But to continue that care, you must get paid — or reimbursed —- appropriately.  Like much of the billing and revenue cycle management (RCM) process, coding your claims can take some time to master. In this guide, we’ve …

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Should I use a biller for my practice? Illustration of two people shaking hands in front of a signed contract.

Should I Hire a Biller for My Practice?

If your practice has crossed the bridge from self-pay to in-network, you’re likely familiar with insurance billing. It’s a necessary process — without it, you won’t get paid for the care you provide.  But how familiar do you want to be with that process?  No matter your practice size, there will come a time when …

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How Do I Know It’s Time to Switch Billers?

When it comes to relationships, we yearn for the days when they finally feel comfortable. A point when the anxiety is gone. When you can breathe easy and know that everything is on track.  These relationships happen in our personal and professional lives. As a practice owner, you’ve developed solid, comfortable relationships with your employees, …

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Switching from self-pay to insurance

Self-Pay to In-Network: How To Accept Insurance as a Therapist

As a self-pay practice, you may already have a steady stream of patients who come through your door. But you know there’s potential to increase that patient flow — potential to help more people and grow your business.  Accessing that patient population, however, means learning how to accept insurance as a therapist — switching from …

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2023 E/M Code Changes: 3 Things to Know

A new year is right around the corner and that means changes to evaluation and management (E/M) codes and documentation.  The 2023 E/M changes include almost 400 editorial revisions to common procedural terminology (CPT) codes. Managed by the American Medical Association (AMA), the CPT changes include 93 revisions, 75 deletions and 225 new codes, all …

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illustration of team members reviewing stages of ehr and rcm implementation

What Happens When I Implement a New Biller or RCM With My EHR?

It’s happened to countless private practices: One day, you realize that your revenue numbers aren’t sustainable. Your accounts receivable (A/R) is astronomical. Your claim denial rate has stretched into the double digits. Your cash flow is abysmal.  So, you dig into what’s happening with your insurance billing and revenue cycle. If an in-house team member …

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How to Prepare Your Team for the Q1 Deductibles Reset

The beginning of the year brings challenges for many healthcare patients and nearly all healthcare providers. The issues are related to the resetting of insurance deductibles. Many patients must again pay out-of-pocket for medical services that insurance completely covered only a few weeks prior. And that can mean canceled or rescheduled appointments. While the financial …

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