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You log into your bank account. You see a deposit from an insurance payer for $2,000, $20,000, or maybe even $200,000. You feel that hit of dopamine, a sigh of relief, and you think, “Great. The money’s in the bank. I can run payroll, pay the rent, and move on with my life.” We hate to be the one to break it to you, but that feeling is a trap. If you don’t know why  that money is there, or if it matches exactly what you were promised in your payer contracts, you aren’t actual

Ever looked at a payment from an insurance company and felt like you were reading a math problem designed to make you lose? You bill $180 for a session. The insurance company sends back a statement saying the “Allowed Amount” is $112.50. Then, they send you a check for $90 because the patient has a $22.50 copay. Suddenly, there is a $67.50 difference sitting on your ledger. For many providers, that number is a source of major frustration—it feels like money that is rightfully

Every private practice owner knows the feeling. You’ve done the clinical work, submitted the claim, and waited patiently for the remittance. You open your portal, expecting to see a deposit, and instead, you’re greeted by a big, fat zero. It’s the healthcare equivalent of a "check engine" light—frustratingly vague but impossible to ignore. Your first instinct might be to feel defeated or, worse, to ignore that $0 payment and move on to the next task. But that zero isn’t a dea

Ever seen a deposit hit your bank account, given yourself a quick high-five, and moved on with your day? You’re not alone—most busy practice owners do exactly that. But here’s the sobering reality: a bank deposit only tells you that you have money; it doesn’t tell you if you have a healthy business. Think of your bank statement like a box with no packing slip. You know there’s something inside, but was it for a 60-minute session, a lab, or an intake? To get those answers, you

If you’ve been in the therapy world for any length of time, you’ve probably felt the "data dread." It’s that sinking feeling that insurance companies want to turn your deeply personal, clinical work into a series of cold, hard numbers. It feels like they’re trying to turn a masterpiece into a paint-by-numbers kit. We get it. The idea of "Measurement-Informed Care" can feel like a direct threat to your clinical intuition. But as Dr. Dylan Ross shared on a recent episode of The

Ever stared at an ERA (Electronic Remittance Advice) that essentially looks like a giant goose egg? You see that $0.00  in the payment column and your first instinct is probably to sigh, close the window, and move on to the next claim—the one that actually has dollars attached to it. Stop right there. In the world of Revenue Cycle Management (RCM) , a zero-dollar payment is not "nothing." It is a high-stakes piece of financial intelligence. When you ignore those zeros, the p