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If you are running a private practice, you have likely realized that there is a strange paradox at the heart of the work you do. On one hand, you are a clinician and a provider. You deal with the beautifully intangible: emotions, breakthroughs, human growth, and profound clinical moments. On the other hand, you are a business owner, and you have to deal with the hyper-tangible: overhead, payroll, and the increasingly complex, muddy world of insurance reimbursement. The bigges

Is your practice tired of wrestling with insurance denials, deciphering EOBs, and watching your revenue slip through the cracks? You are absolutely not alone. In the trenches of running an insurance-based practice, there is a common trap that growth-minded owners fall into: the high endurance trap. We pride ourselves on our tolerance for administrative shenanigans because we care deeply about access to care. But there is a fine line between mission-driven endurance and lettin

Ever stared at an Explanation of Benefits (EOB) and felt like you needed a decoder ring just to figure out why your virtual sessions weren't paid correctly? You are not alone; it’s a common headache for even seasoned private practice owners! If your accounts receivable (A/R) is routinely creeping over 45 days, or you are watching hard-earned revenue slip through the cracks, there is a very high probability that your claims are running into translation issues. In the eyes of a

Ever feel like you’re flying blind when you hit "submit" on a batch of claims? You aren't alone. For many private practice owners, the Claim Submission process feels less like a business system and more like a game of "Wait and See." You spend your week doing the delicate, high-level work of healing patients, only to spend your Friday nights staring at a screen, wondering why your bank account doesn't reflect the hours you’ve put in. At Practice Solutions, we see this all the

We have heard it a thousand times in discovery calls. A practice owner will tell us that they do not really mind doing the billing. They say it is just a few hours a week and they have a handle on it. Meanwhile, we are looking at their aging report and seeing tens of thousands of dollars sitting in the ninety day bucket. To a seasoned biller, that’s an irresistible garden of claims to be turned into revenue. When you say you do not mind doing a task, you are usually admitting

Ever feel like you’re being gaslit by your own business? You sit down with your biller or log into your EHR, and the dashboard looks beautiful. Your Aging Report is "clean"—the 90-day bucket is empty, the 60-day is low, and everything seems to be moving along. But then you look at your bank account, and the math doesn’t add up. You’re sweating payroll, you’re delaying that new hire, and you’re wondering where the disconnect is. If this sounds familiar, you might be a victim o

Deciding to switch your Electronic Health Record (EHR) system is often born out of a moment of deep frustration. Maybe it’s a glitchy interface that adds twenty minutes to your day, or perhaps it’s a reporting feature that leaves you guessing about your practice’s actual health. In the billing world, we often see providers treat an EHR switch like a "fresh start." But if you aren’t careful, that fresh start can quickly turn into a "perfect storm" for your revenue cycle. In a

Ever feel like you’re shouting into a bureaucratic abyss? You’ve done the work. You’ve cared for the patient. You’ve submitted the claim. And then— BAM—denied. Your first instinct is probably a surge of righteous indignation. You want to write a three-page manifesto to the insurance company explaining why they are wrong. But here’s a hard truth we’ve learned from years in the trenches: In the world of Revenue Cycle Management (RCM), hope is not a strategy, and passion doesn’

You didn’t go to school to become a professional biller. You went to school to help people. But somewhere between that first clinical internship and hiring your ninth therapist, the "business stuff" started to feel like a particularly demanding houseplant that you just can't keep watered. If you’ve ever felt like your revenue is slipping through the cracks—or if you’ve ever been "voluntold" into running a business without a roadmap—it’s time to take a look under the hood. Wha

"The check is in the mail" is the oldest excuse in the book, and frankly, it’s wearing thin. If you don’t have a paper trail, you’re starting from zero every time you call. Think of a call reference number as your "save point" in the game. When you are forced to spend your precious time on the phone with a payer, you need a way to ensure that conversation actually counts for something. This is why I always tell our team: never, ever end a phone call with an insurance company