April 3, 2020
Practice Solutions, LLC
Be sure to know your credentialing status with each insurance company
Put a financial policy in place for your patient's cost-share amounts
Start to map out your key business processes
Starting our practice is a very exciting venture be...
March 27, 2020
Timely filing denials occur when the claim is not filed according to the timely filing requirements of the insurance company
Non-covered service denials occur when a provider does not get authorization for a service or a service is flat-out not c...
March 20, 2020
Your biller needs your EOBs so they can follow up on denials in a timely fashion
Your biller needs your EOBs so they can make sure the insurance companies are paying you what you deserve to be paid
Your biller needs your EOBs so they can...
March 13, 2020
An aging report is a high-level overview of the outstanding money owed to a practice
It is useful because it gives you a picture of the health of a practices processes
Accounts Receivable (A/R) is the money owed to your practice by patients and...
March 6, 2020
What is a CMS 1500 Form
What do all the boxes mean
In the United States Healthcare system there are actually two types of claim forms. There is a CMS 1500 form and a UB-04 form. The claim form system was developed to help identify the procedu...
February 28, 2020
This post describes how to get on a closed panel
February 21, 2020
It is not always easier to add providers to a group
Limited-license providers are tricky and depend on states rights
Benefits for raise increases as a group vs. individual
Perhaps you are growing a group practice or are just starting ou...
February 14, 2020
What is credentialing
What are the steps in credentialing
What are the pitfalls to avoid
Next, you will need to understand the basic process for credentialing in order to apply the terms you have learned above. Here are some frequently...
February 7, 2020
The complete list of information you will need to credential with insurance companies
Navigating credentialing is a lot like wading through concrete. It can be a long and slow process, but there are actions you can take in order to be a...
January 31, 2020
The reality of high deductible health plans (HDHPs) is still setting in. Patients are choosing to pay less in monthly premiums in exchange for HDHPs, but this places more of the financial burdens on t...
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New Practice Billing Toolbox Series 1 of 4: Billing Basics
3 Reasons Why Your Biller Needs to See Your EOBs (Explanation of Benefits)
What is an Aging Report and Why is it Useful?
What is a CMS 1500 Form?
Credentialing Series 4 of 4: Closed Panel and Denial Management
Credentialing Series Part 3 of 4: Group Credentialing!
Credentialing Blog Series Part 2 of 4: Pitfalls to Avoid!
Credentialing Blog Series Part 1 of 4: What you will need to successfully credential!