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Why NOW Is a Good Time to Outsource
Why is outsourcing critical during this time?
3 Standard Denial Reasons and How to Solve Them
Main Points 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 covered Out-of-network provider denials occur when a provider is not credentialed with a specific insurance plan If you have been in private practice for any amount of time and have dealt with insurance then you know what i
How To Operate With A Shelter-In-Place Order
Michigan's governor, Gretchen Whitmer, just announced a shelter-in-place order as of today. She is also requiring "non-essential" workers and businesses to shut down. Based on the wording in the executive order, Practice Solutions is considered an essential business and you are to. Below is the link to the executive order for your perusal, but here are the statements that mandate that we continue with business: Section 8, A: Healthcare workers are considered essential Section
Telehealth Policy Updates - COVID - 19
More updates from insurance companies about telehealth
3 Reasons Why Your Biller Needs to See Your EOBs (Explanation of Benefits)
Main Points 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 reconcile your A/R There can be some concerns about sending EOBs through email or through an encrypted portal. It is reasonable to be concerned about data breaches, stolen personal data, or HIPAA non-compliance. However, it is ver
Here's How Insurance Companies are Adjusting to Coronavirus
Insurance companies have made far sweeping changes to adapt to the coronavirus outbreak!
4 Resources to Help Add Telehealth Services
While other practices are thinking about what they are going to do to adjust to impending cash flow issues, you can be taking proactive steps to grow and expand your business. Yes, the realities of global unrest are real, but so are the opportunities for business growth and expansion...you just have to be looking for them. We have received quite a few requests for resources to help practices pivot to telehealth systems, so we decided to compile four of those resources in this
Coronavirus and Telehealth: Insurance Update
Are you in private practice and worried about how insurance will react to the coronavirus outbreak?
What is an Aging Report and Why is it Useful?
Main Points 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 insurance companies. The A/R process begins when the session with the patient is over and is closed when that session's balance comes to $0.00 from the insurance company and from the patient. Because the success of a practi
What is a CMS 1500 Form?
Main Points: 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 procedures being performed on patients and who was performing them, however, this is a difference between hospital services and professional outpatient services. This is why there are two kinds of claim forms. A CMS 1500 form is the
