Welcome to the Practice Solutions Blog

Insurance Billing and Credentialing is complex. At Practice Solutions, we aim to provide information that helps you to understand the billing and credentialing process, keeps you up to date on industry news, and provides tips to help your private practice run smoothly. Our mission is to deliver content that allows mental and behavioral health providers to make educated decisions in private practice, and to feel confident in those decisions to achieve success in their practice.

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Developing Confidence in Accepting Insurance Clients

Starting out in private practice is a courageous leap, but one that most providers feel is very rewarding over the lifetime of their practice and throughout their career. As you start a practice you will find that you are going to learn a subset of skills that you didn’t think you would ever learn. You are going to learn about law, finance, processes, systems, insurance, credentialing, billing, bookkeeping, and another array of skills that come with entrepreneurship. However,

What is the Difference Between a Clearinghouse Rejection and a Payer Denial?

Have you ever received a notification that your claim has been rejected by a clearinghouse? Have you received an EOB in the mail or an ERA in your electronic health record system that has a big fat $0.00 on it? After receiving these notifications or frustrating notices, what is your response? Do you or your office staff know the difference between the two and do they know how to handle the process for fixing the issue? Rejections and denials are some of the most common reason

Metrics Private Practice Owners Should Know When They've Outsourced Their Billing

One of the lessons that business owners learn at some point in the life of their business is that data is everything. Business rarely, if ever, functions on intuition alone. Rather, all businesses utilize a dashboard of data in order to know what actions to take given a variety of market conditions. When a practice owner outsources their billing to another company or individual they also need to keep track of a variety of metrics to help them know if the partnership is workin

How Credentialing Relates to Billing

Whether you are considering becoming credentialed with an insurance company, you are currently in the process of credentialing with an insurance company, or you are already credentialed and are experiencing claim rejections, it is valuable for you as a healthcare provider to understand how the process of credentialing relates to billing. The two things are directly correlated, and by understanding how, you can put yourself in a better position to troubleshoot claim issues dow