Welcome to the Practice Solutions Blog

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’

"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

Managing a practice is a balancing act between providing top-tier care and maintaining a healthy bottom line. One of the biggest hurdles is Patient AR (Accounts Receivable) —that "treasure chest" of money owed directly by the people sitting in your waiting room. If you treat patient collections with the same cold logic you use for insurance companies, you risk damaging the trust you’ve worked so hard to build. However, by implementing what we call the Three Pillars of Collect

You know the pile I’m talking about. It’s that stack of paper sitting on the corner of your desk—or the digital equivalent in your EHR—that you’ve been avoiding for three weeks. It’s the "Explanation of Benefits" (EOB) forms that come back with a giant DENIED stamp (metaphorically speaking) across the front. When you first see them, it feels like a personal rejection. You provided the care, you did the work, and the insurance company basically just said, "No thanks, we’re ke