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Contractual Adjustments vs. Balance Billing: The Golden Rule of In-Network Care
Ever looked at a payment from an insurance company and felt like you were reading a math problem designed to make you lose? You bill $180 for a session. The insurance company sends back a statement saying the “Allowed Amount” is $112.50. Then, they send you a check for $90 because the patient has a $22.50 copay. Suddenly, there is a $67.50 difference sitting on your ledger. For many providers, that number is a source of major frustration—it feels like money that is rightfully
Treat by Numbers? The Truth About Measurement-Informed Care
If you’ve been in the therapy world for any length of time, you’ve probably felt the "data dread." It’s that sinking feeling that insurance companies want to turn your deeply personal, clinical work into a series of cold, hard numbers. It feels like they’re trying to turn a masterpiece into a paint-by-numbers kit. We get it. The idea of "Measurement-Informed Care" can feel like a direct threat to your clinical intuition. But as Dr. Dylan Ross shared on a recent episode of The
Stop Sweating the Front Desk: The Power of a Standardized Intake Script and Checklist
When you started your private practice, you probably didn’t anticipate that half your time would be spent trying to manage the chaos of...
Introducing the Hourglass Learning Hub
The insurance billing world can feel like a game of whack-a-mole—you fix one problem, and another pops up. Maybe you've felt that...
What Your EHR Should Be Doing for Your Billing (But Probably Isn’t)
How Your EHR Can Reduce Denials and Strengthen Cash Flow A guest post by CheckpointEHR Billing in behavioral health is no small feat....
Denied Before It's Billed? How Patient Intake & Prior Authorizations Can Lead to Claim Denials
You bill a claim for a session you know was clinically sound, and BAM—denied. The reason code points to an obscure technicality, and...
Three Warning Signs Your Practice Billing is in Trouble (and How to Fix It)
You're a healthcare provider, passionate about patient care and building a thriving practice. What you likely didn’t anticipate was...
The Silent Drain: Uncovering the Hidden Costs of Inefficient Billing
Building a thriving healthcare practice demands incredible dedication and skill, particularly in delivering exceptional patient care....
Understanding and Preventing Fraudulent Billing Practices
You started your practice to help people, to make a difference in their lives. The last thing you signed up for was becoming an...
Top 5 Reasons Your Practice’s Revenue Cycle Needs an Expert’s Eye
You’re a private practice owner – how much formal teaching did you receive on revenue cycle management? (Don’t know what that means? Read...
