Welcome to the Practice Solutions Blog

Is your practice tired of wrestling with insurance denials, deciphering EOBs, and watching your revenue slip through the cracks? You are absolutely not alone. In the trenches of running an insurance-based practice, there is a common trap that growth-minded owners fall into: the high endurance trap. We pride ourselves on our tolerance for administrative shenanigans because we care deeply about access to care. But there is a fine line between mission-driven endurance and lettin

Ever stared at an Explanation of Benefits (EOB) and felt like you needed a decoder ring just to figure out why your virtual sessions weren't paid correctly? You are not alone; it’s a common headache for even seasoned private practice owners! If your accounts receivable (A/R) is routinely creeping over 45 days, or you are watching hard-earned revenue slip through the cracks, there is a very high probability that your claims are running into translation issues. In the eyes of a

Ever feel like you’re flying blind when you hit "submit" on a batch of claims? You aren't alone. For many private practice owners, the Claim Submission process feels less like a business system and more like a game of "Wait and See." You spend your week doing the delicate, high-level work of healing patients, only to spend your Friday nights staring at a screen, wondering why your bank account doesn't reflect the hours you’ve put in. At Practice Solutions, we see this all the

Deciding to switch your Electronic Health Record (EHR) system is often born out of a moment of deep frustration. Maybe it’s a glitchy interface that adds twenty minutes to your day, or perhaps it’s a reporting feature that leaves you guessing about your practice’s actual health. In the billing world, we often see providers treat an EHR switch like a "fresh start." But if you aren’t careful, that fresh start can quickly turn into a "perfect storm" for your revenue cycle. In a

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

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

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

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

When you started your private practice, you probably didn’t anticipate that half your time would be spent trying to manage the chaos of...