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In the world of healthcare billing, the relationship between insurance payers and healthcare providers is often described as an "adversarial" one. For years, the prevailing sentiment among providers has been that prior authorization  is simply a tool used by insurance companies to delay care or deny payments. On the surface, it looks like a high-stakes "AI arms race"—providers using technology to force approvals while payers use it to automate denials. However, according to D

In the world of community health, "AI" can sound like a buzzword or something that’s "not quite there yet." But as Jill Steeley pointed out in our recent conversation on The Claim Game , ignoring these tools is a limiting mindset that costs your practice money and, more importantly, burns out your staff. Jill’s perspective is refreshing: the goal of bringing AI into your practice isn't to replace your team with robots. It’s about making tasks obsolete, not people. Where AI Wi

Prior authorization is often the healthcare equivalent of trying to convince a cat to take a bath—it’s frustrating, messy, and you usually end up with a few scratches. If you’ve been in the trenches of private practice for more than five minutes, you know the drill. You bill a session or a procedure, and then you wait. You’re stuck in the "bureaucratic abyss," wondering if a human is actually looking at your clinical notes or if your request just fell into a black hole. It’s

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

Our mission at Practice Solutions has always been to empower providers to focus on patient care by relieving the burden of billing. This...

Recent investigations by ProPublica revealed how UnitedHealth’s algorithms denied mental health care claims, a practice ruled illegal in...