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The Math of Disruption: Is Dropping a 10% Payer Worth the Administrative Headache?
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


Pre-Flight Checklist: How to Stop Engineering Your Own Claim Submission Crisis
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


The EHR Switch: Is a New System the Answer, or a Distraction?
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


Zero Doesn’t Mean Nothing: Decoding CARCs and the Art of Denial Capture
Ever stared at an ERA (Electronic Remittance Advice) that essentially looks like a giant goose egg? You see that $0.00 in the payment column and your first instinct is probably to sigh, close the window, and move on to the next claim—the one that actually has dollars attached to it. Stop right there. In the world of Revenue Cycle Management (RCM) , a zero-dollar payment is not "nothing." It is a high-stakes piece of financial intelligence. When you ignore those zeros, the p


No More Patient Aging: Nailing the Checkout to Collect Every Dollar (The First Time)
Patient Checkout and Revenue Cycle Management You’ve finished the clinical work, the patient is getting ready to leave, and you think the session is done. But the truth is, a critical move for your practice’s financial health is about to happen: checkout . This step is often overlooked in Revenue Cycle Management, leading to the dreaded patient aging report. We've all heard the stories—or lived them—of medical bills showing up months or even a year later, causing patient frus


Beyond the Portal: Using Technology to Deepen the Patient-Provider Relationship
You didn't open your practice to spend your evenings staring at a billing screen. You did it to help people. But if you’ve been in private practice for any length of time, you know the biggest cost of wrestling with Revenue Cycle Management (RCM) headaches isn't just lost revenue—it's lost time and mental energy that should be focused on your patients. When you're constantly stressed about claim denials, confused about EOBs , or fighting with a clunky EHR , that anxiety sub


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...


Credentialing: Your First Step to Winning the Claim Game
Navigating insurance credentialing can feel like a headache, leaving you overwhelmed with paperwork and confusing rules. It's the first...


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


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....









































