Welcome to the Practice Solutions Blog

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

We have heard it a thousand times in discovery calls. A practice owner will tell us that they do not really mind doing the billing. They say it is just a few hours a week and they have a handle on it. Meanwhile, we are looking at their aging report and seeing tens of thousands of dollars sitting in the ninety day bucket. To a seasoned biller, that’s an irresistible garden of claims to be turned into revenue. When you say you do not mind doing a task, you are usually admitting

You didn’t go to school to become a professional biller. You went to school to help people. But somewhere between that first clinical internship and hiring your ninth therapist, the "business stuff" started to feel like a particularly demanding houseplant that you just can't keep watered. If you’ve ever felt like your revenue is slipping through the cracks—or if you’ve ever been "voluntold" into running a business without a roadmap—it’s time to take a look under the hood. Wha

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

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

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

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

Every private practice owner knows the feeling. You’ve done the clinical work, submitted the claim, and waited patiently for the remittance. You open your portal, expecting to see a deposit, and instead, you’re greeted by a big, fat zero. It’s the healthcare equivalent of a "check engine" light—frustratingly vague but impossible to ignore. Your first instinct might be to feel defeated or, worse, to ignore that $0 payment and move on to the next task. But that zero isn’t a dea