Welcome to the Practice Solutions Blog

Imagine this scenario. You spend hours filling out CAQH profiles and submitting applications. You wait six agonizing months to finally get approved by a major insurance payer. You eagerly open your new contract, only to discover their reimbursement rate is in the 10th or 20th percentile for your market. Talk about a punch to the gut. We have seen this exact nightmare happen to incredible practice owners time and time again. You should never have to wait half a year just to fi

Running a successful mental health practice requires a delicate balance between mission and margin. For many clinic owners, administrative roadblocks, specifically billing anomalies, insurance rules, and staff turnover, can cloud the core focus of providing excellent patient care. In Episode 51 of The Claim Game, host Jeremy Zug sits down with Shannon Hiser, founder of The Wellness Counseling Center, to dive deep into her decade-long entrepreneurial journey. Operating across

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 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