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Burnout in healthcare is often framed as a personal failure—a sign that you aren't doing enough box breathing, journaling, or taking enough long weekends. Let’s get real: a week in Cabo isn't going to fix a practice that is drowning in administrative clutter, aging A/R, and cryptic payer denials. After years in the trenches of Revenue Cycle Management (RCM), we’ve seen that burnout isn't a problem of motivation or passion. Burnout is a simple, mathematical equation where job

Ever stared at an Explanation of Benefits (EOB), spotted a claim denial, and felt a sudden wave of rage mixed with complete exhaustion? You aren't alone. In fact, it's one of the most common headaches we hear about from practice owners every single day. We recently sat down with Anne Neal, Vice President of Product Management and Payment Integrity at Availity, on an episode of The Claim Game podcast. We dove deep into what’s happening on both sides of the insurance curtain—sp

On a recent episode of The Claim Game, our team sat down with Dr. Hemant Gupta, a practicing physician and former Chief Medical Officer at UnitedHealthcare, to explore the growing friction between healthcare providers and insurance plans. During our conversation, Dr. Gupta highlighted how prior authorizations have become the single largest administrative hurdle in modern practice management, leaving clinicians drowning in hold music and endless paperwork delays. As Artificial

Trying to navigate health insurance credentialing can feel a lot like trying to convince a cat to take a bath. It is messy, everyone ends up stressed, and half the time you are left wondering why you decided to jump in the tub in the first place. When group practice owners talk about marketing, their minds usually go straight to the flashy stuff: a modern website, sleek social media graphics, local networking, or running Google ads. But here is a mental download from the fiel

On a recent episode of The Claim Game podcast, host Jeremy Zug sat down with Dr. Marina Badillo-Diaz, LCSW, founder of The AI Social Worker, to discuss the evolving intersection of artificial intelligence, ethics, and mental health care. If you work in human services, private practice, or behavioral healthcare, your days are likely filled with a delicate balancing act: providing empathetic, high-touch client care while juggling a mountain of administrative tasks. As Dr. Badil

"Here be dragons." That used to be the warning old school cartographers wrote on maps to mark unexplored, dangerous territory. And honestly, it is the exact warning you need before stepping off the clinical floor and into the world of Mergers and Acquisitions (M&A). We recently sat down with M&A expert Dan King on The Claim Game podcast to talk about what it actually takes to scale and sell a therapy practice. A lot of private practice owners enter a valuation thinking it is

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