Welcome to the Practice Solutions Blog

Insurance Billing and Credentialing is complex. At Practice Solutions, we aim to provide information that helps you to understand the billing and credentialing process, keeps you up to date on industry news, and provides tips to help your private practice run smoothly. Our mission is to deliver content that allows mental and behavioral health providers to make educated decisions in private practice, and to feel confident in those decisions to achieve success in their practice.

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United Healthcare's Step-By-Step Appeal Process

Main Points Walk through the instructions for UHC's appeal process very carefully. They have specific instructions that must be followed, or the appeal won't go through Using the online portal, Link, will process much faster and you can get a higher volume of claims resolved Make sure you have a copy of the insurance card on hand or you might send the appeal to the incorrect location The idea of challenging the insurance company on a denial may sound like a scary process. But

Mental Health News Bulletin!

Welcome to our Mental Health News Bulletin! We will be regularly publishing articles and new related to mental health, billing, health insurance, and more directly on our blog! As we monitor trends in the industry we want you to be kept up to speed on the latest news, so we will be publishing regular news updates. Stay tuned for more, but for now here is our news bulletin: Washington State to change how Medicaid recipients receive integrated physical and behavioral care The N

3 Ways to Know If Insurance Reimbursement is Worth Your Time

One question we are asked is if insurance reimbursement is worth going through the hassle of credentialing, contract negotiations, and then subsequent billing. The answer to this question can be complicated, but hopefully it doesn't have to be. Here are 3 ways to know if insurance reimbursement is worth your time. 1. Your Margins Are Safe Many of our clients look at the reimbursement rates only. They think, "Insurance X pays $60.00 an hour, that's great!". But when it comes t

Why You Need A Financial Policy

One question that Practice Solutions receives is whether it is legal to write-off deductibles and co-pays. Many therapists make this a practice to make therapy affordable and to get people through their door. However, this idea presents the counselor with a troublesome issue: chronically writing-off deductibles and co-pays is not exactly legal. To clarify, a counselor can write-off deductibles and co-pays per their contracts with payers once they approve the client for such a

What is a Denied Claim vs. a Rejected Claim?

In some ways it is unfortunate that we live in a highly semantic society. But in other ways, being focused on the definition of words can be clarifying. When it comes to billing for the mental health industry, semantics can make or break a claim. That is why it is important for biller and providers to understand the semantic difference between a rejected claim and a denied claim. Understand the difference between a rejected claim and a denied claim will help in your efforts t