Search
Psychological Testing Codes vs. Neuropsychological Testing Codes
Main Points Why did the codes change in 2019 Definitions of the codes simplified The feedback codes vary between psychological and neuropsychological tests The change to the new testing codes in 2019 caused quite an uproar in the testing and psychological community. The last change we saw a change to the testing codes was in 2014 when 96101, 96105, 96116, 96118, and 96125 were introduced. However, after CMS evaluated the reimbursements based on these codes they found that re
So, You Want to Go Into Business With Your Spouse...
Main Points Create a shared goal with your spouse Play to your individual strengths Endurance and grittiness are key “What is it like being Jeremy’s assistant?”… is one of the most abhorrent questions Kathryn is asked on a regular basis. We tell people that we own a business and people assume that I am “in-charge”, “steer the ship”, and “run the show”. The truth of the matter is that my wonderful wife, Kathryn, is as much a leader if not more. When we decided to go into busin
The Complete Checklist for Eligibility and Benefits Checks
Getting benefit information is important for the success of your practice
3 Ways to Increase Payment Velocity
Collect from your patients at the time of service and while they are in your office. Set up EFT for the insurance companies that you are in-
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
Cigna's Appeal Process Explained
Main Points Make sure that you have done all of the appropriate due diligence before starting the process. Thoroughly review the form for accuracy once the appeal form has been filled out. You can find a copy of the appeal form here. Send in the form to the appropriate network address since there are two potential addresses. At one point or another you have likely had to submit an appeal or at the very least been tempted to send in an appeal to an insurance company due to a c
The Simplified Appeal Process for Aetna
Main Points Fill out the Aetna appeal form completely and with the most accurate information possible Make sure you send it to the correct location Keep all your documentation and track your follow-ups According to a recent survey, only 1% of patients ever appeal their claims and of that group, 70% see an overturned denial. That appeals process is not always straight forward and it can vary by payer. This blog is to serve as the guide for those who have to or want to submit a
3 Signs That Signal You Need a New Denial Management System
Main Points You need a new system to manage denials if you do not have the ability to see denial trends You need a new system to manage denials if you can't see a root case of the denials You need a new system to manage denials if you can't see what each member of your administrative team is doing to fix the issues Denials are an assumed part of running a private practice. Therefore, you have to build a system of managing your denials and tracking how they are being worked. T
Potential Pitfalls of VOBs
Knowing the pitfalls of eligibility and benefits checks helps you to avoid payment issues in the future.
New! 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: Washtenaw County saves mental health services in budget cut recommendations Several recommendations to b
