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The Impact on Private Practices as Hospitals and Health Systems Go Out of Network with Medicare Advantage
In recent years, private practices nationwide have witnessed significant changes in healthcare insurance networks, particularly with...


Understanding Non-Covered Service Denials: What They Mean, Common Causes, and Solutions for Providers
In the complex world of healthcare billing, managing denials is one of the most challenging tasks for any provider, especially in mental...


The Missing Course: How Your Education Didn’t Prepare You for Private Practice
As a student in graduate school, listening to your professors emphasize the beauty of therapeutic breakthroughs and the importance of...


Telehealth Modernization Act of 2024 Explained
The proposed Telehealth Modernization Act of 2024 represents a significant shift in how telehealth services are regulated and reimbursed...


Three Things to Look For When Credentialing a Group Practice
Credentialing a group practice is more complex than credentialing individual providers. Ensuring that every member of your team is...


End of Year Housekeeping: Best Practices for Verifying Benefits and Managing Patient Credits in Your Practice
As we approach the end of the calendar year, verifying a client’s benefits for out-of-pocket (OOP) maximums is essential to ending the...


Understanding the HIPAA Security Rule: A Guide for Therapists in Private Practice
The Health Insurance Portability and Accountability Act (HIPAA) established critical guidelines to protect sensitive patient information,...


Ghost Networks: What They Mean for Private Practices and Their Clients
The term “ghost network” has been buzzing in healthcare circles, but many people are unfamiliar with what it means or why it’s such a...


Denials: The Hidden Industry and How Practice Solutions Fights for You
Insurance billing is often one of the most complex and frustrating aspects of running a practice in mental health care. Many therapists,...


Rising Health Insurance Premiums vs. Mental Health Practices: Finding Solutions to Stay Sustainable
In 2024, a brand-new Toyota Corolla costs $23,500. The average annual premium for employer-sponsored family health insurance coverage is...