Welcome to the Practice Solutions Blog

We’ve all been there. You’re looking at your billing for the month, and suddenly your heart sinks. You realize you’ve seen a patient for five sessions, but nobody ever got the green light from the insurance company. In a moment of panic, you think, “Maybe we can just call them and get a retroactive authorization?” . In the billing world, we call this the “Retro-Auth,”  but I’m going to be the bearer of some hard news today: for most practices, the retro-auth is a total myth.

You just want to get paid for your incredible clinical work, but the insurance company seems to make the process impossible. You call a payer, verify that the patient's coverage is "active" (yes!), and submit the claim, only to have it come back months later as a dead-on-arrival (DOA) denial. The E&B (Eligibility and Benefits) check should never be skipped, but simply confirming coverage is "active" is not enough. This crucial step is not a simple light switch, and relying on

You spend precious administrative hours verifying eligibility and benefits (E&B) for every new patient, only for a handful of those claims to come back denied anyway. It’s frustrating when you feel like you've checked all the boxes, yet revenue still slips through the cracks—it's the billing equivalent of a "check engine" light. Here’s the sobering reality, straight from our Billing Director, Kelley Sonnenberg: Eligibility and benefit checks are only about 70% accurate across

1. Introduction: Stop Wrestling with Denials and Surprises Is your practice tired of wrestling with insurance denials, deciphering EOBs, and watching your revenue slip through the cracks? You are not alone. Handling insurance can create headaches, sleepless nights, and anxiety when there are no processes established. However, mastering one area—Eligibility and Benefits (E&B) verification—is a crucial component  for preventing those costly, frustrating surprises for both you a

Use Patient Registration KPIs to Step Out of the Day-to-Day Chaos Is your practice drowning in the endless, day-to-day tasks of patient registration? You’re juggling patient forms, checking insurance cards, and constantly feeling like you can’t leave your desk . We get it. We've seen practice owners get so caught up in the administrative chaos  that they fail to see if the process is actually working . But here’s the brutal truth: Patient Registration isn’t just a task; it's

Patient Checkout and Revenue Cycle Management You’ve finished the clinical work, the patient is getting ready to leave, and you think the session is done. But the truth is, a critical move for your practice’s financial health is about to happen: checkout . This step is often overlooked in Revenue Cycle Management, leading to the dreaded patient aging report. We've all heard the stories—or lived them—of medical bills showing up months or even a year later, causing patient frus

You entered private practice to focus on patient care, not to wrestle with bureaucratic rules. But here’s the tough reality: the process of getting paid hinges entirely on how meticulously you handle a few specific pieces of data— Protected Health Information (PHI) . If PHI seems vague or abstract to your staff, that's a problem. Getting the definition wrong is setting your practice up for unnecessary risk and compliance violations. We want to empower you to win the Claim Gam

Your Waitlist Is Not a Graveyard, It’s a Goldmine Ever felt that familiar knot in your stomach when a client cancels a few hours before their appointment, leaving an empty chair and a gaping hole in your schedule (and your projected revenue)? You're not alone; it’s a constant headache for even the most seasoned practice owner. We’ve seen the same scene play out in thousands of practices across the country. The problem isn't the cancellation itself—life happens. The real issue

You didn't open your practice to spend your evenings staring at a billing screen. You did it to help people. But if you’ve been in private practice for any length of time, you know the biggest cost of wrestling with Revenue Cycle Management (RCM)  headaches isn't just lost revenue—it's lost time and mental energy  that should be focused on your patients. When you're constantly stressed about claim denials, confused about EOBs , or fighting with a clunky EHR , that anxiety sub

When you started your private practice, you probably didn’t anticipate that half your time would be spent trying to manage the chaos of...