Healthcare Should NOT Be a Privilege
This week, a viral Instagram post highlighted a major problem with the US healthcare system. In a since modified post on Instagram,...
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- Feb 23
- 4 min
Why it is increasingly critical to collect patient copays, deductibles and coinsurance.
Member policies are shifting We are seeing much higher deductibles for in and out of network policies. This means that the client will...
27 views0 comments
- Dec 1, 2022
- 3 min
Employers Posed to Expand Mental Health Coverage for 2023
Employers are looking to enhance their mental health care and other benefits for employees in the coming year. New research shows...
18 views0 comments
- Oct 16, 2022
- 1 min
Improve Patient Intake to Better Manage Your Revenue Cycle
Gathering the correct information during an intake assessment is essential to insurance reimbursement. Use our checklist during your...
36 views0 comments
- Oct 16, 2022
- 3 min
7 Things to Look For in a Medical Billing Company
Outsourcing or changing billing companies can be a lot of work. In fact, many providers stick with a mediocre billing service simply to...
93 views0 comments
- Oct 16, 2022
- 1 min
4 Things You Should Know Before Calling for a Prior Authorization
Utilization Review Utilization Reviews bridge the gap between providers, payors and patients. They give the provider the opportunity...
13 views0 comments
- Oct 16, 2022
- 2 min
5 Steps to Get Aging Claims Paid
No matter how thorough your billing process is, every provider has a list of claims that seem impossible to get paid. Overturning claim...
265 views0 comments
- Oct 16, 2022
- 3 min
4 Simple Things You Should Do to Correct Claim Denials
Dealing with insurance companies can be a pain. Whether you are a patient or provider, it is difficult to understand how insurance works,...
739 views0 comments
- Oct 16, 2022
- 2 min
Increase Your Behavioral Health Revenue by Collecting Old Receivables
Collect on Unpaid Claims Many facilities and medical practices have a number of denied insurance claims that are not actively being...
12 views0 comments
- Oct 16, 2022
- 2 min
5 Tips to Minimize Prior Authorization Delays
What is Prior Authorization? Prior authorization is almost always necessary for behavioral health treatment. Once your authorization team...
12 views0 comments
- Oct 16, 2022
- 1 min
How to Use ASAM Guidelines to Get Authorization
What is ASAM? ASAM (The American Society of Addiction Medicine) Criteria is the most common set of guidelines that payors and providers...
174 views0 comments
- Oct 16, 2022
- 2 min
How to Prove Medical Necessity to Reverse a Claim Denial
Medical necessity is one of the most common reasons that insurers deny behavioral health claims. It is possible to get this type of...
486 views0 comments
- Oct 16, 2022
- 1 min
How to Prepare for a State Agency Visit
Providers and facilities of all specialties are subject to inspections from the Department of Health Care Services (DHCS). Auditors...
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- Oct 16, 2022
- 2 min
The Most Effective Way to Write an Insurance Appeal Letter
Do you get authorization prior to treating a patient, yet still receive claim denials? This is a common issue that providers face on a...
852 views0 comments
- Oct 16, 2022
- 2 min
USE A BUSINESS ASSOCIATE AGREEMENT FOR HIPAA COMPLIANCE
Why Use a Business Associate Agreement? Because healthcare providers frequently outside vendors and subcontractors, it is important to...
5 views0 comments
- Oct 16, 2022
- 2 min
UNDERSTANDING THIRD-PARTY PAYER AUDITS
Third-Party Payer Audits As the value-based care model gains momentum in U.S. healthcare, payer audits by third-party vendors are...
314 views0 comments
- Oct 16, 2022
- 4 min
Applying Value-Based Care to Behavioral Health
In last week’s blog, I talked about third-party payor audits and what they mean for your behavioral health facility. Before writing the...
1 view0 comments
- Oct 15, 2022
- 2 min
New Healthcare Initiatives May Impact Provider Revenue
Payor Initiatives Over the last few weeks, we talked about the shift in U.S. healthcare policy, what to expect from the value-based...
4 views0 comments
- Oct 15, 2022
- 3 min
Maximize Provider Revenue with Telehealth
Thanks to today’s fast Internet speeds and easily accessible video technology, telehealth services have rapidly expanded, becoming a...
4 views0 comments
- Oct 15, 2022
- 3 min
Payor Contracts-the pros and cons of going in-network
Reimbursement rates for all medical services, especially behavioral health services, have changed over the last few years. In the past,...
176 views0 comments
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