Welcome to the Practice Solutions Blog

Ever feel like you’re flying blind when you hit "submit" on a batch of claims? You aren't alone. For many private practice owners, the Claim Submission process feels less like a business system and more like a game of "Wait and See." You spend your week doing the delicate, high-level work of healing patients, only to spend your Friday nights staring at a screen, wondering why your bank account doesn't reflect the hours you’ve put in. At Practice Solutions, we see this all the

We have heard it a thousand times in discovery calls. A practice owner will tell us that they do not really mind doing the billing. They say it is just a few hours a week and they have a handle on it. Meanwhile, we are looking at their aging report and seeing tens of thousands of dollars sitting in the ninety day bucket. To a seasoned biller, that’s an irresistible garden of claims to be turned into revenue. When you say you do not mind doing a task, you are usually admitting

Ever feel like you’re being gaslit by your own business? You sit down with your biller or log into your EHR, and the dashboard looks beautiful. Your Aging Report is "clean"—the 90-day bucket is empty, the 60-day is low, and everything seems to be moving along. But then you look at your bank account, and the math doesn’t add up. You’re sweating payroll, you’re delaying that new hire, and you’re wondering where the disconnect is. If this sounds familiar, you might be a victim o

Deciding to switch your Electronic Health Record (EHR) system is often born out of a moment of deep frustration. Maybe it’s a glitchy interface that adds twenty minutes to your day, or perhaps it’s a reporting feature that leaves you guessing about your practice’s actual health. In the billing world, we often see providers treat an EHR switch like a "fresh start." But if you aren’t careful, that fresh start can quickly turn into a "perfect storm" for your revenue cycle. In a

Ever feel like you’re shouting into a bureaucratic abyss? You’ve done the work. You’ve cared for the patient. You’ve submitted the claim. And then— BAM—denied. Your first instinct is probably a surge of righteous indignation. You want to write a three-page manifesto to the insurance company explaining why they are wrong. But here’s a hard truth we’ve learned from years in the trenches: In the world of Revenue Cycle Management (RCM), hope is not a strategy, and passion doesn’

You didn’t go to school to become a professional biller. You went to school to help people. But somewhere between that first clinical internship and hiring your ninth therapist, the "business stuff" started to feel like a particularly demanding houseplant that you just can't keep watered. If you’ve ever felt like your revenue is slipping through the cracks—or if you’ve ever been "voluntold" into running a business without a roadmap—it’s time to take a look under the hood. Wha

"The check is in the mail" is the oldest excuse in the book, and frankly, it’s wearing thin. If you don’t have a paper trail, you’re starting from zero every time you call. Think of a call reference number as your "save point" in the game. When you are forced to spend your precious time on the phone with a payer, you need a way to ensure that conversation actually counts for something. This is why I always tell our team: never, ever end a phone call with an insurance company

In the world of healthcare billing, the relationship between insurance payers and healthcare providers is often described as an "adversarial" one. For years, the prevailing sentiment among providers has been that prior authorization is simply a tool used by insurance companies to delay care or deny payments. On the surface, it looks like a high-stakes "AI arms race"—providers using technology to force approvals while payers use it to automate denials. However, according to D

Managing a practice is a balancing act between providing top-tier care and maintaining a healthy bottom line. One of the biggest hurdles is Patient AR (Accounts Receivable) —that "treasure chest" of money owed directly by the people sitting in your waiting room. If you treat patient collections with the same cold logic you use for insurance companies, you risk damaging the trust you’ve worked so hard to build. However, by implementing what we call the Three Pillars of Collect

You know the pile I’m talking about. It’s that stack of paper sitting on the corner of your desk—or the digital equivalent in your EHR—that you’ve been avoiding for three weeks. It’s the "Explanation of Benefits" (EOB) forms that come back with a giant DENIED stamp (metaphorically speaking) across the front. When you first see them, it feels like a personal rejection. You provided the care, you did the work, and the insurance company basically just said, "No thanks, we’re ke