Welcome to the Practice Solutions Blog

On a recent episode of The Claim Game, our team sat down with Dr. Hemant Gupta, a practicing physician and former Chief Medical Officer at UnitedHealthcare, to explore the growing friction between healthcare providers and insurance plans. During our conversation, Dr. Gupta highlighted how prior authorizations have become the single largest administrative hurdle in modern practice management, leaving clinicians drowning in hold music and endless paperwork delays. As Artificial

Trying to navigate health insurance credentialing can feel a lot like trying to convince a cat to take a bath. It is messy, everyone ends up stressed, and half the time you are left wondering why you decided to jump in the tub in the first place. When group practice owners talk about marketing, their minds usually go straight to the flashy stuff: a modern website, sleek social media graphics, local networking, or running Google ads. But here is a mental download from the fiel

On a recent episode of The Claim Game podcast, host Jeremy Zug sat down with Dr. Marina Badillo-Diaz, LCSW, founder of The AI Social Worker, to discuss the evolving intersection of artificial intelligence, ethics, and mental health care. If you work in human services, private practice, or behavioral healthcare, your days are likely filled with a delicate balancing act: providing empathetic, high-touch client care while juggling a mountain of administrative tasks. As Dr. Badil

"Here be dragons." That used to be the warning old school cartographers wrote on maps to mark unexplored, dangerous territory. And honestly, it is the exact warning you need before stepping off the clinical floor and into the world of Mergers and Acquisitions (M&A). We recently sat down with M&A expert Dan King on The Claim Game podcast to talk about what it actually takes to scale and sell a therapy practice. A lot of private practice owners enter a valuation thinking it is

Imagine this scenario. You spend hours filling out CAQH profiles and submitting applications. You wait six agonizing months to finally get approved by a major insurance payer. You eagerly open your new contract, only to discover their reimbursement rate is in the 10th or 20th percentile for your market. Talk about a punch to the gut. We have seen this exact nightmare happen to incredible practice owners time and time again. You should never have to wait half a year just to fi

Running a successful mental health practice requires a delicate balance between mission and margin. For many clinic owners, administrative roadblocks, specifically billing anomalies, insurance rules, and staff turnover, can cloud the core focus of providing excellent patient care. In Episode 51 of The Claim Game, host Jeremy Zug sits down with Shannon Hiser, founder of The Wellness Counseling Center, to dive deep into her decade-long entrepreneurial journey. Operating across

You finally did it. You upgraded from that cramped sublet to a beautiful new office space with windows that actually open. Or maybe you are taking your group practice fully remote and shifting your headquarters to a new corporate address. Naturally, you log into your Electronic Health Record (EHR), type in the new address, hit save, and celebrate the milestone. Then, two weeks later, reality hits. You check your clearinghouse reports and BAM: rejected. Dozens of claims are bo

If you are running a private practice, you have likely realized that there is a strange paradox at the heart of the work you do. On one hand, you are a clinician and a provider. You deal with the beautifully intangible: emotions, breakthroughs, human growth, and profound clinical moments. On the other hand, you are a business owner, and you have to deal with the hyper-tangible: overhead, payroll, and the increasingly complex, muddy world of insurance reimbursement. The bigges

Is your practice tired of wrestling with insurance denials, deciphering EOBs, and watching your revenue slip through the cracks? You are absolutely not alone. In the trenches of running an insurance-based practice, there is a common trap that growth-minded owners fall into: the high endurance trap. We pride ourselves on our tolerance for administrative shenanigans because we care deeply about access to care. But there is a fine line between mission-driven endurance and lettin

Ever stared at an Explanation of Benefits (EOB) and felt like you needed a decoder ring just to figure out why your virtual sessions weren't paid correctly? You are not alone; it’s a common headache for even seasoned private practice owners! If your accounts receivable (A/R) is routinely creeping over 45 days, or you are watching hard-earned revenue slip through the cracks, there is a very high probability that your claims are running into translation issues. In the eyes of a