In this episode, Katia asks Danielle about the process of switching your group practice credentialing over to a solo practice. Danielle answers questions about what you need before switching over your credentialing, how to update the insurance companies with your new practice information, and some pro-tips on how to streamline the process.
I wrote a blog post for Simple Practice’s Blog on out of network billing options.
In Episode 15, Danielle asks Katia about the process of switching from a solo to a group practice and the ins and outs of setting up this structure when accepting insurance. Katia answers questions about infrastructure, changing the credentialing status, as well as general billing for a group. Visit our Facebook page for show notes and resources for this episode.
In this episode, Katia and Danielle interview Frances Harvey, CPC the owner of My Solutions Services, an online business management service for clinicians. Topics covered include how an online business management service is different from a virtual assistant, how hiring an online business manager can help you with insurance administrative tasks such as verifying benefits and following-up on unpaid claims as well as give you tips on how to streamline your business. Check out our Facebook Page for the show notes for this episode.
In this episode, Katia asks Danielle about how to market your practice to clients who want to use their insurance. Topics include: insurance panel provider directories, how to set up your website and online directories to attract insurance clients, as well as tips on how to network to medical professionals.
In this episode, Danielle asks Katia about her process from the initial client contact up to the end of the first session. Topics discussed include questions to ask a potential client during the initial contact, when to verify and tell the client their insurance benefits, setting up your client using paper charts (Katia) vs. EHR (Danielle), different ways to schedule clients, as well as how to bill the first session.
In this episode, Katia asks Danielle what the options are for out of network providers who want to utilize a client’s insurance benefits. Danielle explains what a super bill is as well as how a clinician would submit a claim as an out of network provider.
In this episode, Danielle asks Katia about how to go about requesting a single case agreement for her out of network clients. Topics discussed include the benefits of getting a single case agreement, what information is needed to request one, and how it differs than billing as an out of network provider or in-network provider.
In Episode 9, Katia asks Danielle about why her claims would be denied and how to correct any claim errors. This one is an important one!
In Episode 8: Understanding an EOB, Danielle asks Katia all
about what an EOB is, how to review it, what it’s used for, and
what a provider needs to know about EOBs. Katia provides a clear
description as well as some tips about the importance of
reviewing the EOB.
Out of Network Billing TipsJuly 9, 2018 - 7:00 amHere are some tips to ease out of network billing confusion: What/Who is Out Of Network? Clinicians who have not signed a contract with an insurance company and do not have to abide by a contracted rate. Can still be subject to insurance audits for medical necessity and are still considered a HIPAA-covered entity. […]
6 Tips to Get Through a Care Review With an Insurance CompanyJune 26, 2018 - 7:00 amYou go to check your voicemail after a long day of seeing clients and you hear the message you’ve been dreading. It’s a representative from an insurance company wanting to do a care review on one of your clients and they’ve asked you to call them back. AHHHHH—but wait! Don’t panic. You’ll be just […]
Insurance and Expanding into a Group PracticeMay 21, 2018 - 5:00 amFirst of all—congratulations! If you are reading this post, that means you are at least thinking about expanding your practice and forming a group, which hopefully means you have a successful group practice or maybe just big dreams! For the sake of this blog post, I am going to assume that you are in a […]
What Clinicians Need to Know About the Interactive Complexity CPT Code (90785)May 7, 2018 - 10:25 am