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United Healthcare's Step-By-Step Appeal Process

WEBMain Points Walk through the instructions for UHC's appeal process very carefully. They have specific instructions that must be followed, or the appeal won't go through Using …

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Incident-To Billing: A Complete Guide

WEBIncident-to billing is a way of billing outpatient services rendered in a non-institutional setting by a non-physician practitioner and being paid for services. This kind of billing is tricky …

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All About Superbills: A Guide for Mental and

WEBSuperbills are a document given by a provider to a patient for the express purpose of the patient billing the insurance and obtaining payment. Superbills are a popular way for …

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What does "Coordination of Benefits" Mean Anyway

WEBCoordination of benefits is the process that allows a plan to determine their respective payment responsibilities. Basically, if a patient has multiple insurance plans that are …

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Key Components of the Medical Billing and Collections Process

WEBTo aid in the process of billing and collections, make sure your client knows to bring their insurance card with them to your office or provide a picture of the front and back of the …

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Sliding Scale Fees: Implementing Income Based Pricing

WEBIn the ever-evolving landscape of mental health services, therapists are increasingly recognizing the importance of making their practices more accessible and inclusive. One …

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Cost-Benefit Analysis of Paper vs. Electronic Claims

WEBHere is the cost-benefit analysis to prove it: 1. Paper Claims Cost More Money. Here is a breakdown of the costs of paper claims: CMS-1500-02/12 forms = …

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The Difference Between Eligibility and Benefits

WEBOn the other hand, benefits refer to the specific services that are covered under an insurance plan. This includes the amount and type of services that are reimbursable by …

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Everything You Need to Know About Timely Filing

WEBTimely filing is the amount of time that a provider has to submit a claim to the insurance company to ensure that the insurance company will pay the claim. If the provider does …

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How to Bill for Longer Couples and Family

WEBThe first area that a therapist has to start with when billing extended therapy sessions for couples and family therapy is what codes are used. Below is a helpful chart that you can …

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Understanding Verification of Benefits

WEBA verification of benefits (VOB) is a way to ensure the services that you render will result in payment from the insurance company. This is really the first step in ensuring payment …

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How to Determine Which Insurance Plans to Accept

WEBFactor 1: Using reimbursement rates to determine which insurance plans to accept. Reimbursement rates, or the rates that insurance companies agree to pay providers for …

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What is Availity and and How is it Helpful for Insurance Billing

WEBAvaility is a great free tool for mental healthcare providers who are billing insurance. Through the Availity portal, you can establish secure HIPAA compliant connections to …

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Practice Solutions Practice Solutions, LLC United States

WEBPractice Solutions, LLC provides mental and behavioral health billing solutions and services to your practice, freeing you up to focus on providing best-in-class care to your Patients …

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How to Exit an Insurance Panel

WEBIf you have fully committed to your decision of leaving an insurance panel, you will want to reach out to the insurance company’s provider services or provider relations department. …

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The 9 Most Common Health Plans

WEBHealth Maintenance Organization (HMO): An HMO is a type of health benefits plan where members are required to receive healthcare only from providers that are part of the …

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Credentialing Secrets No One Will Tell You

WEBHere are the best insurance credentialing secrets we could give you!Credentialing is one side of the business of private practice that is the most confusing and time-consuming …

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3 Ways to Know Your Reimbursement Rates from Insurance

WEBReference Paid Claims for Reimbursement Rates. The second way that you know how much the insurance company will pay you for services is to contract with an insurance …

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How to Know If You Are Credentialed With an Insurance Company

WEBProceed to Question 2. If you have completed this process and received a contract within the last three years, you are most likely credentialed with that insurance company. If you …

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