Money Maybe and no EOB!
1980’s Biller Humor: Because I gotta laugh in order not to cry. I want my ERA! Look at Change Healthcare, that’s the way to do it You took away the MFA That ain’t workin’ that’s the way Change do it
September 2, 2024
The Billing Blog
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Medicare vs the Mega-Groups: The Clash is Coming…
Like them or loathe them, no one disputes that large venture capital-funded mega-groups have irrevocably altered the business of private mental health practice. But I have an uncomfortable question, one I’m not sure has yet been asked publicly: What happens
August 23, 2024
Medicare telehealth coding flip-flop!
The Center for Connected Health Policy reported that Medicare issued a “Change Request” earlier this month, amending the Medicare billing manual. On page 18 of the 21-page amendment, Medicare just happened to mention a 180-degree telehealth coding flip-flop in the policy as
July 24, 2024
A Perfect Storm: How opting out of Medicare can put non-Medicare clients at risk.
Opting out of Medicare is causing therapists to be disenrolled from commercial payer panels. It’s illogical, and has all the makings of a perfect storm. Why would a therapist’s decision about Medicare affect clients without Medicare in any way? I’ve
June 20, 2024
Stop the NPI sabotaging your address change!
Have you ever moved offices and changed your address with the insurance payers – and then mail reverted to your old address? Chances are, the NPI was responsible. And you didn’t even know about it. Here’s why! And there’s something
June 2, 2024
Incident-to vs. Supervisory billing in mental health
“One of these things is not like the other” Much has been written about the current high demand for mental health services and clinician shortages. In response, some (not all) private insurers have done what was once unthinkable. They now
April 22, 2024
Responsibility Drift
Setting Boundaries with Insurance Payers? Stop “Responsibility Drift” before it becomes an avalanche! When I discussed Ghost Networks, I mentioned that in addition to unacceptably low reimbursement, administrative tasks are another reason clinicians don’t participate in panels. This got me thinking.
February 14, 2024
I Don’t Want to Enroll in Medicare!!!
The categories of Medicare participation or opting out for behavioral health clinicians. (Originally published 2/17/23)
November 21, 2023
Coordinate care, and get paid too?!
Coordinate care with other professionals – and actually get paid for it. Here’s how!
November 11, 2023