Better Capital. Better Care. 

As we start a new year, we’re taking a quick moment to reflect and embrace the challenges and possibilities that the upcoming year holds. Healthcare is always evolving, and this year will be no exception. With new regulations on the horizon, we’re here to help you stay ahead of the curve, and are committed to […]

Behavioral health providers may have noticed an increase in medical record requests from HCSC (Health Care Service Corporation) Blue Cross policies, Blue Cross policies that are based in Oklahoma, Illinois, Texas, and New Mexico. The record requests have led to delays in the processing of insurance claims, especially for those patients who received care out […]

To improve your bottom line, it’s not just the insurance companies you’ll need to follow up with for payment; you have to stay on top of your patient’s balances too. Many patients may discharge or leave with a final balance still open. Once a patient leaves, it is more difficult to get in contact with […]

This week, a viral Instagram post highlighted a major problem with the US healthcare system. In a since modified post on Instagram, Kourtney Kardashian wrote, “I’ve always been lucky enough to do more than what insurance covers, and it’s one of those ultrasounds that saved my baby’s life.” Major media outlets were quick to report […]

Member policies are shifting We are seeing much higher deductibles for in and out of network policies. This means that the client will need to pay a much higher amount before the insurance will even pay $1. It used to be common practice to find policies that paid 80% after the deductible was met, leaving […]

Employers are looking to enhance their mental health care and other benefits for employees in the coming year. New research shows employees have challenges accessing care and remaining healthy both physically and mentally. “Even before the COVID-19 pandemic, millions of Americans struggled with mental health and substance use challenges,” said Kate Berry, senior vice president […]

Gathering the correct information during an intake assessment or pre-screen is essential to insurance reimbursement. Use our checklist during your patient’s intake assessment to guarantee that your billing department has all of the information they need for you to get paid.

Outsourcing or changing billing companies can be a lot of work. In fact, many providers stick with a mediocre billing service simply to avoid the work that goes into the transition. Additionally, because many medical practices depend on insurance reimbursement to stay in business, the fear of making a switch that will harm revenue overrides […]

Utilization Review Utilization Reviews bridge the gap between providers, payors and patients. They give the provider the opportunity request authorization for a treatment, and the insurance company the opportunity to determine whether or not the treatment is medically necessary. It is the Utilization Review Specialist’s job to advocate for the patient, so they are given […]

No matter how thorough your billing process is, every provider has a list of claims that seem impossible to get paid. Overturning claim denials can be a grueling process, but if you follow the 5 steps listed below, your outstanding claims list will disappear in no time. Download our Behavioral Health Guide to Quick and […]