Practice Management

12. Pediatrics A Newborn Visit Needs Its Own Insurance Intake Birth creates an enrollment task A parent brings a newborn to the practice and provides the mother’s insurance card. The baby needs care now, but the practice still needs to establish the child’s own coverage and the payer’s instructions for reporting that care. The U.S. Department of Labor explains that birth can trigger special enrollment in an employer health plan. Its guidance tells families to request enrollme

The referral is one step in ongoing care A postpartum patient leaves with recommendations to see a therapist, a pelvic health PT, or a primary care clinician. The chart lists the referrals, but no one knows whether the patient can schedule them. ACOG describes postpartum care as an ongoing process. Its guidance recommends contact with an obstetric care provider within the first three weeks and a comprehensive visit no later than twelve weeks after birth, with ongoing care tai

A lactation practice hires a speech-language pathologist. A physical therapy practice begins offering pelvic health services. A maternal health practice brings in a mental health clinician. Each expansion may help patients get care in fewer places. But before the first appointment, the practice has more to do than update its website. Who will provide the service? How will that clinician participate with each payer? What documentation supports the care? Which benefits apply? W

Most healthcare providers spend more time reviewing their reimbursement rates than they do reviewing the authority they’re granting a billing company. That’s understandable. When you’re trying to get a practice up and running, it’s easy to focus on getting credentialed, seeing patients, and getting paid. But one of the most important documents you’ll ever sign may be your billing and collection agreement. A billing company can only exercise the authority you give it. That aut

According to industry reports, billing errors and lack of visibility into claims contribute to billions of dollars in lost or delayed revenue each year. For individual healthcare providers, this lack of transparency can mean more than financial uncertainty—it can impact compliance, patient trust, and professional accountability. As healthcare providers increasingly partner with third-party organizations for billing and insurance administration, one issue deserves far more att

When I first heard about remote billing for healthcare, I was curious but also a bit skeptical. How could something as complex and sensitive as medical billing be handled effectively from a distance? Over time, I’ve come to appreciate the many benefits and practicalities of this approach. If you’re looking to expand your practice’s reach and streamline your billing process, understanding remote medical billing administration is essential. Let me walk you through what I’ve lea

In today’s competitive market, businesses face increasing pressure to maintain high standards and comply with industry regulations. Credentialing companies offer specialized services that help organizations verify qualifications, licenses, and certifications efficiently. Partnering with these companies can unlock significant benefits, from saving time to reducing risks. This post explores the key advantages of working with credentialing companies and how they can support your