Clean Claim Rate: How to Track and Improve It
Your clean claim rate is the share of claims that clear your front-end checks and go out without anyone fixing them by hand. Tracking it shows where rework and slow payment begin.
ERA Enrollment: 5 Easy Steps for Therapists
ERA enrollment is the registration that tells a payer to send its electronic remittance advice (ERA) to your practice, your clearinghouse, or your billing service. It is a separate
Open Enrollment for Practices: 6 Easy Steps Before January
Open enrollment for practices is the yearly check where you find out which patients changed health plans, so January claims go to the right payer under the right rules. A new plan
Patient Insurance Verification in January: A Practice Checklist
Patient insurance verification in January is the practice-wide recheck of every active client’s coverage after the new plan year starts. Deductibles reset, some clients chang
6 CAQH Mistakes That Hold Up Credentialing
Common CAQH mistakes are a quiet reason credentialing files stall. A plan cannot finish your file if your profile is out of date or incomplete. Here are six CAQH mistakes to check
What Is a CAQH ID and How Do You Find It?
A CAQH ID is the number that identifies your provider profile in CAQH’s online portal. Plans ask for it so they can find your credentialing data. If you cannot remember yours
CAQH Reattestation: What to Update and When
CAQH reattestation is when you confirm that the information in your CAQH profile is still correct. Plans use that profile for credentialing and directories, so a lapse can hold up
Mental Health Billing and Credentialing: Why Practices Pair Them
Mental health billing and credentialing are two halves of the same job. Credentialing gets you enrolled with a plan, and billing gets you paid by it. When the two do not match, cla
Behavioral Health Credentialing: Payers, CAQH, and Contracts
Behavioral health credentialing is how a plan confirms that a therapist or psychiatrist is qualified before it enrolls them. It touches every payer you bill, and the rules are not
Credentialing Services for Mental Health Practices: What to Look For
Credentialing services for mental health practices handle the paperwork that gets a therapist or psychiatrist enrolled with insurance plans. The work is detailed and it repeats for