Group NPI vs Individual NPI: 4 Easy Differences
A group NPI vs individual NPI question comes up the day a solo clinician forms an LLC or hires a second provider. The short answer: each clinician keeps one personal Type 1 NPI, an
Start a Private Practice Billing: 7 Easy Decisions
If you want to start a private practice billing system that gets paid on time, seven decisions come first. Make them before your first client, not after your first denial. This gui
Out-of-Network Billing for Group Practices: Where to Start
Out-of-network billing for group practices means submitting claims, or giving clients paperwork to submit, for care your clinicians deliver without a contract with the client’
How to Bill Insurance as a Solo Therapist in West Georgia
To bill insurance as a solo therapist in West Georgia, you need three things in place before the first claim: a clear payer list, a clean way to check benefits, and a weekly routin
Recredentialing for Therapists: What Payers Check Again
Recredentialing for therapists is the periodic review a health plan runs to confirm you still meet its network standards after your first approval. The plan re-checks items such as
Birthday Rule Coordination of Benefits for Therapy Claims
Birthday rule coordination of benefits is how insurers decide which parent’s plan pays first when a child is covered under both parents’ health plans. A wrong guess mea
Texas Insurance Contacts for Therapists: Who to Call When Claims Stall
Texas insurance escalation contacts are the offices you turn to when a payer’s front-line phone line has stalled on a claim. For a therapist or psychiatrist, the right office
Massachusetts Insurance Regulators and Payer Contacts for Therapists
Massachusetts insurance regulators handle some payer problems, but not all of them. The Division of Insurance covers certain private plans, while MassHealth and Medicare each run t
LPC, LMHC and MFT Billing: Medicare, Private Payers and Medicaid
LPC LMHC MFT billing means billing insurance for licensed professional counselors (LPCs), licensed mental health counselors (LMHCs) and marriage and family therapists (MFTs). The l
Add a Clinician to Group Credentialing: 6 Steps for Practices
To add a clinician to group credentialing, you give each payer three things: the clinician’s own NPI, a complete provider profile, and a request to link that person to your g