Missing Piece Blog

Single Case Agreement 101

Single Case Agreements, also known as SCAs, are contracts between an insurance company and an out-of-network provider.

Claims: Rejections vs Denials

Submitting healthcare claims is a complex and ever-changing process as technology and regulations can sometimes seem like a moving target. Understanding claims processing is an evolving skill, but learning the basic language is the first step to successfully navigating this landscape.    Claims Rejections  Claims rejections occur when the clearinghouse or the payer stop a claim […]

Why Do Providers Need Practice Management Software?

The right Practice Management software tools not only help to organize important information and aspects of day-to-day business operations, but the significant amounts of time that are saved can be spent on what’s most important – your patients.

ABA Therapy Documentation Best Practices

Medical records are a critical service piece for both patients and providers. These records document the health, well-being, medical needs, plan of care, medical necessity and treatment(s) rendered for a patient during their time with a clinician or therapist. This information is frequently reviewed by internal and external medical professionals, patients, and third-party payers. Failure to document information correctly can not only be detrimental to a patient’s care, but it can greatly impact payment for services.

Top Ten Benefits of Outsourcing ABA Billing

1. Reduce internal staffing costs Quality, knowledgeable staff are hard to find and expensive.  You avoid the payroll costs of an expensive billing department and only pay for services when the insurance company pays you.    2. Reduce training, supervision and hiring costs How do you train and supervise your staff on billing when you […]