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Billing 101

Introduction

ABC as easy as ICD? Maybe not.

Many therapists enter the world of private practice without having a full understanding of the many elements that go into building a successful therapy business. At the core of those many elements is private practice billing and this element is often the one that remains the most elusive.

In this eBook, we have broken down the ins and outs of billing for your private practice. This resource will serve as a great foundation if you do not know where to start when it comes to billing.

This beginner-friendly guide will start off with the basics. You will learn how to bill your self-pay clients the right way, while also understanding how to correctly submit insurance claims to ensure you get paid.

Billing is complicated, that is why we made sure this eBook is not. We give you simple definitions, actionable strategies, and expert advice on insurance billing in a format that is easy to follow.

If you run across a word or term that you are unfamiliar with, make sure to check out the end of this book. We have created a glossary of all the important billing terms that you should know.

We are going to launch right into the basics of billing to get started!

You can check out the chapters in this eBook individually using the Table of Contents below or download the eBook as a PDF via the form on the right.

Table of Contents

  1. INSURANCE BILLING BASICS
    1. Create a Standard Payment Policy

    2. Submitting Claims to an Insurance Company

    3. Best Practices for Self-Pay Clients

  2. INSURANCE BILLING MISTAKES TO AVOID
    1. Common Billing Errors

    2. How to Avoid Billing Nightmare

  3. CLEARINGHOUSE 101
    1. What Do Clearinghouses Do?

    2. Why are Clearinghouses Important?

    3. How to Choose the Best Clearinghouse for Your Private Practice

      1. Check their payer list

      2. Do not get trapped into a lengthy agreement

      3. Shop around

      4. Test their customer service

      5. Avoid clearinghouses that send claims to other clearinghouses

    4. Verify compatibility

    5. A Clearinghouse is an Asset

  4. INSURANCE BILLING AND YOUR EMPLOYEES
    1. Understand the Code

    2. Teach Your Staff How to Use the Software

    3. Create a Standard Check In Procedure

    4. Explain How to Handle Self-Pay

  5. MOVING FORWARD
  6. GLOSSARY: INSURANCE BILLING TERMINOLOGY