Practice Operations resources

Start with what you are trying to do

What a practice needs here depends on its stage. A practice that has not filed a claim yet and a ten-provider group with a reporting gap are different jobs, so pick the stage rather than the article.

• Opening a practice, nothing enrolled yet Type 2 NPI, I&A and authorized-official setup, the group’s enrollment through PECOS, the first provider’s enrollment and reassignment, and EFT. Enrollment is project work, so it is priced as a flat fee fixed in advance rather than as a percentage. Medicare enrollment service
• Solo or small practice, weighing what billing costs The published 7.0% solo and 6.0% group rate applied to worked examples, the solo monthly minimum explained, and the contract and exit terms set out in full. Small practice billing
• Running a group and cannot see per-provider performance Days in A/R, clean claim rate, net collection rate and denials broken out per provider and per payer, so a single underperforming provider or payer is visible rather than averaged away. Analytics and reporting
• A therapy or behavioral health practice Physical therapy, occupational therapy, speech therapy, behavioral health and ABA each have their own billing page rather than sharing a general one. The superbill and therapy templates in the library below pair with them. Billing by specialty
• Seeing patients virtually Place of service 02 versus 10, the telehealth modifiers, and payer-by-payer parity rules, for practices that are virtual-first rather than occasionally remote. Telehealth billing service

Every Practice Operations guide, A to Z