Zen Medical Services

A family medicine practice we worked with hired a new physician in March. She saw her first patients in April. The practice didn't get paid for a single one of those visits until late July, because her credentialing with two major commercial payers still wasn't finished. That's three and a half months of billable work sitting in limbo, not because the care wasn't good, but because the medical credentialing process hadn't caught up to the calendar. This happens more often than most practices...

eClinicalWorks is one of the most widely used EMR and practice management platforms in the country, and for good reason. It's flexible, it handles a lot of specialties well, and it gives practices real control over their scheduling, documentation, and billing in one place. But here's what we see over and over when we review a new practice's revenue cycle: the software isn't usually the problem. It's how the billing workflow is set up inside it. We've audited eClinicalWorks billing setups for...

Why Psychiatry Medical Billing Trips Up New Practices Psychiatry medical billing has a reputation for being harder than it looks, and there's a real reason for that. It combines two different coding systems, evaluation and management (E/M) codes and psychotherapy codes, and asks you to document time, medical necessity, and treatment complexity all in the same note. We've reviewed intake files from new psychiatry practices where the clinical care was excellent, but the claims were getting...