BeInRev Medical Solutions

10/24/2025

At BeInRev Medical Solutions we often see practices collect a “standard copay” at check-in, only to find later via the EOB that the patient actually had no payment responsibility for that service.

Here’s one recent real-life example: a podiatry patient came in, the front desk collected the usual copay shown on the card. After the claim processed the explanation of benefits showed zero owed by the patient. Why? Because the benefit for that specialty visit carried no copay (for that plan) and the deductible/coinsurance didn’t apply.

This kind of mismatch creates more work: reversing collections, explaining to patients, and potentially eroding trust. The better route: verify both eligibility and the benefit details for that exact service type before collecting.

If your practice has ever wondered “why did we collect when the patient owed nothing?”, you’re not alone — and it’s fixable.

10/22/2025

Is your practice unintentionally leaving revenue on the table?

If your A/R is rising, the problem might be your patient collections process. Too many private practices are trying to collect 21st-century patient balances with 20th-century methods (71% still use paper/manual processes!). This adds stress to your staff and friction to the patient experience.

Learn the simple, 3-step system that top-performing practices use to collect copays before the patient even sees the doctor. Collect what you’ve earned, build patient trust, and reduce your AR days by up to 27%.

Read the full system details here and stop the leak today! Full blog here -

Stop losing revenue to uncollected copays. Implement a clear, 3-step RCM system for guaranteed copay collection, improved cash flow, and reduced AR days.

10/19/2025

Is Your Practice on a Cash Flow Treadmill? The A/R Management Secret.

We've all seen the scenario: Your staff is overwhelmed, and you're working hard, but the money is always lagging. The problem is usually simple: your Accounts Receivable (A/R) aging process is out of control.

You must accept the brutal math: the longer a claim sits, the less likely you are to get paid. A denied claim that bounces around for 90 days is far more likely to be written off than a claim followed up within 30 days. This financial decay is the root cause of cash flow shortages and staffing inefficiency.

The Solution: Focus on your "front door." Ruthlessly enforce patient eligibility and benefit verification. This single step eliminates the vast majority of preventable denials, keeping your claims "clean" and ensuring they pay quickly. If you want a predictable revenue cycle, you need a predictable intake process.

Ready to find out if your A/R is dragging you down? We break down the 4 simple, non-salesy steps to stabilize your cash flow and hit the industry benchmark of under 30 Days in AR.

Click here for the full blog post: https://www.beinrev.com/post/the-90-day-rule-why-fast-a-r-management-is-the-only-way-to-protect-your-private-practice-revenue

10/08/2025

The Denial Crisis is Not a Staffing Problem. It’s a System Problem.

If your initial claim denial rate is over 10%, you are paying a massive administrative tax on your success.

The hidden cost isn't the claim itself; it's the $25–$181 it costs in staff time to rework each denial. And 60% of those claims are never even resubmitted. That’s your practice's "Porsche Drawer" of lost revenue.

The solution isn't hiring more people; it's fixing the process.

The Fix is a 3-Step System:

Lock the Front Door: Mandate 100% pre-service verification of eligibility, benefits, and prior authorization (PA) at patient intake. This eliminates the #1 cause of denials.

Diagnostic Focus: Train your team to immediately decode the denial reason (CO-11, etc.) in the EOB/ERA, moving them from guesswork to correction.

Prioritize Profit: Work your A/R report by focusing only on high-dollar claims that are near the timely filing deadline. Stop chasing nickels when a thousand dollars is about to be lost forever.

I shared the full breakdown of how to implement these systems and recover thousands in lost revenue here -> https://www.beinrev.com/post/the-porsche-drawer-why-your-practice-is-leaving-44-000-on-the-exam-table

10/08/2025

Is your Accounts Receivable (AR) making you nervous? 💸

Most practice owners know the number—the total money owed by payers and patients. But do you know the Days in AR? If that number is over 50, it's a red flag signaling major cash flow trouble. You earned the money; now it's time to create the system that brings it home.

We see two critical mistakes practices make:

The Front-End Fail: Claims are rejected because of simple intake errors. Missing Prior Authorization (CO-15) or an expired policy (CO-27) means a guaranteed denial and wasted staff time. This needs to be a mandatory check before the patient sees the doctor.

The Passive Follow-Up: Letting claims "sit" until they are 60 or 90 days old. You must be proactive. Work your Aging Report weekly, prioritizing the biggest claims and those nearing the payer’s timely filing deadline.

High-performing practices keep their AR under 45 days. This isn't magic; it's process. Stop chasing old money and start preventing new debt from building up.

I shared the full strategy to reset your AR and improve cash flow here → https://www.beinrev.com/post/a-simple-system-to-cut-your-practice-s-ar-and-collect-what-you-earn

09/28/2025

⚠️ Stop! Are you collecting copays from patients with Commercial Primary and Medicaid Secondary insurance? You shouldn't be.

This is one of the most common—and most risky—billing mistakes private practices make.

When a patient has dual coverage (Commercial primary, Medicaid secondary), the Medicaid Payer of Last Resort rule kicks in. This means:

The Commercial plan pays their portion.

The remaining copay, deductible, or coinsurance is billed to Medicaid.

Medicaid evaluates the claim. If the primary payment meets or exceeds Medicaid’s allowed fee, the patient's remaining liability is legally zeroed out.

If you collect that copay, you are engaging in improper balance billing, which violates your Medicaid provider agreement and puts your practice at risk for audits and fines.

The Fix is Simple:

Front Desk: Verify both insurances and inform the patient they will have no copay today.

Billing: Bill Commercial first, then ensure the claim crosses over correctly to Medicaid.

Post-Payment: Write off the remaining patient balance after Medicaid processes the claim. Do not send a statement.

Protect your practice's compliance and revenue. Don't let this simple billing error cost you thousands.

👉 Read the full guide on how to handle dual-eligibility claims correctly https://www.beinrev.com/post/medicaid-as-secondary-do-you-ever-collect-a-copay

The Surprising Truth About Medicaid & Commercial Copays It's a common scenario. A patient shows up for an appointment with two insurance cards: a commercial plan as primary and a Medicaid card as secondary. The commercial EOB (Explanation of Benefits) comes back, showing a $30 copay and a $150 remai...

09/24/2025

Is your waiting room a constant source of frustration for both patients and staff? Long wait times aren't just an inconvenience—they're costing your practice thousands in lost revenue from no-shows and patient turnover.

Did you know up to 20% of patients will switch providers because of delays? The good news is the solution isn't about working harder, but smarter.

We've outlined 5 practical steps to help you fix your patient flow, boost satisfaction, and grow your practice. Read the full post and discover how to turn your waiting room into a retention machine.

It's 10:30 AM on a Tuesday. The waiting room is full. One patient, who arrived at 10:15 AM for their 10:30 AM appointment, is getting antsy. They’re checking their watch, tapping their foot, and scrolling through their phone for the third time. They have a work deadline. They expected to be out by...

09/16/2025

That feeling when a patient needs to see a specialist, but you know the next step is a deep dive into the insurance portal… and a prayer. 😩

Prior authorization for specialists is a real maze. And it's not about the type of insurance so much as the plan itself.

Here’s the deal:

HMO plans almost always require a referral from a primary care provider (P*P) to see a specialist. That referral is basically a prior authorization.

PPO plans are more flexible. You can often see an in-network specialist without a referral, but for certain expensive or complex procedures, a prior authorization will still be required. Think MRIs, some surgeries, or specific therapies.

Medicare Advantage plans (Part C) commonly require prior authorization, especially for specialist visits, expensive equipment, and certain medications. This is a big difference from Original Medicare (Part A & B), which generally doesn't require prior auth.

Medicaid managed care plans are another type that frequently uses prior authorization to manage care and costs.

It’s a frustrating reality for both doctors and patients. We just want to get our patients the care they need, but sometimes it feels like we’re spending more time on the phone with insurance than with the patient. 📞

What's the most ridiculous prior authorization request you've ever had for a specialist visit or procedure?

I write more about this in my blog - https://www.beinrev.com/post/is-prior-authorization-always-required-to-see-a-specialist

09/11/2025

🌟 Decoding IPAs in Healthcare 🌟

If you’ve ever looked at a patient’s insurance card and wondered:
👉 “Why do I see the insurance carrier and another group name like ‘Nivano IPA’ or ‘Vivant Health’?”

You’re not alone — it can be confusing!

Here’s a simple way to think about it:

✅ Patients usually start with Medicare or Medi-Cal and then choose a plan.
✅ That plan often works through an IPA (Independent Physician Association).
✅ The IPA contracts with doctors, specialists, and facilities to control costs and coordinate care.

So what does that mean in practice?

IPAs decide when authorizations are needed 📝

They help manage referrals to specialists 👩‍⚕️

They keep healthcare costs in check 💰

They give patients more structured options for coverage and care ✅

In short: Carriers provide the insurance. IPAs manage the network and keep costs aligned.

👉 For practices, this means understanding the role of IPAs is critical when navigating claims, authorizations, and patient eligibility.

Have you worked with IPAs before? What’s been your biggest challenge?

I wrote a blog post detailing this scenario - https://www.beinrev.com/post/what-is-an-ipa-in-healthcare-guide-for-medical-practices

09/09/2025

Do you remember the days of paper superbills? The stack of them on the front desk, waiting to be sent? It felt like the only way to do things, right?

We recently started working with a private practice that was still using this method. The doctor would create paper superbills, and the front office would fax them over to us for billing. Simple enough, in theory.

But we quickly noticed something was off. We were always missing about 20-30% of the superbills. Sometimes we didn’t get any at all. It turned out the fax machine was “eating” some of the pages. The front office was also forgetting to send them.

This wasn't just a headache—it was a real problem. Missing superbills meant missed revenue and a scramble to find the lost paperwork before timely filing deadlines. We actually had to go to their office, dig through patient files, and rescan everything ourselves just to get the doctor paid.

The solution? We helped them switch to a modern, EHR-based system. Instead of paper, the doctor now finalizes superbills directly in the EHR.

This one change did so much:

-> No more faxing or paper shuffling.

-> All records are stored digitally and securely.

-> We can bill claims within 24-48 hours.

The result? The practice's revenue grew by 25% just from this one change.

It's a powerful reminder that sometimes the "old way" of doing things can cost you more than you think.

💬 What’s one old-school process in your practice that you've been able to successfully modernize?

Blog: https://www.beinrev.com/post/why-your-paper-superbills-are-costing-you-a-fortune

01/19/2024

The Centers for Medicare & Medicaid Services (CMS) recently implemented a new rule affecting prior authorizations and data sharing.
Read more about the rule and its potential effects in the linked article below.
Link to the article: https://www.cms.gov/.../cms-finalizes-rule-expand-access...

09/28/2023

🚀 Exciting News! 🚀
We're thrilled to share a major milestone in our journey!

🌟 We've just embarked on a new adventure by launching our very own business, and we couldn't be more excited about it. 🎉

At BeinRev Medical Solutions, our passion lies in transforming medical and dental practices into streamlined and profitable powerhouses.

🏥💼 Our proven systems and processes have already made a world of difference for countless practices, enhancing cash flow and efficiency beyond imagination. 💰✨

Our first step? We're offering a complimentary Practice Analysis! 📊 This personalized assessment will unveil the untapped potential that we can unlock for your practice. 📈

🔍 What can you expect from us?
Transparent billing solutions 📑
Fully integrated EMR/PM systems 🖥️
HIPAA compliance 🛡️
Expert coding services 📋
Thorough documentation audits ✅
Hassle-free credentialing services 📜
Effective marketing strategies 📢
Cutting-edge patient retention programs 🙌

We specialize in providing tailored solutions to medical and dental practices. 🦷👩‍⚕️

Ready to explore the possibilities? Connect with us today, and let's embark on this incredible journey together. 🤝
Visit our website at https://beinrev.com to learn more about what we have in store for you. 🌐

🙏Thank you for being a part of our community and supporting us on this exciting venture!