Advaita Health Podcast
The Advaita Health Podcast explores the future of care at the intersection of clinical practice, individual flourishing, and society. Hosted by Tripp Johnson and Marcus Shumate, each episode features candid conversations with clinicians, patients, leaders, and innovators shaping behavioral health and beyond.
From the frontlines of clinical practice and medical innovation, to the science of flourishing through mindfulness, nutrition, exercise, and sleep, to the broader forces of society—healthcare policy, technology, and culture—we bring diverse perspectives into one conversation.
Our mission is to create a more connected, compassionate, and effective healthcare system, while helping people live healthier and more fulfilling lives.
Whether you’re a provider, policymaker, or someone passionate about health and well-being, the Advaita Health Podcast offers insight, inspiration, and practical wisdom for the challenges and opportunities ahead.
Advaita Health Podcast
Maximizing Patient Access: The Benefits of In-Network Billing
In this episode, Marcus Shumate and Tripp Johnson dive deep into the world of insurance billing, focusing on the nuances of in-network and out-of-network practices in behavioral health. Tripp shares his insights from transitioning to in-network provider status, discussing the benefits such as increased patient volume and stabilized revenue streams, while also addressing the complexities and challenges faced during the process.
The conversation covers the different billing models—cash pay, out-of-network, and in-network—highlighting how in-network billing can lead to quicker payments and improved access to care. Tripp reflects on their initial missteps, the importance of renegotiating contracts, and the evolving landscape of healthcare insurance. They also touch on future trends, including the potential for AI-driven solutions to streamline billing processes.
Whether you're a healthcare provider or simply curious about insurance billing, this episode offers valuable insights and practical advice.
Key Points:
- In-Network vs. Out-of-Network: The episode explains the differences between in-network and out-of-network providers, focusing on contracts with insurance companies and the impact on costs and billing for patients.
- Advantages of In-Network Status: There is a discussion about the benefits for behavioral health providers who are in-network, including increased patient access, higher volumes, and better visibility to clients seeking care.
- Challenges in Contracting: The episode addresses challenges providers face in securing in-network contracts, such as lower reimbursement rates and the time and resources needed for negotiations.
- Strategies for Securing Contracts: Practical strategies for obtaining in-network status are shared, including understanding the contracting process and building relationships with insurance companies.
- Impact of AI and Technology: The role of AI and technology in improving billing practices is explored, highlighting how these tools can streamline claims management and enhance revenue cycle efficiency for providers.
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Tripp Johnson
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