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.
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About Flourish by Advaita Health
Flourish by Advaita Health explores how people, providers, and communities move from suffering to flourishing. Each episode weaves together perspectives from healthcare, wellness, and human experience — from the science of mental and physical health to the art of living well.
Advaita Health is a North Carolina–based behavioral health organization dedicated to supporting whole-person flourishing. Learn more about our work and clinical services below.
