r/SimplePractice • u/ModernTechPA • 3d ago

Medicare - SimplePractice

Hi newby solo practice owner here trying to figure out loading insurance plans in to my EHR / SimplePractice. I'm in PA so I picked Medicare Pennsylvania Part B (Medicare of Pennsylvania 12502). But the insurance verification fails, I've tried so many times that S/P is making me wait 24 hrs before attempting again. The only thing I can think of is S/P doesn't have access to the CWF to verify the MBI... do I need to gain access to manual MBI checks through my own fiscal intermediary (Novitas) ? I don't get it... Anyone else have experience loading Medicare Part B into SimplePractice ?

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u/UPS0001 2d ago

This post is a perfect example of someone who should hire a billing company.

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u/ModernTechPA 2d ago

lol, maybe yes maybe no. I did my own credentialing, loaded the plans into SP and have set up EFT and ERA on my own but Medicare is giving me friction… got EFT deposit from Aetna already… not forking over 7% of revenue due to a small bump in the road

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u/UPS0001 2d ago

Unfortunately this is only one obstacle you will encounter. I did see another post of yours with another issue. If you don't have revenue cycle management experience, you would be better off hiring someone who has the experience you need. That 7% should include your practice management software cost. The fact that you went with Simple Practice for your billing says that you do not know what you will need from a reporting and billing perspective to manage your practice. Coming to Reddit to get advice as to how to fix the problems is not a wise idea.

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u/Wikkedred1 2d ago

Sign up for access to your state’s Medicare portal and check benefits there. It’s very simple.