Behavioral health·Psychiatry·Therapy·General practice·Boca Raton, FL (561) 843-4030
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Frequently asked questions

Answers, without the jargon.

Common questions about how Glatzel Group runs the revenue cycle for medical practices — the free A/R audit, HIPAA and PHI, credentialing, telehealth, bilingual service, onboarding, and how we report on results.

What is revenue cycle management (RCM)?

Revenue cycle management is the full process of getting your practice paid — from verifying a patient's insurance before the visit, through submitting the claim, working denials, following up on unpaid claims, billing the patient balance, and reporting on how the cycle is performing. Glatzel Group runs the whole thing end-to-end, or slots in for the pieces you need help with.

How does the free A/R audit work?

Send us a de-identified A/R aging report — no patient names or other PHI. We review your outstanding balances, 30/60/90/120+ day aging, payers with significant outstanding balances, repeated denial or unpaid-claim patterns, aging trends, and potential recovery opportunities. It's an initial assessment at no cost and with no obligation.

Do you handle patient health information (PHI)?

Yes — but never through this website. Contact forms and audit requests collect only de-identified aging data and practice contact info. Real PHI is only exchanged through secure, HIPAA-compliant channels after a Business Associate Agreement (BAA) is signed.

What EHRs and practice-management systems do you work with?

We work with most major and mid-market EHR / PM systems. During onboarding we set up access to your existing system — we don't require practices to switch. If you're already on something we haven't used before, we'll evaluate it before onboarding and let you know if there are any limitations.

What specialties do you serve?

Glatzel Group serves physicians and healthcare practices across a wide range of medical specialties — behavioral and mental health, psychiatry, therapy and counseling (LCSWs, LMHCs, LMFTs, psychologists), primary care, family practice, and specialty practices. We're known for behavioral-health depth and equally at home with primary care and specialty groups. Solo practitioners, group practices, and growing organizations.

Do you handle Medicare and Medicaid?

Yes — Medicare Part B (PECOS enrollment, revalidations, claims, documentation expectations) and Medicaid managed-care where panels are open. Medicaid rules vary state-by-state, and we track the per-plan requirements.

Can you handle credentialing for new providers?

Yes. We handle CAQH profile setup and upkeep, commercial panel applications (Aetna, BCBS plans, Cigna, United, Humana, regional commercial plans), Medicare Part B enrollment, and Medicaid managed-care applications. Realistic timelines: 60–120 days for commercial, longer for Medicaid managed-care. We work the follow-ups and re-credentialing calendar so nothing lapses.

Do you appeal MHPAEA parity denials for behavioral health?

Yes — parity-rule appeals are one of our specialties. We draft them with the federal parity-language payers respond to and track win rates per payer so we know which fight and which fold.

Do you support telehealth billing?

Yes. We track per-payer telehealth policies — place-of-service (POS 10 for patient home, POS 02 otherwise), synchronous audio-video modifiers (95, GT, FQ), audio-only where allowed (modifier 93), and coverage variations between payers. Mismatched POS/modifier combos are one of the most preventable telehealth denials.

Do you offer bilingual service in English and Spanish?

Yes. We work with providers, front-desk staff, and patients in both English and Spanish — with real bilingual staff, not a translation service. Hablamos español.

What does onboarding a new client look like?

Week 0: free A/R audit and walkthrough (de-identified data only). Weeks 1–2: BAA signed, EHR / clearinghouse access set up, payer-specific rules captured, CAQH audit. Weeks 3–4: we work the inherited aged-claims backlog while clean new claims start going out. Day 60+: first full monthly KPI report and recalibration.

What KPIs do you track and report on?

Every client gets a monthly KPI report covering: clean-claim rate on first submission, days from date-of-service to payment, denial rate and top denial reasons, A/R aging buckets, collection rate vs. allowable, and appeal win rate by payer — trended over time. Quarterly review calls walk the trend and align on the next 90 days of focus.

How do you handle patient billing without hurting the provider relationship?

Clear plain-language statements patients can actually read, plus real humans on the phone (English or Spanish) when questions come up. Payment plans for balances patients can't pay in one lump. Aged balances escalate through a defined path — additional statement, phone outreach, payment-plan offer — and only get referred to a collections partner with practice sign-off.

Are you based in Florida? Can you serve practices outside Florida?

Yes — headquartered in Boca Raton, Florida, and serving healthcare practices nationwide across virtually every U.S. state. Payer knowledge and specialty depth travel; we work every major commercial plan, Medicare Part B, and state Medicaid managed-care where in-network.

How do I get started?

Send a de-identified A/R aging report through our contact form or call (561) 843-4030. We reply within one business day with an initial assessment of what the audit found and next steps. No obligation.

De-identified aging only · No obligation · Bilingual (English & Spanish)

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