WP165 | End of Year Insurance Billing Procedures with Davia Ward, CMRS, CBCO

In this episode of the Wise Practice Podcast, I sit down with Davia Ward — CEO and founder of Healthcare Partners Consulting & Billing — and one of the most mission-driven leaders I’ve ever met. With over 37 years of experience in healthcare, Davia has built a nationwide billing firm grounded in accuracy, compassion, and Christ-centered service. But what struck me most in our conversation wasn’t just her expertise… it was her heart.

Davia shares her powerful personal journey from file clerk to registered nurse to founder of a thriving billing company that now employs and empowers women across the country — military wives, single moms, survivors, and those who simply needed someone to believe in their potential. Her story alone is worth the listen.

But this episode is also packed with practical, timely tools for insurance-based practice owners, especially as we head into the end of the year. Davia breaks down:

✨ What every practice owner needs to know about open enrollment

✨ How to communicate with patients about insurance changes (without stress)

✨ The biggest billing mistakes clinics make in December

✨ How to avoid claim rejections related to year-end transitions

✨ Why therapists must stop assuming what clients can or can’t afford

✨ A powerful mindset shift around reimbursement, value, and leadership

Plus — Davia created an end-of-year billing SOP toolkit just for Wise Practice listeners. Yes, really.

This conversation is equal parts heart, wisdom, and highly actionable guidance. If you’ve ever felt overwhelmed by insurance billing, unsure how to navigate the year-end chaos, or simply needed encouragement from a strong Christian leader… this episode will bless you.

Tune in and learn how to streamline your billing, strengthen your leadership, and serve your clients well — one claim at a time.

Why Year-End Billing Matters More Than You Think

The end of the year can be chaotic for insurance-based practices. Deductibles reset, plans change, claims get held up, and insurance companies update their systems. If we don’t stay ahead of it, we end up with:

  • Delayed payments

  • Rejected claims

  • Frustrated clients

  • Hours of unnecessary administrative work

But with the right steps in place (as Davia beautifully explains), the process becomes much smoother.

1. Communicate Early About Insurance Plan Changes

Every year, from mid-October through early December, clients review their benefits and may switch plans. But they don’t always remember to tell us—until a claim is denied.

Davia recommends sending three gentle reminders:

  • November 1: “Are you changing your insurance plan?”

  • December 1: “If you have changed plans, please send us a copy of your new card.”

  • December 20: A final reminder before offices close for the holidays

This simple system can prevent weeks of denied claims and unpaid sessions.

2. Don’t Verify New Benefits Until January 1

Most insurance companies don’t upload updated plan information until the new year. If a client sends in new card details in December, thank them—but let them know verification will take place on January 1 when the system updates.

This keeps expectations clear and prevents unnecessary back-and-forth.

3. Keep Your Claims “Year Clean”

One of Davia’s most helpful tips was this:

Never submit claims from two different calendar years on the same claim form.

For example:

  • December 31 services go on one claim

  • January 1 services go on another

Mixing them causes automatic rejection at the clearinghouse level.

It’s such a small detail, but it saves a major headache.

4. Stop Assuming What Your Clients Can—or Can’t—Afford

This part of our conversation really stuck with me.

When insurance stops paying or denies a claim, many therapists feel guilty discussing the balance with clients. But Davia reminded us that:

  • The insurance company—not the therapist—is the one saying they won’t cover it

  • Clients often know before we do because they receive the EOBs

  • We should never project our own financial fears onto the client

Instead of assuming, we can simply explain the situation and offer options, including payment plans if needed. It honors the therapeutic relationship and respects the client’s autonomy.

5. Overcommunicate and Keep Everything Clean

The end of the year is all about:

  • Clear communication

  • Clean claims

  • Organized processes

When these pieces are in place, January becomes much more peaceful—for you and your clients.

Final Thoughts

Talking with Davia reminded me how powerful it is when we blend excellence with compassion. She leads her company the same way many of us lead our practices: with heart, intentionality, and a desire to serve others well.

If you haven’t listened to the full episode yet, I encourage you to check it out. There’s so much wisdom packed into our conversation, and I know it will help you finish the year feeling more grounded and prepared.

Here’s to a smooth transition into the new year—and to running your practice with clarity and confidence!

Davia Ward’s Resources

Website

Facebook

LinkedIn

Annual Patient Insurance Update Communication

Links and Resources

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WP166 | What Should I Pay Myself as a Practice Owner with Barry Roach

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WP164 | How to Scale to a 7-Figure Practice with Alison Pidgeon, LPC