Medical Office Manager

Billing & collections

Medical innovations, technologies and procedures spur changes in CPT 2025 Code Set

The emergence of medical innovations, new technologies and cutting-edge procedures spurred most of the annual changes presented in the release of the Current Procedural Terminology (CPT®) 2025, the nation’s uniform data-sharing code set for medical procedures and services published by the American Medical Association (AMA). “The CPT code set is the … [Read more...] about Medical innovations, technologies and procedures spur changes in CPT 2025 Code Set

Why Outsourcing Medical Billing Might Be the Best Decision You’ll Make

As a medical office manager, you juggle countless responsibilities daily—staff management, patient satisfaction, compliance, and operational efficiency, to name a few. Amid this whirlwind, managing billing and revenue cycle processes can become an overwhelming task, prone to errors and delays. If you’ve ever felt that medical billing consumes too much time and energy, it might … [Read more...] about Why Outsourcing Medical Billing Might Be the Best Decision You’ll Make

Watch these 4 trends in medical billing and collections

Recent developments in billing and collections in medical offices reflect a broader trend toward technology integration, transparency, and efficiency. Key areas include: AI and Automation: Medical offices increasingly use AI to streamline repetitive billing tasks, reduce errors, and enhance accuracy in coding and claims verification. AI's ability to identify patterns in … [Read more...] about Watch these 4 trends in medical billing and collections

How to deal with difficult patients and resolve conflicts

Dealing with difficult patients and resolving conflicts is an important part of working in a medical office. Sometimes, patients might be upset, anxious, or frustrated, and it's crucial to handle these situations calmly and professionally. Here are some tips and examples on how to manage these challenges effectively. First, it's important to listen carefully. When a patient … [Read more...] about How to deal with difficult patients and resolve conflicts

Physician Fee Schedule Updates for 2025 hit Telehealth, Payment Policies, Rates and Quality

The 2025 Medicare Physician Fee Schedule (PFS) introduces several key updates that impact payment policies, rates, and quality provisions: Payment Rates: There are refinements to codes for services addressing social determinants of health, with a focus on expanding the use of billing codes for social risk assessments and care coordination. Complexity add-on payments for … [Read more...] about Physician Fee Schedule Updates for 2025 hit Telehealth, Payment Policies, Rates and Quality

CODING ALERT: Watch for ICD-10-CM and CPT Changes for 2025

For 2025, medical coding changes in ICD-10-CM and CPT codes are set to reflect more precise diagnostic details and updated guidelines across various medical conditions. Some of the key updates include: Mental Health: New ICD-10-CM codes will expand the classification of eating disorders, differentiating severity levels (mild, moderate, severe) and adding specific … [Read more...] about CODING ALERT: Watch for ICD-10-CM and CPT Changes for 2025

How to add an insurance specialist to your team

Having a skilled insurance specialist on your team is essential for maintaining smooth financial operations and ensuring patient satisfaction. This role serves as a vital link between your practice, insurance companies, and patients. From verifying patient coverage to submitting claims and resolving billing disputes, an insurance specialist helps reduce financial stress for … [Read more...] about How to add an insurance specialist to your team

How to maximize reimbursements through denial management

One of your key responsibilities is ensuring that your practice gets paid for the services provided. One of the biggest challenges you’ll face in this role is dealing with insurance claim denials. These denials can create significant delays in cash flow and, if left unresolved, can lead to lost revenue. That's where effective denial management comes in. By creating a proactive … [Read more...] about How to maximize reimbursements through denial management

7 terms to include in your patient debt collection agency services contract

Outsourcing patient collections enables medical practices to generate needed cash flow and concentrate on clinical operations. That, at least, is the theory. But the strategy does not always work. One of the key factors of success is the actual services contract the medical practice signs with the agency. Many a medical practice has seen the anticipated benefits of outsourcing … [Read more...] about 7 terms to include in your patient debt collection agency services contract