Medical Office Manager

Billing & collections

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

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

Could you be doing more to make your accounts receivable less?

The financial health and stability of your medical practice depends on keeping receivables low and effectively managing outstanding balances. By implementing strategic practices and fostering a patient-centric approach, you can maintain low receivables while promoting a positive patient experience. Here are some strategies to achieve this: 1. Establish Clear Financial … [Read more...] about Could you be doing more to make your accounts receivable less?

How to make a collection call to a patient

A collection call to a patient should never be offensive. But it does need to be firm. Remember, the goal is to collect an unpaid balance. With this in mind, here's what to say and how to respond to what a patient says. Begin by putting the patient on the spot, without being confrontational. One possible approach is, "We haven't received payment for this bill we sent you 30 … [Read more...] about How to make a collection call to a patient