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Billing & collections

Running a Small Medical Office Without Running Yourself Ragged

April 17, 2025

When you manage a very small medical office—maybe just you and one or two others—you're not just overseeing the work. You're right there in the trenches: answering phones, checking in patients, billing insurance, fixing the printer, and handling HR tasks when needed. It's a lot. The trick to thriving is learning how to switch hats efficiently. Start with a Clear … [Read more...] about Running a Small Medical Office Without Running Yourself Ragged

Strategies to stay on top of insurance denials and appeals

March 18, 2025

Denials from insurance companies can be frustrating and costly for both your practice and patients. However, a well-organized approach to handling denials and appeals can significantly impact your revenue and patient satisfaction. In this article, we will provide you with valuable advice on managing denials and appeals effectively. Understanding Denials Before delving into … [Read more...] about Strategies to stay on top of insurance denials and appeals

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

December 11, 2024

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

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

November 5, 2024

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

October 31, 2024

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

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

July 27, 2024

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

January 24, 2024

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

Track these 5 metrics for practice profitability

January 5, 2024

By Mike Rigert “It was the best of times, it was the worst of times … , ” wrote author Charles Dickens in his classic novel, “A Tale of Two Cities.” While it’s certainly not the worst of times for most healthcare practices (that honor likely went to 2020-2021), things could always be better, … [Read more...] about Track these 5 metrics for practice profitability

8 tips for successful collections and increased revenue

December 2, 2023

A robust collections process is essential for the financial health and sustainability of your practice. By implementing the right strategies and adopting a proactive approach, you can significantly enhance your collections efforts. Here are 8 essential tips and best practices to help you optimize collections and maximize revenue for your medical office. Verify Insurance … [Read more...] about 8 tips for successful collections and increased revenue

17 projects for the last quarter of 2023

September 28, 2023

As we start the last quarter of the year, it's time to plan the projects that need to be done before we close out 2023. Here's a list to consider. Financial Review: a. Review the year-to-date financial statements to assess the financial health of the practice. b. Prepare a budget for the upcoming year, considering revenue, expenses, and capital investments. Insurance … [Read more...] about 17 projects for the last quarter of 2023

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