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
Billing & collections
CMS and Telehealth Reimbursement in 2025: What Changed?
If your medical office embraced telehealth during the pandemic, you’ve probably seen how convenient and cost-effective it can be for both patients and providers. But as you’ve also likely noticed, CMS (Centers for Medicare & Medicaid Services) continues to tweak the rules and reimbursement rates for virtual care. So what’s different in 2025—and what do you need to do to … [Read more...] about CMS and Telehealth Reimbursement in 2025: What Changed?
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
What’s New in Coding: Summer 2025 Updates
Summer is in full swing, and while your providers may be dreaming of vacations, you’ve got your eye on something else—coding updates. As of July 1, 2025, several important coding changes have taken effect, and it’s a great time to make sure your team is up to speed. Whether your office specializes in primary care, orthopedics, behavioral health, or anything in between, staying … [Read more...] about What’s New in Coding: Summer 2025 Updates
Economy Watch: How to Financially Prepare Your Medical Office for Uncertainty
Cost-cutting ideas, lean operations, and forecasting tips Recession fears are in the air again. Whether or not a full economic downturn takes shape in 2025, medical office managers can’t afford to ignore the possibility. Hiring has slowed in many industries, inflation remains a concern, and both patients and payers are watching their wallets more closely. Even if your office … [Read more...] about Economy Watch: How to Financially Prepare Your Medical Office for Uncertainty
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
Why Outsourcing Medical Billing Might Be the Best Decision You’ll Make
Running a medical practice involves juggling countless responsibilities—managing staff, ensuring patient satisfaction, maintaining compliance, and keeping operations running smoothly. Amid all this, handling billing and the revenue cycle can easily become overwhelming, opening the door to errors and delays. If medical billing is taking up too much time and energy, it might be … [Read more...] about Why Outsourcing Medical Billing Might Be the Best Decision You’ll Make
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
Smart Strategies to Maximize Reimbursements
Reimbursements are the lifeblood of a medical practice’s revenue cycle. But between ever-changing insurance rules, coding requirements, and patient billing complexities, it’s easy for revenue to slip through the cracks. As a medical office manager, you’re in a unique position to tighten up processes, prevent denials, and boost the bottom line—without seeing a single … [Read more...] about Smart Strategies to Maximize Reimbursements
7 Guidelines for Conducting Insurance Eligibility Checks
Insurance eligibility checks might not be the flashiest part of running a medical office, but they’re one of the most important steps to keep things running smoothly—for both your team and your patients. Skipping this process or getting it wrong can lead to billing headaches, denied claims, and frustrated patients. A strong system for eligibility verification is like having a … [Read more...] about 7 Guidelines for Conducting Insurance Eligibility Checks