Insurance billing might not be the most glamorous part of managing a medical office, but it’s absolutely one of the most critical. If you really want to keep your practice financially healthy, you need a strong grasp of how the billing and reimbursement process works—even if you aren’t the one submitting claims day-to-day. Understanding the financial side helps you spot … [Read more...] about Understanding the Financial Side of Insurance Billing
Billing & collections
How to Pick the Right Medical Billing Software
Medical billing software is a vital component of healthcare administration. It automates the billing process, reduces errors, ensures compliance with regulatory standards, and facilitates quicker reimbursement from insurance companies and patients. The right software can save your practice time and money, allowing your staff to focus more on patient care. Key Considerations … [Read more...] about How to Pick the Right Medical Billing Software
Avoid Common Medical Billing Mistakes to Maintain Revenue and Ensure Compliance
Medical billing is a critical component of a healthcare practice’s revenue cycle. However, it's an area rife with potential errors that can lead to delayed payments, denied claims, and lost revenue. As a medical office manager, ensuring accuracy in billing processes is paramount. Here’s a guide to common medical billing mistakes and strategies to avoid them. Common Medical … [Read more...] about Avoid Common Medical Billing Mistakes to Maintain Revenue and Ensure Compliance
Best Practices for Managing Medical Billing and Coding
Managing medical billing and coding can be quite the juggling act, but getting it right is crucial for the financial health of your practice and ensuring everything runs smoothly. Here are some best practices to help you streamline your billing and coding processes, complete with examples to show how it all works. First off, hire and train the right staff. … [Read more...] about Best Practices for Managing Medical Billing and Coding
Maximizing Revenue: 8 Tips for Efficient Claims Management
Keeping the claims management process smooth and efficient is crucial to maintaining steady revenue in a medical practice. Delays, errors, and denials can seriously impact reimbursements and slow down cash flow. These strategies will help improve efficiency and ensure claims are handled promptly and correctly to maximize revenue. 1. Verify Patient … [Read more...] about Maximizing Revenue: 8 Tips for Efficient Claims Management
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
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