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Billing & collections

How to maximize reimbursements through denial management

June 25, 2025

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

June 20, 2025

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

June 10, 2025

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

Bringing Patients Into the Loop: Communicating and Managing the Insurance Verification Process

June 10, 2025

Insurance verification can feel like a behind-the-scenes operation, but for patients, it’s often a source of stress, confusion, and surprise bills. Helping patients understand what’s happening, why it matters, and what they need to do can go a long way toward creating a more transparent and positive experience at your practice. Here’s how to bring patients into the insurance … [Read more...] about Bringing Patients Into the Loop: Communicating and Managing the Insurance Verification Process

9 things to know about billing software

June 5, 2025

The large majority of medical offices use billing software. If you haven't made the leap to billing software yet, or if you are shopping for a new software vendor, here are things to know. With billing software, you can automate the entire billing process, from sending out invoices to processing payments. This can save you a lot of time and reduce the risk of errors. This … [Read more...] about 9 things to know about billing software

📋 Quick Checklist: 5 Financial Metrics Every Medical Office Manager Should Watch

May 28, 2025

Keeping a close eye on the financial health of the practice is just as important as managing patient flow and team operations. This quick checklist covers five key metrics that help ensure billing processes run smoothly, collections stay strong, and accounts receivable don’t spiral out of control. Use it as a monthly guide to spot potential issues early and make informed … [Read more...] about 📋 Quick Checklist: 5 Financial Metrics Every Medical Office Manager Should Watch

Understanding the Financial Side of Insurance Billing

May 21, 2025

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

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

May 13, 2025

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

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

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