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
7 terms to include in your patient debt collection agency services contract
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
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
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
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
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
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
Medical innovations, technologies and procedures spur changes in CPT 2025 Code Set
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