Medical Office Manager

Coding

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

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

21 easy ways to boost practice profitability fast

Simple changes to billing procedures, hiring policies, purchasing, patient relations, and other daily activities can have a positive impact on your practice's bottom line. Here are 21 ways you can quickly boost practice profitability. 1. Name a reimbursement coordinator To get all the reimbursement possible, hire or appoint someone to be a reimbursement coordinator. It … [Read more...] about 21 easy ways to boost practice profitability fast

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

Coding Update: Important Changes Coming in 2025

In 2025, there are important updates coming to both ICD-10 and CPT codes that medical office managers should be aware of, as these changes will impact how diagnoses and procedures are documented and billed. ICD-10 Changes The ICD-10 system will see 252 new codes, 36 deletions, and 13 revisions. These updates are aimed at providing more specificity in certain areas of … [Read more...] about Coding Update: Important Changes Coming in 2025

Mastering Modern MedTech: Essential tech skills for every medical office manager

To stay ahead and keep your practice running smoothly, it's crucial to develop a robust set of technology proficiencies. From Electronic Health Records (EHR) systems to cybersecurity practices, mastering these tools not only enhances operational efficiency but also ensures compliance, improves patient care, and supports the overall success of your practice. Dive into the … [Read more...] about Mastering Modern MedTech: Essential tech skills for every medical office manager

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

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

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

5 tested ways to make your billing and coding more profitable

The health of your medical practice depends on good quality coding and billing work. One of the most important roles in the medical office that impacts compliance—and your bottom line—is the coding and billing function. "Coding and billing is the lifeblood of the practice; it's the income," says Michael J. Sacopulos, JD, founder and president of Medical Risk … [Read more...] about 5 tested ways to make your billing and coding more profitable