The rapid evolution of telehealth services has helped keep medical practice virtual doors open to meet their patients' health needs during the pandemic. But with new utilization comes cautionary areas from a billing standpoint, and it's important to stay current on updates and compliance protocols to promote revenue growth and avoid financial loss. 

Topics: Practice management, payer contract, medical office compliance, medical practice issues, medical billing, financial management, medical coding

Nearly 2 million American workers report having been victims of workplace violence each year, and the number has only grown since the start of the pandemic. While workplace violence can strike anywhere and at any time, the risk of assault can be prevented or minimized if employers take appropriate precautions.

Topics: medical office compliance, medical practice issues, workplace violence

As a Medical Office Manager, there are few actions as uncomfortable as firing an employee. Yet, after verbal warnings, write-ups, and other corrective actions, you know when this time has come to gather your documentation and make difficult decisions about how and when to proceed. But failure to follow proper procedures and federal guidelines could put your practice at risk of an employee lawsuit or a compliance violation. Take a look at some best practices and a termination checklist below to help you proceed professionally and safely.

Topics: Practice management, CMOM, medical office manager topics, medical office compliance, medical practice issues, personnel management

No matter where you are in your career, long-range planning and determination will help you achieve your goals faster. And if your plan includes rising the ranks in medical office management, then experience, time management, confidence, and great people skills will help you get there. Add certification in medical office management to the mix, and you've got a long-term recipe for success! 

Don't know where to start? Here are a few steps to help get you on your way to becoming a Certified Medical Office Manager (CMOM). We know you can do it, so let's get you there!

Topics: CMOM, PMI Certification, medical office, medical office leadership

Two of the most common questions PMI receives about the Certified Medical Office Manager credential are, "Why do I need a CMOM certification?" and "How can I get buy-in from my provider/supervisor?"  We asked PMI faculty member, Linda D’Spain, to share her thoughts and address these specific CMOM FAQs. Whether you are just starting out on your career journey or thinking about your next career move, watch the video or read on for insider tips to get you CMOM-ready. 

Topics: CMOM, PMI Certification, medical office certification, Certified Medical Office Manager, cmom certification, CMOM FAQs

The U.S. Department of Justice (DOJ) on May 26 announced law enforcement actions for several COVID-19-related Medicare fraud schemes totaling $143 million. The actions involved the exploitation of Centers for Medicare and Medicaid Services (CMS) policies designed to increase access to care during the COVID-19 pandemic. Fourteen defendants were charged for their actions involving the exploitation of the broadened COVID-19 emergency declaration, telehealth regulations, and rules. 

Topics: medical office compliance, medical fraud, Medicare fraud, medicare compliance

How would you characterize the success of your medical office? Is it a steady flow of patients, low denials, providers that take an active role in the business, a great clinical and administrative team? How about the financial health of the practice? It’s hard to guide the ship in the right direction when you are too busy plugging holes in the galley.

Topics: Practice management, Practice cash flow, medical practice issues, financial management, patient billing, patient collections

Contract review is a delicate dance but doing your homework and negotiating for a better deal helps to achieve a better outcome, says healthcare attorney, Heidi Kocher, JD, MBA, CHC, of DC-based Law Firm, Liles Parker. Before you start the negotiation process, here are a few things to consider.

Topics: Practice management, contract negotiation, payer contract, carrier contract, value proposition, carrier contract guidelines, Heidi Kocher, medical practice benchmarking

Lots of healthcare organizations say their core values reflect a diverse and inclusive workplace but fall flat in implementation. A diverse workplace must be welcoming of all individuals, no matter their ethnicity, age, gender, or sexual orientation. More than a mission statement, everyone in your medical office plays an active role in its successful integration. In this post, we discuss what it takes to create a strong workplace culture of diversity and inclusion and why you must elevate its presence in your medical office.

Topics: Practice management, medical office manager topics, medical practice issues, diversity and inclusion

Pay careful attention to the latest reimbursement, compliance guidelines, and waivers as you integrate telehealth into patient care, experts warn. As the newness wears off, denials could start rolling in if you aren't watching the updates closely. 

Topics: Practice management, Practice cash flow, medical office compliance, medical practice issues, medical billing

Changes to healthcare delivery, and billing codes during the pandemic, along with major updates to the E/M documentation guidelines have created a ripe environment for government-contracted auditors. But you have the right to challenge auditors. Take steps now to establish your culture of compliance.

Topics: Practice cash flow, payer contract, carrier contract guidelines, medical office, medical billing, financial management, auditing

Mix together long hours, hectic schedules, heavy caseloads, COVID-19 chaos, and office politics, and you get a toxic recipe for medical practice burnout. Don't ignore these signs! Medical office managers can reduce the effects of stress and burnout with strategies that support providers and staff. Learn best practices to avoid burnout, protect your practice, and increase patient satisfaction.

Topics: Practice management, time management, medical office manager topics, medical practice issues, medical office staff, administrative burdens

When demands at work leave you overwhelmed or exhausted, knowing where to turn for support is important before stress builds and spreads into other areas of your life. Relief starts with giving up some control, said Practice Transformation Coach Debbie Rozanski.

Topics: Practice management, medical office certification, Certified Medical Office Manager, medical practice issues, administrative burdens

Your Family Doktors, a 25-year-old family practice in Webster, TX, faced many operational challenges over the past year as the COVID-19 pandemic sent healthcare into a tailspin. Office Manager Ashton Ardila, CMOM, CMIS, shared some of the hurdles and frustrations her team faced, and how the practice has persevered.

Topics: Practice management, CMOM, medical office certification, Certified Medical Office Manager, medical office manager topics, medical office compliance, medical office staff, administrative burdens

Elizabeth Daley, MHA, CMIS, CMOM, CMCO, is Director of Client Success at Collect Rx, a 15-year-old company launched by former executives from third-party vendors who pioneered the out-of-network (OON) industry. The company works with 2,100 clients across the country and have built a proprietary database with thousands of claim resolutions at their fingertips to facilitate and expedite the negotiation process.

Topics: Practice cash flow, value proposition, carrier contract guidelines, medical practice issues, medical billing, financial management