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happydocstaff

Improve Medical Office Teamwork by Communicating Better

A great medical practice team doesn’t require employees who all think alike. In fact, you need different strengths. You need someone willing to make a decision when the office is stuck. You need someone who catches the detail everyone else missed. You need employees who build relationships, and you need people who see possibilities nobody […]
Medicare Physician Fee Schedule 2020

CMS Proposes 1.68% Conversion Factor Cut and PE RVU Overhaul for 2027

The Centers for Medicare & Medicaid Services released the 2027 medicare physician fee schedule proposed rule this summer, and the document carries two changes that will reach every private practice billing Medicare next year: a lower conversion factor and a rebuilt method for calculating Practice Expense RVUs. Under the proposal, the CY 2027 non-qualifying APM […]
medicare chronic care management

CPT E/M Caregiver Guidelines: When You Can (and Can’t) Bill Without the Patient

Determining whether you can bill office E/​M codes when the patient is not present is one of the most common points of confusion for practice managers and coders. Whether you are dealing with a parent-only visit in pediatrics or a caregiver meeting for a patient with dementia, the rules vary significantly between CPT guidelines and […]
employee termination

Employee Termination Checklist: Protect Your Medical Practice From Wrongful Termination Claims

Terminating an employee is one of the most difficult management decisions you make in a medical practice. Even when you have a legitimate reason to let someone go, inconsistent discipline, poor documentation, ignored leave protections, or a badly handled termination can turn a routine employment decision into an expensive dispute. The safest termination process actually […]
outsourced medical billing

How to Measure Medical Practice Performance and Prove What’s Working

Running a successful medical practice involves far more than keeping the schedule full and making sure claims go out the door. Every day, you make decisions that affect revenue, compliance, staffing, patient satisfaction, and your practice’s overall financial health. The problem is that many of those improvements are difficult to see unless you deliberately measure […]
2021 EM Coding Changes

6 Ways to Improve Medical Coding and Billing Accuracy and Protect Your Revenue

Strong documentation is only half the battle when it comes to getting your practice paid correctly. Your codes must accurately reflect what the provider documented and the services your practice actually performed. Get the coding wrong in either direction, and your practice can pay for it. Upcoding can trigger payer scrutiny, audits, repayment demands and […]
Claims hold

The Hidden Compliance Risks of AI Medical Documentation

Artificial intelligence is changing the way medical practices document patient care. AI-powered scribes and documentation tools can help reduce physician burnout, speed up charting, and improve workflow efficiency. But if your practice focuses only on saving time, you could expose yourself to serious compliance, billing, HIPAA, and malpractice risks. Today, successful medical practices are shifting […]
CAQH ProView

CAQH Credentialing Checklist: 8 Steps to Avoid Payment Delays

An incomplete provider profile can create much bigger problems than another item on your administrative to-do list. When information used for credentialing is outdated, missing, or inconsistent, your staff may spend valuable time tracking down documents, responding to payer requests, and troubleshooting enrollment problems. Now that CAQH has become DataSpring, powered by CAQH, it’s a […]
Turn Denials to Revenue

Turn Medical Claim Denials Into Recovered Revenue

A denied claim doesn’t automatically mean lost revenue. But the longer your staff waits to address it — or the more time they spend working denials with little chance of recovery — the more expensive the problem becomes. Effective medical claim denial management requires more than working a queue from oldest to newest. You need […]
Professionalism

9 Ways to Improve Professionalism in Your Medical Practice

Professionalism in healthcare isn’t simply about how your employees dress, whether they arrive on time, or how politely they answer the phone. It shows up in how your team communicates when the office is overwhelmed, handles disagreements, responds to patients, accepts feedback, takes responsibility for mistakes, and works together when something goes wrong. Those everyday […]