What Exactly is Medical Practice Management?

Along with outsourcing your medical billing to a third party partner, you will also find it very beneficial to outsource your practice management to your medical billing partner.

Most medical practice management involves four basic categories
1- Medical coding services
2- Medical billing services
3- Physician credentialing
4- Consulting services

Outsourcing your medical coding will be very beneficial to the day-to-day operations of your practice. Allowing an experienced company to handle your medical coding will not ensure that the proper codings will be used, but the latest changes and information to make sure you always get a maximum reimbursement on your medical billing claims will be assured.

Along with proper coding go good medical billing techniques. Your medical billing partner will submit your claims electronically and you will see a much faster return on your claims. This will enable you to begin to generate a revenue flow that you can count on. If you have a claim that is rejected or denied by the carrier, your medical billing partner will fight the denial and try to get you the highest return possible on each and every claim.

Physician credentialing services is another job that can be performed for you. If your practice isn’t credentialed with a particular carrier, your medical practice management partner will get your practice approved to take patients and render services. In this way, when medically billing these companies, you may get quicker payments and more patients referred to your practice.

A very valuable service that is performed by a medical practice management firm is to perform consulting services for your practice. They can do internal audits on previous claims submitted and help you find ways to save money and generate a higher revenue stream for your practice. Outsourcing the day-to-day billing and coding headaches of your medical practice is just smart and you will reap the benefits in terms of more time to service your patients and faster reimbursements; and that’s good business!

View all Articles by: Melissa Clark, CCS-P