Solving Physician's Practice Problems – What's on Office Manager to Do?

The role of the Medical Office Manager or PracticeAvoiding Potholes in the Road to Getting Paid, says
Manager is varied and complex. The OM basically runsthe cure is in finding the source of the problem.  In the
the business side of a medical practice, clinic, or groupbook she suggests the Office Manager make a
of physicians. That means he or she is responsible for"rejection log" of the denials for each payer with key
billing, scheduling of patients and staff, maintaininginformation of the patient, the service provided, the
inventory, balancing the books, complying with Regs,codes, the charges, and of course the reason for the
and a whole host of other day-to-day tasks.denial. Doing this usually for just one week will help
 But ask Practice Managers to define their role andidentify and correct the problems. She also suggests
most will say they are "problem solvers."  On a givenusing a practice management system that uses
patient's chart it's easy to find his or problem or "chief"claims scrubbing software" which can prevent errors
complaint" for the physician to deal with. Practicebefore claims are processed.   
Managers on the other hand spot problems in theEven When Claims Are Approved – It Takes
office, and they usually do not need a chart toForever to Get Paid. "Slow-pay-a-dosis" isanother
recognize the signs and symptoms of "Officecommon problem. And the best cure is a "pit-bull" of an
Tension", "Compliance-itis" or "Code-a-phobia." HereOffice Manager who is not afraid to be aggressive
are some of the most common problems that ailwith follow up. This also goes back to office
physician's practices today – and "prescriptions" forefficiencies, if workflow and other procedures are
the best solutions from top practice and officeworking smoothly and in synch, then the Practice
management experts.  Manager is free to pursue revenue-generating
 Working more – Earning less. Many physiciansactivities, such as collections.
say that today, they have to see more and morePatients Waiting Too Long.  Call it "Waiting Room
patients – and yet they still seem to be unable toFatigue Syndrome." There can be many reasons for
make up for shortfalls in reimbursements, etc., and arethis, from workflow issues, to lack of qualified
earning less than they did years before. Yes, theassistants, to not enough exam rooms. Often doctors
experts agree that problems from third party payersare to blame for poor time management skills. But
have a lot to do with this. But so does officewhere the OM can make a real difference is in
inefficiencies. Streamlining procedures, and improvingscheduling -- understand why a patient is coming in,
technology, such as adopting an EMR, could make aand do not be unrealistic in scheduling appointments.
major difference. The Office Manager is a major These are just a few of the major problems that
resource for streamlining procedures and improving theMedical Office Managers are expected to "treat"
bottomline.everyday. Each month we will look at some other
What about those denials? A major symptom manysymptoms – and some of the best practice
medical offices are suffering from is a bad case of"cures."       
"Chronic Insurance Denial." Deborah Walker Keegan,HNA-NET.
who co-wrote the book, The Physician Billing Process: