Billing and Collections
Billing cycles, overdue accounts, payment upon receipt of services vs. billing, the use of credit cards, collection agencies, and uncollectibles, 'write-offs.'
Analyze the financial impact of proper vs. improper coding procedures on the practice, establish the manager's role and responsibilities in providing and developing the necessary resources, (including materials, tools, and trained personnel) to insure efficient and accurate coding procedures.
Communicating via the telephone, in writing, and in person.
Information and procedures selected to ensure physician office practices are in compliance with federal laws, rules, and regulations.
Alternatives for managing conflict in the workplace.
Employment and Payroll
Payroll calculations, Federal, State, FICA, and Medicare taxes, exempt vs. non-exempt employees, number of exemptions, 1-9 forms, and the INS.
Employee benefits, personal financial planning, retirement planning investments, and insurance and estate planning.
Health Care Law
Malpractice, fraud, abuse, referral restrictions, outside business options, disabilities, patient confidentiality, medical records, collection legalities, workers' compensation, labor law, and the role and responsibilities of the medical office manager relative to legal issues.
Role of the office manager in assuring ethical and legal human resource decisions are made; recruiting, evaluation, and retaining good employees, planning for growth, and staff/physician ratios.
The process of ensuring that appropriate diagnostic and therapeutic regimens are implemented based on the objective and subjective symptomology of the patient.
Managing and Leading
Various leadership/management styles and how they can affect the medical office, determining when changes are warranted and what is required to successfully implement them.
Basic accounting concepts/terminology, understanding the financial statement, internal controls, cost concepts, pricing of medical services, budgeting, analyzing capital expenditures, and ratio of receivables to production.
Patient Education & Practice Marketing
The use of patient surveys, educational brochures and newsletters; benefits of sending new patient packets, discussing fees, and options available to increase or maintain the patient census, and the practice identify within the ethical constraints of the profession.
Buy in/buy out, mergers, partnerships, contracts, professional corporations, and other structural options in medical practice.
Insurance coverage, safety/OSHA compliance, CLIA, security, medical records documentation and confidentiality, and hazardous material handling.
Systems Analysis and Design
The use of computer systems and software applications in the medical office, factors that determine the need for system expansion or changes, application of technology including expanded phone services, FAX machines, paging systems, and video patient education.
Third Party Reimbursement
Medicare, Medicaid, HMOs, PPOs, workers' compensation, regulations that govern participating vs. nonparticipating, claims processing, RBRVS, and audit preparation.
The meaning of time management, implementing time management on a daily basis, and advantages of time management.