Professional Pitfalls and Challenges - Cert Med Assistant.com

Medical Practice Management

Good practice management is a prerequisite to good patient care. it is in the best interests of patients and the office to properly manage the office. However, every medical office comes with its own set of challenges, and when they occur they must be overcome and resolved by virtue of training, guidance, special knowlege, and experience.

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Some of the possible challenges might be:

The uninsured patient

Coordination of benefits

Specialty care referrals

Managed care

State and Federal laws

Attorneys and lawsuits

Third party liability issues

Insurance companies

State and federal regulatory agencies

Compliance (OIG, OSHA, HIPAA)

ERISA and CLIA

State Health Department

Debt collection agencies

Debt collection laws

State insurance laws

Medicare/Medicaid

Tricare rules

Auto accident cases

Workers compensation cases

Court procedures

Medico-legal examinations

Consent and informed decision making

Patient dissatisfaction

Ineffective appointment systems

Misplaced patient records

Unproven and alternate therapies

and

Efficiency of written communications

Security of office and computer systems

Adequacy and security of patient records

Quality of the equipment

Safety of the practice

Filing patents for new treatments

For larger medical groups, practice managers may be employed to undertake some of this work, such as solve a problem, or resolve pressing issues. In other cases the task may be allocated to a specialist of the group who has the necessary skills and background. Sometimes an outside consultant, or lawyer may be hired, while the doctor and his medical assistants continue their daily medical office routine.

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