Roles of a medical office
Medical practice management, whether for a small office or a large one, requires the practice manager to deal with a tremendous variety of issues: administrative, legal, financial, technological and more. One minute, a practice manager can be interviewing a potential physician’s assistant (PA), and the next minute calling a plumber to fix a malfunctioning sink.
There can be a multitude of responsibilities involved in medical practice management, including:
- Financial Management – Establishing and maintaining a budget and revenue cycle; monitoring and analyzing medical billing success and financial performance; negotiating contracts with payers
- Business Operations – Developing a business and marketing plan; identifying required outside resources; managing the practice’s physical space; purchasing
- Human Resources Management – Recruiting, hiring, training, and retaining providers and staff
- Information Management – Acquiring and upgrading telephone and computer systems including software/services for clinical, billing, electronic health record (EHR) and financial management; securing patient data; reporting on practice compliance
- Organizational Governance – Establishing legal structure of practice; integrating a corporate mission; establishing pay structure; fostering staff and clinical leaders
- Patient Care Systems – Maximizing provider efficiency through effective workflow; establishing systems to keep patients informed, engaged and satisfied; establishing practice performance standards
- Quality Management – Establishing and maintaining quality standards; monitoring clinical quality oversight; setting up processes and systems to enable participation in Pay-for-Performance (P4P) programs; ensuring that all licensing is current
- Risk Management – Establishing procedures to ensure patient safety and to address emergencies, disasters and legal challenges; ensuring governmental compliance
Because of the importance of this process in medical practice management, with incoming revenue enabling just about any level of growth and improvement, this Knowledge Hub puts a significant emphasis on ways to ensure your practice gets paid what it should, when it should.
1 “Prepare that Claim,” American Medical Association, http://www.slideshare.net/RajinikanthDhakshana/ama-prepare-that-claim-taking-an-active-approch-to-the-claims-management-revenue-cycle
2 “The Lifecycle of a Medical Claim: Identifying Practice Problems,” P. J. Cloud-Moulds, Physicians Practice, December 3, 2011, http://www.physicianspractice.com/blog/lifecycle-medical-claim-identifying-practice-problems.