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Medical management services typically advise physicians on the business issues they face in outpatient private practice, or provide business management services to hospital-based physicians. There are many subcategories and specialties within the field. The leading journal in the field is Medical Economics Magazine. There is a trade association in the US with over 300 members, the National Association of Healthcare Consultants that also serves dental practice management consultants and consultants to other specialties of licensed healthcare providers. Medical management services can range from “billing-only” services to “full-practice management” services. Fees for medical management services can vary. Some physicians prefer to get quotes from multiple medical management service groups before selecting one.
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Most medical management services have websites you can browse for more information. They may offer helpful links, outlines of services, industry news, rates, and doctor and physician information. Before choosing a medical management service, target those that offer exactly what you want, such as electronic processing, transcription, web-based medical billing software, electronic medical records (EMR), patient database management, forms and records, staffing organization, insurance claims, coding, customized online charge slips, health and wellness promotion programs, payment and remittance posting, advanced appointment scheduling, patient billing inquiries, visit tracking, health care collections, denial tracking, reporting, fee schedules, and management of financial books. Keep in mind that medical management services handle the bills and claims for a hospital, clinical facility, doctor’s office, or health insurance company to ensure that bills are correct and claims are valid. Make appointments with each company, whether you represent a hospital, clinical facility, or medical center. While there, make sure the office is well maintained and clean. Meet with staff and take note if staff members are helpful and accommodating. Speak with the staff to learn more about offerings, such as patient billing, coding, online data entry, healthcare insurance claims, and electronic processing software. Find out if the company is part of a local, national or international entity. If you are a doctor or physician looking for services related strictly to billing and coding, target companies that offer that primary service. Ask if the service provides on-site or remote offerings. Before committing to a medical and healthcare management service, keep in mind the company’s location, hours, services, reputation in the industry, background, and fees.
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