Striking the Balance Between Vision, Execution, and Collaboration in Pediatric Practice Operations

Running a pediatric practice is a team effort. At the heart of the operation is a partnership between the Physician Owner and the Practice Administrator — the duo responsible for both the clinical mission and the business engine. Note that in a small practice the Physician Owner might function as both the Practice Administrator and…

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Roles of the Revenue Cycle Management Team Members – Front Desk, Provider, and Biller

In a pediatric practice, the Revenue Cycle Management (RCM) process is more than just billing—it’s a collaborative system that starts the moment a patient schedules an appointment and ends when the payment is received. Every team member plays a critical role, and understanding these roles is essential to improving cash flow, reducing denials, and enhancing…

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Expectations of the Four Ps – Patients, Parents, Providers and Payers

In today’s evolving healthcare landscape, pediatric practice leaders and owners are finding themselves at the crossroads of multiple — and sometimes competing — expectations. To succeed and grow, it’s crucial to understand and balance the demands of the Four Ps: Patients, Parents, Providers, and Payers. Each brings unique expectations to the table, and meeting these…

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Changes in Telehealth Coding for 2025: We are Ready…Are the Payers?

Since the COVID19 Pandemic started in 2020, the approach by payers related to telehealth has been fairly consistent and the CPT coding is the same CPT codes used for in person visits (e.g. 99212-99215). This is changing with 2025 since the Center for Medicare and Medicaid Services (CMS) provided an entirely new CPT coding approach.…

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Common Pediatric Conditions During December and Year-End Holidays: A Guide for Pediatricians

The holiday season is a time of joy and celebration, but it also brings unique health challenges for children. As a pediatrician, you play a vital role in helping families navigate these common conditions and ensuring a healthy and happy holiday season for their little ones. In this blog, we’ll explore the most prevalent pediatric…

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