Topic
Operations
11 articles on operations — what the work involves, what to organize before handing it to anybody, and how to tell whether it is working. No gates and no email capture.
What must be on a Good Faith Estimate, and when it has to be issued
Every element 45 CFR 149.610 requires, the four notices most templates leave out, and the three deadlines that govern it.
How medical coding works in a practice
Coding is the one back-office function where being fast and wrong is worse than being slow. This is how to set up an outsourced coding seat so the record leads and the query process actually works.
How scheduling, recall and no-show recovery work
An empty slot is not recoverable — the hour passes whether or not somebody is in it. This is how a dedicated seat fills the template, works the recall list, and gets cancellations back on the books the same day.
How referral intake and coordination work
A referral that arrives by fax and is never logged is a patient the practice never sees and a referrer who stops sending. This is how to run intake so every referral is tracked from arrival to booked visit.
What a virtual medical assistant actually does
A virtual medical assistant works if the role is scoped as a defined set of queues and fails if it is scoped as "help". This is the difference, in practical terms, and what to decide before the first day.
How release of information works, and the 30-day clock
Records requests are a queue with legal deadlines attached, handled in most practices by whoever has a spare afternoon. This is how to run it as a tracked function with an audit trail that survives being asked about.
How chronic care management and RPM billing work
These programmes are administratively heavy and clinically light, which is why they stall. This is what the administrative layer has to do for the clinical work to be billable.
In-house biller or outsourced? An honest decision framework
When hiring locally is genuinely right, when it is not, and the cost comparison that uses what an employer actually pays rather than the salary line.
Switching billing companies without losing a month of revenue
The handover is where the money is lost — in the claims in flight and the ageing report nobody agreed to own. A sequence that protects both.
Seven signs your billing company is underperforming
Most practices find out late, because the reporting they receive is designed to look reassuring. What to ask for, and what the answers should be.
What breaks at two, five and ten providers
Billing does not degrade smoothly as a practice grows. It breaks at predictable sizes, and each break has a different fix.
If this is work somebody on your team is doing at four in the afternoon, it can be a seat.
Next step
One seat. One month. Cancel any time.
Twenty minutes on a call is enough to tell whether this fits. If it does not, I will say so.
Or write to ops@softhomeglobal.com
