Jan Hailey, MHL, CMC, CMCO, CMIS, CMOM, CMCA-E/M

As we approach 2026, the landscape of physician reimbursement and care delivery will not be business as usual. Between new legislation, major updates to the Medicare Physician Fee Schedule (PFS), and rapid advances in artificial intelligence (AI) and care technology, healthcare delivery is entering a period of significant transition. Read More ›

The fiscal year (FY) 2026 ICD-10-CM update, effective October 1, 2025, introduces 487 new diagnosis codes, 38 revisions, and 28 deletions. Read More ›

CMOM teaches strategies to motivate employees, foster team cohesion, and create a positive work culture. Read More ›

Patient experience has become a cornerstone of medical office operations. It significantly influences patient outcomes, satisfaction, and overall well-being. If you are interested in a deeper dive into this topic, find more information for a comprehensive 3-hour webinar on Tuesday, March 11 from 11 a.m. – 2 p.m. CST . Read More ›

The Calendar Year 2025 Medicare Physician Fee Schedule Final Rule was published on November 1, 2024. Providers should understand the new regulations and guidelines to stay compliant with billing and coding practices. Read More ›

The ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) provides a standardized avenue for classifying and recording diseases and medical conditions. Read More ›

Effective communication is the cornerstone of high-quality oncology care, facilitating better patient understanding, engagement, and outcomes. Mastering the nuances of patient communication is essential, particularly given the complex nature of cancer care and the emotional challenges patients often face. Read More ›

In this contribution from the Practice Management Institute, Ms Hailey provides 5 effective strategies for managing reduced reimbursements, denied claims, or reimbursement delays drawn from guidelines issued by healthcare finance and insurance experts. Read More ›

The Centers for Medicare & Medicaid Services recently released updates to the Healthcare Common Procedure Coding System Level II file, which include multiple new codes for oncology drugs. With so many new drugs on the list this year, providers may face challenges in determining when and how to report discarded drugs. Read More ›

Using these 5 strategies will contribute to timely patient care and efficient office operations. Read More ›

Several useful techniques can help develop effective office procedures and improve patient care. Read More ›

Incorporating these de-escalation techniques will improve your patient’s experience and help you to maintain professionalism. Read More ›

The CMS decision to update the 2024 Physician Fee Schedule will expand access to care. Read More ›

Care management services are designed to engage patients as active partners in their healthcare so they can effectively manage their complex medical conditions. Read More ›

Burnout, a term used to describe a prolonged response to chronic emotional and interpersonal stress on the job, is a common problem among healthcare workers. Read More ›

Clinical documentation refers to the recording of pertinent facts, findings, and observations related to an individual’s health history, including past and present illnesses, examinations, tests, treatments, and outcomes. It plays a critical role in helping physicians and other medical professionals plan treatments, monitor a patient’s health status over time, and ensure continuity of care. It also facilitates accurate and timely claims review and payment, appropriate utilization review and quality-of-care evaluations, and collection of data that may be useful in research and education. As discussed in this article, quality documentation is essential for ensuring the well-being of your patients as well as your practice. Read More ›

Advance care planning is the process of planning for future medical treatment in the event that patients are unable to make their own decisions. It ensures that patients receive healthcare services that are consistent with their personal wishes, culture, goals, and values. Read More ›

Helping patients with cancer achieve optimal health status can present special challenges when their basic needs such as food security, housing, and transportation are not being met. If patients are experiencing such social influencers to health, they will often forgo healthcare or become noncompliant with treatment due to lack of resources. Implementing a community health worker program to complement clinical care can help provide compassionate care for the most vulnerable patients and lead to improved outcomes. Read More ›