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Practice Management

Administrative support for growing medical practices

How the administrative load changes as a practice grows, and some simple ways to organise routine work before it overwhelms the team.

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Three colleagues working together on laptops in a bright office

When a practice adds providers, locations or services, the administrative work grows with it, usually faster than expected. Tasks that one person could handle informally begin to need defined owners and a routine.

What changes as a practice grows

  • More payers, each with different forms and rules
  • More providers who need credentialing and enrollment
  • More scheduling rules, such as different visit types or locations
  • More documentation to organise and more claims to track
  • More people involved in each task, which makes handovers more important

Organising routine work

A few steps help at almost any size:

  1. Write down who owns each recurring task. Include who covers when that person is away.
  2. Use checklists for work that must be done the same way each time, such as onboarding a new provider.
  3. Keep one place for open items, so that tasks waiting on someone do not depend on memory.
  4. Review on a regular rhythm. A short weekly look at open claims, authorizations and requests catches problems early.
  5. Record decisions, so that a question answered once does not need answering again.

Deciding what to keep in-house

Some practices keep all administrative work in-house, some share it with an outside team, and some hand over specific functions. There is no single right answer. It helps to start with the tasks that take staff the most time or are most often late, and to decide who is best placed to own each one.

Whichever route a practice chooses, the aim is the same: clinical staff spend their time on patients, and the business side runs on a routine that anyone on the team can follow.

This article is general information about healthcare business operations. It is not medical, legal or financial advice.

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