PCC 8 End of Year Priorities for Pediatric Practice Business Managers

September 28, 2026
Leslie Parrish Fuchs

 8 End of Year Priorities for Pediatric Practice Business Managers

The devoted team at PCC, presents valuable insights for pediatric practice managers to focus on while wrapping the final quarter of 2026 and positioning the practice for a strong start in 2027.  Physicians & their administrators can learn more from the experts at PCC here.

Highlights:

  1. Review Key Metrics and Trends

Look at trends over time rather than isolated data points. Revisit metrics like sick vs. well visits, well-visit distribution, new patient ratios, panel growth, revenue vs. projections, schedule utilization, staff overtime, and A/R aging. Avoid both overreacting without context and ignoring clear trends.

  1. Identify What You Can Still Accomplish Before Year-End

Compare where you are versus your annual goals. Pay close attention to payer incentive programs and performance bonuses—identify your remaining gap now so you don't miss out on significant year-end payouts.

  1. Complete Year-End Tasks Early

Don't wait until late December when vendors, partners, and payers are out for the holidays. Complete tasks early, such as reviewing fee schedules, pre-purchasing vaccines, completing end-of-year reporting, and preparing for payer contract changes.

  1. Prepare for Fall/Winter Demand Shift

Plan for the seasonal shift as summer well visits give way to vaccination clinics and respiratory illness surges. Review past performance and capacity from prior fall/winter seasons to optimize scheduling and staffing.

  1. Engage and Align Your Team

Keep your staff informed and engaged. Clear communication around year-end goals, holiday schedules, and seasonal workflows helps reduce burnout during high-volume months.

  1. Conduct Financial & Tax Planning

Work with your financial advisor or CPA early in Q4 to review profitability, assess equipment/capital expenditures, and optimize tax strategies before December 31.

  1. Review Payer Contracts & Fee Schedules

Examine your top commercial contracts and fee schedules. Identify underperforming contracts or opportunities to negotiate updated rates for the coming year.

  1. Set Strategy and Goals for Next Year

Use your Q4 reflections and metric trends to establish realistic, actionable clinical and financial goals for the upcoming year.

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