Administrative burdens from paperwork required by insurance companies are a major challenge for physician practice management. This takes time away from patient care and can negatively impact patient-physician relationships. Maintaining high patient satisfaction is also a challenge, as physicians want patients to have minimal wait times and a quality experience. Additionally, physicians must focus on negotiating the best contracts with healthcare payers to improve revenue and create a valuable service proposition based on factors like specialty, location, and available services. Medicare audits further add to the challenges, enforcing quality care and accurate reimbursement while charging penalties for errors or fraud.