Are your credit card fees eating up little bits of each transaction you make?   It is a simple one-time fix to upgrade your credit card processing agreement to one that makes sense for your practice.   New laws and regulations make it easier for you to analyze the fees associated with transactions.   Make sure you keep patient billing information secure though.

Do you transact your credit cards through the internet?   Some practices have found it to be more cost beneficial to keep a separate phone line than to attempt to meet all the security documentation required to clear the transactions over the internet.   Make sure your practice meets the requirements or you will be paying hefty fees in the case of a breech.

We have worked with clients where they saw annual reductions in their processing fees in the range of $6-800 annually.   Maybe your office manager can find those kinds of savings for your practice.