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Medical Billing News and Articles

How To Reduce Medical Claim Denials

January 6, 2026

Consistent cash flow is essential to the health of any business. This holds true for medical practices, as well. Maintaining an adequate level of revenue while minimizing the number of claim denials can be a struggle. Unfortunately, claim disputes have a number of associated costs beyond the denied payment. Estimates show that the average medical practice could loose between $30,000 and $80,000 yearly in denied claims and the staffing expense

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Improve Patient Communication and Maximize Reimbursements

January 6, 2026

A recent study by customer communications experts Enghouse Interactive determined that poor customer service causes 60% of customers to take their business elsewhere. Although the study was broad in scope, the results can be applied to physicians and their patients. In this day and age, when the federal government is essentially rewriting healthcare reimbursement to reflect a value based model, it is important for health care providers to recognize patients

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Improve your Registration Process

January 6, 2026

To compete in today’s tough and ever-changing environment, even the simplest steps can not slip through the cracks. Its important to focus on some of the simplest steps to secure payment for services. Physician practices continue to lag behind other healthcare related industries when it comes to handling patient registration. Most physician practices continue their routine registration habits, regardless of significant financial loss. We understand how difficult it could be

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Improving Patient Communication

January 6, 2026

Improving Patient Communication May Result in Maximum Reimbursements A recent study by customer communications experts Enghouse Interactive determined that poor customer service causes 60% of customers to take their business elsewhere. Although the study was broad in scope, the results can be applied to physicians and their patients. In this day and age, when the federal government is essentially rewriting healthcare reimbursement to reflect a value based model, it is

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Leave Medical Billing To The Professionals

January 6, 2026

Physicians that have been in private practice for a long time probably remember when medical billing could be done between seeing patients. In the past, claim denials were infrequent and regulations were much steadier. Those things have changed and the world of medical billing is not what it once was. Physicians who do not have billing experts on staff, or a billing service handling their revenue cycle, may be losing

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Doctor physician working on medical billing and revenue calculations

How Medical Practices Can Prepare for 2026 CMS Policy Changes Without Losing Revenue

January 2, 2026

The next wave of regulatory change is already taking shape, and the CMS 2026 updates are expected to significantly influence reimbursement models, Medicare billing rules, and overall CMS compliance expectations. For medical practices, upcoming reimbursement policy shifts can directly affect cash flow, audit exposure, and operational efficiency. Preparing early allows us to stay ahead of compliance risks while protecting revenue. At Pro MD Medical Billing, we work alongside practices to

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Medical professional working on Out-of-Network Billing

Out-of-Network Billing Strategies for 2026: What Practices Need to Know

December 31, 2025

As healthcare practices look ahead, out-of-network billing continues to be one of the most complex and financially sensitive areas of revenue cycle management. Regulatory pressure, evolving payer behavior, and tighter enforcement of No Surprises Act billing rules mean practices can no longer rely on outdated workflows. At Pro MD Medical Billing, we work closely with providers to manage out-of-network billing post–NSA, strengthen payer negotiation, and protect reimbursement in an increasingly

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Female perinatology practitioner working on medical billing

Perinatology Billing Essentials: Preventing Denials for High-Risk Pregnancy Services

December 24, 2025

Managing claims for high-risk pregnancy services requires far more than standard billing workflows. Between complex clinical scenarios and payer scrutiny, perinatology billing demands absolute precision. From our experience working with maternal-fetal medicine providers, we know that even small gaps in perinatal coding or documentation can quickly lead to denials and revenue loss. At Pro MD Medical Billing, we help practices navigate the complexities of high-risk pregnancy billing so reimbursement accurately

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medical billing specialist handling billing inquiries

Maternal Fetal Medicine Billing: Unique Coding Challenges and How to Avoid Revenue Loss

December 12, 2025

Maternal Fetal Medicine is one of the most complex and high-stakes areas in healthcare, and the same is true for its billing. As billing specialists, we know how challenging it can be to navigate maternal fetal medicine billing, from selecting the correct MFM codes to overcoming ongoing OB coding challenges that threaten clean claim rates. At Pro MD Medical Billing, we work closely with providers to ensure that high-risk pregnancy

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stethoscope and eyeglasses resting on medical charts and financial reports: Revenue Cycle Management

Why Revenue Cycle Management Looks Different for Small vs. Large Medical Practices in 2025

December 2, 2025

As we move through 2025, we’re seeing healthcare practices adapt rapidly to financial and operational pressures—and nowhere is this more evident than in how groups manage their revenue cycles. The revenue cycle management differences between small practices and large medical groups have become more pronounced than ever, shaping everything from workflow to technology adoption. At Pro MD Medical Billing, we work with both practice types, which gives us a clear

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