Medical billing is not simply a back-office function. It is the foundation of financial health for physician practices, specialty groups, and laboratories. Finding the best billing partner requires looking past claims of service and focusing on results backed by measurable performance. PGM Billing has emerged as one of the fastest-growing medical billing companies in the United States. by combining decades of experience with technology, compliance, and an approach designed to deliver clear returns.
10 Reasons to Choose PGM As Your Medical Billing Company
1. Four decades of proven medical billing experience
PGM Billing has been serving providers for more than 40 years. That longevity reflects not just survival but continuous adaptation to change. The company has guided clients through the transition from paper to electronic claims, from ICD-9 to ICD-10, and from fee-for-service models to value-based care. Providers know that longevity in billing matters because regulations, codes, and payer rules are always shifting. A partner that has repeatedly demonstrated adaptability is better equipped to help practices and labs avoid disruption while keeping revenue flowing.
2. National reach across all 50 states
Medical billing regulations differ widely depending on geography. A claim submitted in Texas may need edits not required in New York, while Medicaid programs vary from state to state. PGM has experience serving providers in every state, combining national scale with local compliance. This allows physician groups and laboratories to grow across state lines without needing multiple billing vendors. For practices planning expansion, this nationwide capability eliminates a major barrier.
3. 100% payer connectivity for faster claims
Connections with payers directly impact reimbursement timelines. PGM maintains integration with every major commercial carrier, as well as Medicare, Medicaid, and regional payers. That complete connectivity means claims move quickly and denials are addressed with payer-specific precision. Faster claims submission reduces cash flow gaps, a key concern for providers that depend on predictable revenue cycles to manage staff and resources.
4. Measurable increases in collections
For many providers, the bottom line question is simple: Does outsourcing billing improve collections? PGM Billing consistently demonstrates that the answer is yes. Clients often see substantial increases in revenue captured because the company’s systems identify underpayments, track unpaid balances, and streamline follow-up. Practices that once struggled with inconsistent reimbursements find that collections stabilize and improve, giving them the resources to invest in patient care and growth.
5. Reducing denials by up to 50 percent
Denied claims remain one of the costliest challenges in healthcare. Every denial adds administrative work and delays reimbursement. PGM helps clients cut denial rates by as much as half through proactive claim scrubbing and payer-specific edits before submission. By reducing the number of claims rejected on first pass, practices recover revenue more efficiently and avoid wasting staff time on rework. The improvement in denial rates is one of the most direct indicators of billing quality.
6. Doubling the rate of successful appeals
Even the most diligent claim management cannot prevent every denial. What matters then is the strength of the appeals process. PGM achieves appeal success rates that clients often find to be two times higher than they or their prior billing partner achieved. That performance is made possible through detailed documentation, payer-specific strategies, and consistent monitoring. Each successful appeal represents revenue that might otherwise have been written off, which makes this improvement especially meaningful for high-volume specialties and laboratories.
7. Physician billing expertise across specialties
Different medical specialties face unique billing complexities. Cardiology involves bundled procedures, oncology has strict chemotherapy coding requirements, and orthopedics must navigate surgical modifiers. PGM’s teams are trained to manage these specialty-specific challenges. By tailoring billing workflows to the needs of each field, errors are reduced and reimbursement accuracy improves. Providers see the difference not only in collections but also in fewer compliance risks and smoother audits.
8. Laboratory billing services that support growth
Laboratories represent one of the most challenging environments for medical billing. High claim volumes, frequent payer policy updates, and strict compliance requirements make laboratory revenue cycle management a specialized field. PGM has built dedicated laboratory billing services to address these challenges. By focusing on claims accuracy, reimbursement speed, and regulatory compliance, PGM Billing helps labs sustain growth while managing risk. For labs processing thousands of claims weekly, this expertise is critical.
9. Technology and analytics driving results
Modern revenue cycle management depends on data. PGM provides clients with analytics dashboards that allow practices and labs to track collections, denials, and accounts receivable in real time. This visibility makes it possible to benchmark results, identify trends, and intervene quickly when problems emerge. Providers gain the ability to manage billing proactively instead of reactively. The result is better financial forecasting and stronger long-term performance.
10. A partner approach to medical billing
Outsourcing medical billing is not just about delegating tasks. It is about choosing a partner that integrates with the practice’s goals. PGM Billing works as an extension of a provider’s business office, emphasizing collaboration, open communication, and alignment with organizational priorities. This partner model leads to long-term relationships and consistent improvements in financial outcomes. For practices evaluating vendors, the difference between a transactional provider and a collaborative partner can be profound.
PGM: The Physician and Lab Billing Experts
Choosing a medical billing partner requires more than reviewing marketing claims. The evidence lies in measurable results. With more than 40 years of experience, nationwide coverage, complete payer connectivity, and performance improvements that include higher collections, fewer denials, and stronger appeals, PGM has established itself as one of the leading medical billing companies.
Start improving collections and reducing denials today. Reach out to PGM Billing and discover how proven medical billing services can support your practice or lab.
Frequently Asked Questions
How does PGM Billing compare to smaller billing firms?
Smaller firms may offer localized expertise, but PGM combines that knowledge with national reach, full payer connectivity, and decades of experience. Providers benefit from both depth and scale.
What specialties benefit most from PGM Billing?
PGM supports nearly all physician specialties, including high-complexity areas like cardiology, oncology, and orthopedics. The company also has an extensive track record in laboratory billing, which is one of the most complex areas of revenue cycle management.
What results should new clients expect?
Results vary, but clients often see collections increase, denials fall by up to 50 percent, and appeals success rates double within the first year of working with PGM.
Why is analytics such a focus?
Analytics give providers visibility into their billing operations. Real-time dashboards allow practices to track claims, denials, and collections, turning billing into a strategic advantage instead of a reactive process.