Running a gastroenterology practice today is as much about navigating the complexities of insurance and reimbursement as it is about caring for patients. Between shifting payer rules, tightening prior authorization requirements, and the constant battle against claim denials, gastroenterologists and their staff are stretched thin. That is why more GI practices are making the strategic […]
PGM: A 40-Year Leader Among Medical Billing Companies in the U.S.
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 […]
How to Choose the Right Billing Software for Labs
If you run a lab, you already know billing isn’t the fun part. It’s complicated, time-consuming, and full of opportunities for things to go wrong. The right billing software for labs changes that story. It automates the tedious stuff, catches errors before claims go out, and helps you get paid faster. But here’s the tricky […]
Top Laboratory Billing Companies: What to Look For
If you’re running a lab, you already know how complex and ever-changing the billing landscape can be. Reimbursement rules shift constantly. Coding gets updated. Payers deny claims for reasons that don’t always make sense. And the financial health of your lab can hinge on how well those claims are handled. That’s exactly why more laboratories […]
Solving the Top Challenges in Dermatology Billing
Efficient dermatology billing is vital to a practice’s financial health, yet it’s often complicated by payer rule changes, denied claims, and time-consuming prior authorizations. Without the right systems and support, even minor missteps can lead to lost revenue and delayed payments. In this article, we explore the top dermatology billing challenges and the solutions practices […]
Should You Outsource Dermatology Billing? Pros and Cons
Dermatology billing is complex, time-consuming, and increasingly difficult to manage in-house. As billing requirements become more specialized, many practices are weighing whether to outsource to a dermatology billing company. This article explores the pros and cons of each approach to help providers make a more informed decision that supports both short- and long-term success. * […]
Why Specialized Dermatology Billing Services Lead to Better Reimbursements
Accurate billing is essential to the financial health of dermatology practices, but general billing services often fall short. This article explores how specialized dermatology billing support leads to fewer denials, faster reimbursement, and stronger revenue performance by addressing the unique coding and compliance challenges of the specialty. * * * In dermatology, accurate and efficient […]
10 Best Practices to Ensure Successful Credentialing
Whether you operate an in-house credentialing program or outsource your credentialing, there are many best practices to follow to ensure your program delivers timely credentialing and re-credentialing results that do not keep your physicians from providing care. Here are 10 helpful tips to help ensure your physicians are successfully credentialed and re-credentialed, and provide the […]
10 Tips for Complying With Laboratory Services Documentation Requirements
The Centers for Medicare & Medicaid Services (CMS) reported that the majority of improper payments for laboratory services identified by the Comprehensive Error Rate Testing (CERT) Program were attributable to insufficient documentation. Insufficient documentation means that something was missing from the medical records (e.g., signed physician order, documentation to support intent to order, documentation to […]
FAQs About Medicare Coverage of Chiropractic Services
CMS has addressed more than a dozen of the most frequently asked questions about Medicare coverage of chiropractic services over the years. These questions — and the responses provided by CMS, edited for readability — are as follows: Q: Are there any visit caps or limits for chiropractic services? A: No. There are no caps/limits […]