As primary care practices prepare for 2026, many are entering the new year navigating a financial and operational landscape that continues to grow more complex and challenging. Reimbursement pressure is rising, payer requirements are shifting, and the administrative burden tied to coding, documentation, billing, and collections is consuming more (and very expensive) staff time than […]
Outsourced Urology Billing and RCM: A Smarter Path to Higher Revenue
Urology is one of the most procedure-heavy specialties in medicine, and that reality shapes everything about the revenue cycle. Coding is complex, documentation requirements keep growing, and payers routinely scrutinize high-value services. For urology practice managers, administrators, and CFOs, these pressures translate into a simple truth: financial stability depends on a revenue cycle that consistently […]
Lab Billing: How Expert Management Will Transform Your Laboratory’s Revenue
Running a laboratory today is more complex than ever. Between evolving payer rules, rising costs, staffing challenges, and the constant pressure to deliver fast, accurate results, billing can quickly become one of the biggest pain points in your operation. Lab billing isn’t just about getting claims out the door. It’s about protecting your revenue, ensuring […]
Outsourced Medical Billing: The Competitive Advantage Every Healthcare Provider Needs in 2026
Healthcare organizations are under extraordinary pressure as they enter 2026. Declining reimbursements, changing payer rules and tactics, increasing compliance complexity, and workforce shortages are just some of the reasons forcing providers to rethink how they manage every function of their revenue cycle. The message from the market is clear: efficiency and expertise will define success […]
Orthopedic Billing Services: Why Outsourcing to a Specialist RCM Partner Drives Growth
Every orthopedic practice faces a complex financial environment — global surgical periods, implant billing, payer policy changes, and documentation demands that can overwhelm even seasoned staff. A single missed modifier, coding oversight, or denied claim can quickly turn into weeks of delayed reimbursement. For orthopedic practice owners, administrators, and business office leaders, these challenges cut […]
Expert Dermatology Billing Services: Why PGM Is the Trusted Partner for Dermatology Practices
Running a dermatology practice requires more than clinical expertise. Managing coding, billing, and compliance demands precision and time — resources many dermatology practices struggle to spare. That’s where PGM Billing comes in. As a nationwide leader in dermatology billing services, PGM helps practices maximize reimbursements, reduce denials, and achieve stronger financial performance. Key Takeaways PGM […]
Navigating PCR Billing: CMS vs AMA Guidance on Multiplex Testing
Billing for molecular (PCR) testing has become a critical area of focus for clinical laboratories, especially as the Centers for Medicare & Medicaid Services (CMS), Medicare Administrative Contractors (MACs), and the American Medical Association (AMA) offer overlapping — but sometimes conflicting — rules. Understanding the nuances of multiplex PCR billing under CMS/NCCI and AMA guidance […]
Why More Gastroenterology Practices Are Outsourcing Billing for Financial and Clinical Gains
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 […]