What OB Billing Looks Like After the Global Codes Are Unbundled

Antepartum care is where the OB unbundling change does the most quiet damage, or the most quiet good, depending on whether you are ready. Under the global maternity package, prenatal visits were invisible from a billing standpoint. You saw the patient, documented enough to be safe, and the whole run of visits rolled into one […]
True Profit vs. Reported Profit: How to Actually Know What Your Practice Makes

Ask most physician owners what their practice makes, and they will tell you a number from the bottom of their P&L. It is a real number. It is also, almost always, not the truth. Reported profit — the figure your accounting software produces — and true profit — what your practice actually generates as an […]
Payment Posting: The Boring Workflow That Decides Whether You Keep Your Cash

Payment posting is the least glamorous job in the revenue cycle, which is exactly why it is one of the most important. It looks like data entry. It gets treated like data entry. And when it is done like data entry, it quietly becomes the point where recoverable revenue slips away without anyone noticing. We […]
We Compared ChatGPT, Claude, Perplexity, and Gemini for Medical Practices

*Editor’s note: This piece was reviewed by Dr. Heather Signorelli, DO, as physician-reviewed operational guidance. It is not medical, legal, or compliance advice, and NatRevMD does not endorse any specific AI vendor. Verify any workflow against your own HIPAA and payer obligations. Every week someone asks us which AI tool they should buy for the […]
In-House vs. Outsourced Billing: The Real ROI Analysis for a Practice Doing $200K+/mo

Most in-house versus outsourced billing comparisons are useless, because they compare the wrong things. They line up the salary of your biller against the percentage a billing company charges, decide the biller is cheaper, and stop there. That comparison misses almost everything that actually determines which option makes you more money. For a practice doing […]
HIPAA and AI: What You Can Safely Put Into ChatGPT or Claude

*Editor’s note: This piece was reviewed by Dr. Heather Signorelli, DO, as physician-reviewed operational guidance. It is not medical, legal, or compliance advice, and NatRevMD does not endorse any specific AI vendor. Verify any workflow against your own HIPAA and payer obligations.* Here is the scenario that keeps compliance officers up at night. A well-meaning […]
AI Prompts Every Independent Practice Should Steal

Editor’s note: This piece was reviewed by Dr. Heather Signorelli, DO, as physician-reviewed operational guidance. It is not medical, legal, or compliance advice, and NatRevMD does not endorse any specific AI vendor. Verify any workflow against your own HIPAA and payer obligations. Most of the AI advice aimed at doctors is written by people who […]
The Hidden Revenue Leaks in Medical Practices (2026)

If you’re running a medical practice doing over $250,000 a month, there is a 90% chance you are leaking at least $100,000 a year in revenue. And the worst part? Your billing team probably has no idea it’s happening. When most doctors think about “lost revenue,” they think about denied claims. But denied claims aren’t hidden. They’re sitting right there on […]
Must-Have SOPs for $5M+ Medical Practices

If you are an independent medical practice owner generating over $5 million a year, you likely feel the pressure of having to oversee everything to ensure it gets done right. You might have great people on your team, but if the details are constantly missed the moment you step away, you don’t have a personnel problem — you have a process problem. When […]
Should You Outsource Your Medical Billing? A Decision Guide for Practice Owners

When a medical practice is growing, the billing process often becomes the primary bottleneck. Providers find themselves working nights and weekends trying to figure out why claims are denying, chasing down payments, and managing a billing staff that seems constantly overwhelmed. If you’re at that point, you’ve likely considered outsourcing. But the decision to hand over your revenue cycle is […]
