How to Know If Your Medical Billing Company Is Doing a Good Job

Quick answer: Ask for a five-number report every month: net collection rate, denial rate by payer and reason, AR (accounts receivable) days over three months, clean claim rate, and patient AR aging. Then look for denial root causes getting closed and less billing work landing on your staff. If the same problems repeat month after […]
Unhappy With Your Billing but Afraid to Switch? Start Here

Quick answer: Don’t decide from one good or bad month. First, score six billing numbers. Then give your current team a 90-day plan to fix anything in the red. If the numbers still don’t move, switch, but plan the handoff around credentialing, software, old AR and your staff so revenue doesn’t dip. In this episode […]
Medical Billing Service Rates: What Practices Pay in 2026

By Dr. Heather Signorelli, DO, board-certified pathologist and founder of NatRevMD. Quick answer: Most medical billing services charge a percentage of the money they collect for you. Quotes commonly fall between about 4% and 10% of collections. Some charge a flat monthly fee instead, often because a state limits percentage-based billing contracts. However, the rate […]
What “Good” Looks Like: Financial Benchmarks for Practices Doing $150K to $500K per Month

One of the hardest things about running an independent practice is that you rarely know whether your numbers are good. Without clear medical practice benchmarks, you only see your own numbers: days in AR, collection rate, denials. Your peers don’t publish their revenue cycle metrics, so you have nothing to compare them against. So a […]
How to Get a Second Opinion on Your Medical Billing

Quick answer: Look past the summary report. Check four things: denial rate by payer, write-offs split into contractual and non-contractual, AR (accounts receivable) over 90 days by payer, and whether old claims are being resolved or just statused. If those look healthy, your team is doing its job. If you can’t tell, get an independent […]
What to Do in the First 48 Hours After You Realize Your Billing Team Is Behind

There is a particular sinking feeling that comes when you realize your billing backlog has gotten away from you: your team isn’t a little behind, it’s genuinely underwater. Maybe cash came in light for the second month running. Or a payer flagged a timely filing issue. Or someone finally said out loud that the AR […]
2027 OB Coding Changes: What Replaces the Global OB Package and How to Prepare

OB/GYN Billing · 2027 Changes On January 1, 2027, the global OB package goes away. One claim per pregnancy becomes a string of separate claims, each with its own documentation and its own chance to be denied. Here’s what the 2027 OB coding changes actually replace, how to bill the pregnancies already underway, and what […]
The 5 Patient Payment Posting Mistakes That Create Phantom Balances

A phantom balance is a balance that doesn’t really exist, or exists for the wrong amount. It sits on a patient’s account because of a patient payment posting mistake. It is one of the more corrosive problems in a practice because it damages you twice. First, it distorts your accounts receivable, so you can’t trust […]
How to Run a 4-Step Billing Audit on Your Own Practice This Week

You do not need a consultant, a new software platform, or a month of runway to run a medical billing audit and find out whether your practice is leaking revenue. You need a few reports you already have access to, a couple of focused hours, and a willingness to look at numbers you may have […]
The 4 Rules Every Independent Practice Should Follow Before Letting AI Anywhere Near Patient Data

Editor’s note: Dr. Heather Signorelli, DO, reviewed this piece as 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. Using AI with patient data in a medical practice is not dangerous because the technology is […]
