How OBGYN Practices Can Build a Fair, Profitable Provider Compensation Model
As a follow-up to our other podcast episodes and blogs, I am adding more detail on how to model compensation options for a practice. Building a compensation model in an OBGYN practice can feel messy, especially when traditional approaches don’t reflect the real economics of OB care. A global delivery package, surgeries, procedures, and ultrasounds […]
The End of OB Global Billing: What the 2027 Coding Changes Really Mean for OBGYN Practices
Introduction: A Long-Overdue Change in Obstetric Payment For decades, OBGYNs have been paid under a global obstetric billing model that bundles prenatal care, delivery, and postpartum services into a single payment. But what many physicians have long felt is finally being acknowledged at a national level: the global model has never truly reflected the real […]
Understanding Medicare Participating, Non-Participating, and Opt-Out Providers
A Clear Guide for Private Practices Understanding Medicare enrollment status is essential for any medical practice—especially when it comes to clean claims, secondary insurance coordination, patient billing workflows, and overall revenue cycle efficiency. Whether you’re a physician, practice manager, or billing team member, knowing the differences between Participating (PAR), Non-Participating (Non-PAR), and Opt-Out status is […]
The Math of a Profitable Practice
Part 1 & 2 — Understanding Overhead, Profit, and Hiring ROI Most private practice owners are working hard… but still not keeping as much as they should. You’re not alone.Many doctors hire, expand, and invest in marketing — only to discover that “being busy” doesn’t necessarily mean being profitable. This two-part podcast series, The Math […]
Cigna’s Downcoding Policy (R49): What Denial Code C150 Means for Your Practice
Beginning October 1st, 2025, physicians across the country may see their claims automatically downcoded under Cigna’s Reimbursement Policy R49. This controversial policy allows Cigna to lower E/M codes one level if they decide the “encounter criteria” don’t justify the complexity you billed. The result? Lost revenue and added administrative burden. One key signal will be […]
Why Aren’t My Patients Paying Their Balances—and How Can I Fix It?
If you feel like your practice is constantly leaving money on the table, you’re not alone. For many private practices, unpaid patient balances amount to tens of thousands of dollars each year. Unlike insurance reimbursements, which are adjusted before you’re paid, patient dollars are real dollars owed to your practice. The problem is clear: patients […]
5 Myths About Switching Billing Teams
How to Protect Your Revenue Switching billing teams is one of the scariest decisions a private practice can make. Revenue is the lifeline of your business, and the idea of changing who manages it can feel risky. But here’s the truth: more than 70% of billing transitions we’ve managed at NatRevMD not only protected revenue […]
Top 10 Orthopedic CPT Bundling Edits (and How to Avoid Denials)
Bundled CPT codes are one of the biggest frustrations for orthopedic physicians. You perform multiple services in the OR, yet when the claim comes back, only one is reimbursed. Why? Payers (Medicare and commercial alike) follow National Correct Coding Initiative (NCCI) edits. These rules are designed to prevent what they see as “double billing” — […]
Should Your Medical Practice Drop Insurance?
A Step-by-Step Guide to the Cash-Pay Model Low reimbursements. Prior auth nightmares. Delayed payments.If you’re running a private practice, you’ve probably wondered: “Should I drop insurance and move to a cash-pay model?” It’s a tempting idea. And for some, it’s the right move. But for many practices, insurance-based models can be highly profitable—with the right […]
The Large Practice Revenue Optimization Guide: 5 Proven Strategies to Increase Collections and Cut Billing Costs
By NatRevMD | Published June 2025 Large, multi-provider medical practices are under more financial pressure than ever. Reimbursements are down, denials are up, and the cost of managing internal billing teams keeps rising. Even high-volume practices generating $10 million or more annually are seeing shrinking margins. At NatRevMD, we specialize in solving this problem. Our […]