Callidus Billing, Inc.

02/18/2026

On Monday, we shared that MGMA reports 36% of practices are prioritizing automation and 14% are turning to outsourcing to cut costs in 2026.

Here’s why that matters.

Hiring in-house billing staff means fixed salary, benefits, training, and turnover risk, whether collections are strong or slow.

Outsourcing billing shifts that model. Instead of fixed overhead, it becomes performance-based.

When margins tighten, flexibility wins.

The practices that stay lean will be the ones that stay profitable.

02/16/2026

Medical practices are actively tightening operations heading into 2026.

A recent MGMA Stat poll found that automation and process improvements are the top cost-cutting strategy for 2026 (36%), with outsourcing ranking next (14%) as practices look to reduce administrative and labor overhead.

That’s not random. It signals that practice leaders are rethinking fixed payroll costs and back-office inefficiencies.

When reimbursement pressure rises, efficiency isn’t optional, it’s survival.

Read the full MGMA poll here:
https://www.mgma.com/mgma-stat/top-cost-cutting-moves-for-medical-practices-in-2026

Discover the top cost-cutting strategies for medical practices in 2026, including automation, process improvements, outsourcing, hiring freezes, and vendor optimization, as revealed by the latest MGMA poll.

02/13/2026

Billing Tip Friday ❤️

I48.91 – Atrial fibrillation, unspecified is one of the most common cardiovascular codes that gets denied or delayed.

Why? Payers often want specificity (paroxysmal, persistent, chronic) and supporting documentation.

Tip: When possible, use the more specific AFib codes and make sure the provider note clearly states the type. Cleaner documentation = fewer denials.

Show your claims a little heart this Valentine’s.

02/11/2026

Earlier this week we mentioned tighter margins and changes happening across revenue cycle teams.

We’re seeing more practices rethink how billing gets done, not because it’s less important, but because payer rules keep changing and staff bandwidth is stretched thin.

Some are keeping things in-house.
Others are outsourcing parts of billing to stay focused on patients and reduce headaches.

Curious — what’s been the biggest billing challenge for your practice lately? Denials? Staffing? Keeping up with payer changes?

02/09/2026

Today’s healthcare reality: tighter margins + higher denial rates + revenue cycle staffing changes. We’ll talk later this week about what that means for independent practices.

https://www.healthcaredive.com/news/trinity-health-layoffs-revenue-cycle-management/809980/

01/07/2026

Federal budget legislation doesn’t usually change how claims are billed — it changes how closely they’re reviewed. This year, many providers are feeling tighter scrutiny, slower payments, and more post-payment activity without any obvious rule changes. We broke down what’s actually driving this shift and what to watch for operationally in our latest blog.

https://callidusbilling.com/blog/

01/06/2026

Medicare Advantage plans are tightening prior authorization requirements going into 2026. While CMS is pushing for more transparency and electronic processing, many plans are responding by refining — and in some cases expanding — their PA lists, especially for imaging, behavioral health, and outpatient services.

For clinics, this means more approvals needed up front, stricter timelines, and less room for missing documentation. Practices that adjust workflows now avoid delays later — in care, claims, and cash flow.

12/31/2025

Thank you to every practice that trusted us this year. We know how hard you work for your patients, and we’re grateful to be part of your team. Here’s to 2026 — more clarity, fewer headaches, and a smoother year for all of us.

12/25/2025

🎄 Merry Christmas from Callidus Billing 🎄

Wishing you and your families a peaceful and joyful Christmas. Thank you to the physicians, office teams, and partners who trust us throughout the year. Your dedication to patient care inspires everything we do.

From our family to yours—may your holiday be warm, restful, and filled with good moments.

Warm wishes,
Callidus Billing, Inc.

12/17/2025

As practices grow, billing work doesn’t just increase — it fragments. When posting, follow-ups, denials, and authorizations all compete for one person’s time, consistency suffers. That’s where outsourced billing creates stability.

12/15/2025

Many practices rely on one billing role to handle everything posting, follow-ups, denials, authorizations, and patient calls. It works at first… until competing priorities quietly slow cash flow.

We break down what really happens when one billing role covers too much and why some practices choose outsourced billing for stability and consistency.

Link to the blog.

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11/03/2025

Most clinics think their Medicare Advantage lineup is stable for 2026. It’s not.

Major carriers are quietly redrawing coverage maps—exiting some counties, trimming networks, and reshaping plan IDs without fanfare. The result? January denials for “plan not active” and “member not found,” right when clinics can least afford cash-flow shocks.

We break down what’s changing beneath the surface—and how to spot it before the denials hit.

Read the full post: *Medicare Advantage 2026: The Quiet Shake-Up That Could Upend Your Revenue*
👉 https://callidusbilling.com/blog/