In today’s fast-paced healthcare environment, providers are facing mounting challenges: declining reimbursement rates, increasingly complex coding rules, and ever-evolving insurance requirements. Managing medical billing in-house often adds unnecessary pressure to already overextended teams. That’s why more practices are choosing to outsource their medical billing—and here’s why it makes sense.

For many healthcare providers, payer contracts are signed and then set aside—rarely reviewed until there’s a major issue. But those contracts directly impact your bottom line. If you haven’t reviewed or renegotiated your insurance agreements in the last few years, you could be leaving significant revenue on the table.

According to Legal Reader’s analysis, the Centers for Medicare & Medicaid Services (CMS) is proposing several updates designed to expand telehealth and remote monitoring access while making the system a bit easier to navigate. But as with any major policy update, the fine print matters — and that’s where your billing team comes in.

As of October 1, 2025, the pandemic-era Medicare telehealth flexibilities have officially expired, marking a return to stricter pre-COVID rules. According to Mondaq, telehealth services are once again limited to approved facility locations rather than patients’ homes, and only specific provider types remain eligible for reimbursement. For mental health care, patients must now have had an in-person visit within six months before their first telehealth session and annually thereafter. In addition, Medicare Administrative Contractors are temporarily holding telehealth claims to avoid potential reprocessing, and practices are encouraged to issue Advance Beneficiary Notices (ABNs) when coverage is uncertain.