In-House Billing vs Outsourcing: What Small Practices Should Choose in 2026

Small medical practices are facing unprecedented pressure in 2026. Rising operating costs, staffing shortages, payer complexity, and stricter compliance requirements are forcing practice owners to rethink how they manage one of the most critical functions in healthcare—medical billing.

At Everest A/R Management Group, we work closely with small practices nationwide, and one question comes up repeatedly: