Healthcare Revenue Group Blog

Dermatology Billing: The Hidden Revenue Issues to Fix

TL;DR. Dermatology billing runs a denial rate near 14 percent, against a 5 percent industry norm....

CMS WISeR Model: What It Does to Your Medicare A/R

TL;DR. The CMS WISeR model adds Medicare prior authorization in six states. It runs from 2026...

CO-186 Denial Code: How to Appeal Payer Downcoding

TL;DR. The CO-186 denial code means a payer changed the level of care you billed. In plain terms,...

Allergy Testing Billing for ENT Practices: Fix the Leaks

TL;DR. Allergy testing billing is unit math, and unit math is where the money leaks. Skin tests...

ENT Billing: The 2026 Complete Guide for Practices

TL;DR. ENT billing is one of the toughest specialties to get paid for. Endoscopy codes bundle in...

Pain Management Medical Billing: The Complete Guide

TL;DR: Pain management medical billing breaks down when claims leave late, verification is thin,...

M115 Denial Code: Why Credentialed Providers Still Get Denied

TL;DR. The M115 denial code means a payer treats the provider as non-contracted. Often the real...

NCQA Credentialing Standards 2026: What Practices Must Absorb

TL;DR. The NCQA credentialing standards tightened in 2026. Ongoing monitoring is now at least every...

Billing Under Another Physician: What Actually Holds Up

Key Finding: Billing under another physician is legal, but only in narrow cases. Reciprocal billing...

OIG Exclusion Screening: Whose Job Is It for Referrals?

Key Finding OIG exclusion screening is not just for your own staff. If you bill for a service...