Healthcare Revenue Group Blog | Andrew Garcia, VP of Business Development (2)

Medical Billing

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...

4 Minute Read

Medical Billing

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

4 Minute Read

Medical Billing

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

4 Minute Read

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

4 Minute Read

Medical Billing

TL;DR: How to choose a medical billing company comes down to four checks: the real cost after every...

5 Minute Read

Medical Billing

TL;DR: Denial management in medical billing is prevention first, appeals second. Most denials trace...

4 Minute Read

TL;DR. Urgent care billing leaks at speed. High volume hides missed S codes, place-of-service...

3 Minute Read

Medical Billing

TL;DR: Most cardiology billing challenges trace to one delay passed down four handoffs: procedure...

9 Minute Read

Medical Billing

TL;DR: eClinicalWorks denial management fails when it treats every denial as a one-off. Most repeat...

6 Minute Read

Medical Billing

TL;DR. Behavioral health billing loses money to payer rules, not clinical gaps. Payers downcode...

4 Minute Read