Healthcare Revenue Group Blog

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...

Behavioral Health Provider Services: The Complete Guide

TL;DR Behavioral health provider services face real 2026 shifts. NCQA renamed its MBHO...

Medicaid Credentialing: State-by-State Basics

TL;DR Medicaid credentialing is not one process. It is 50-plus separate state programs, each with...

How to Choose a Medical Billing Company: A 2026 Vetting Guide

TL;DR: Most medical billing companies quote a low rate, then hide the real cost. Fees, minimums,...

Medicare Provider Enrollment: Payer-by-Payer Timelines

TL;DR: Medicare provider enrollment usually runs 45 to 90 days. Medicaid and commercial payers...

Denial Management in Medical Billing: The Complete Playbook

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

Orthopedic Insurance Credentialing: The Complete Guide

TL;DR: Orthopedic insurance credentialing enrolls each surgeon with every payer and facility that...

ABA Therapy Insurance Credentialing: The Complete Guide

TL;DR: ABA technicians often sit trained and unbillable for months. ABA therapy insurance...