Healthcare Revenue Group Blog

Switching EHR Systems for a New Biller: The Revenue Risk

TL;DR: Switching EHR systems to suit a billing vendor rarely moves your revenue rules with your...

CPT 93306: Why Echo Claims Deny When the Diagnosis Matches

TL;DR: CPT 93306 is the complete transthoracic echo with spectral and color flow Doppler built in....

Outsource Medical Billing Services Without Going Offshore

TL;DR: You can outsource medical billing services without sending your A/R overseas. The choice is...

Medical Billing Company That Works in Our EHR: What to Ask

TL;DR: You do not have to switch software to outsource billing. A medical billing company that...

Podiatry Medical Billing: Coding, Modifiers and Denials

TL;DR: Most podiatry medical billing denials come from one gap. The chart proves coverage and the...

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...

WISeR Model States and Services: Full List and A/R Impact

TL;DR: CMS sets the WISeR model states and services: Original Medicare claims in Arizona, New...

99203 CPT Code: Documentation, Downcodes, and the Appeal

TL;DR: 99203 is the new-patient office visit for low medical decision making or at least 30 minutes...

NCQA Behavioral Health Accreditation: What Practices Face

TL;DR: NCQA behavioral health accreditation now scores the organizations that run your payer...

Best Credentialing Companies: How to Choose the Right One

TL;DR: The best credentialing companies keep a provider's DataSpring profile current between...