Healthcare Revenue Group Blog

Outsource Credentialing or Not: The Honest Sizing Guide

TL;DR: The outsource credentialing decision turns on load, not price. Operators report one payer...

Aetna Credentialing Timelines and How to Sequence Them

TL;DR: Aetna credentialing routinely outruns every other payer on the list. Operators in AAPC's...

Cardiology Billing for Complex Procedures: Code Change Risks

TL;DR: Code changes are not only a coding problem. For cardiology practices, they can become a...

2027 Medicare Physician Fee Schedule: Dermatology Down 9%

TL;DR: The 2027 Medicare Physician Fee Schedule proposal pays only the most expensive same-day...

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,...