Prior Authorization & Visit Limit Denials in Physical Therapy: How Billing Experts Prevent Revenue Loss in 2026
In 2026, prior authorization and visit limit denials are the #1 reason physical therapy clinics lose billable revenue—often without realizing it. Unlike coding errors that trigger obvious denials, authorization-related issues quietly block payment, delay cash flow, and create massive rework for front-office and billing teams.
Orthopedic Underpayments in 2026: How Everest A/R Management Group Recovers Hidden Revenue
In 2026, orthopedic practices are facing a silent but growing revenue threat: underpaid claims. Unlike denials, underpayments don’t land in rejection queues or denial worklists. They post as “paid” — but not paid correctly.
Across joint replacements, fracture care, arthroscopy, and sports medicine procedures, commercial payers are reimbursing less than contracted rates, often without explanation. Many practices never discover the loss.
At Everest A/R Management Group, orthopedic underpayment recovery has become one of the highest ROI revenue cycle strategies for practices nationwide.
Outsourcing Medical Billing in 2026: Why Practices Choose Everest A/R Management Group
Healthcare practices in 2026 are under more pressure than ever. Rising operating costs, staffing shortages, stricter payer rules, and increasing claim denials have made medical billing one of the biggest threats to financial stability. For many providers, the solution is no longer hiring more in-house staff — it’s outsourcing medical billing to a specialized partner.
That’s why an increasing number of practices across the U.S. are choosing Everest A/R Management Group Inc as their trusted medical billing and revenue cycle management (RCM) partner.
Why 60% of Denied Claims Are Never Appealed — And Why That’s Costing Healthcare Practices Millions
Claim denials have become a structural problem in healthcare revenue cycles. In 2026, most practices are not losing revenue because claims are denied — they are losing revenue because denied claims are never appealed.
Industry data shows that nearly 60% of denied claims are abandoned before any appeal is submitted. These are not invalid claims. They are services that were rendered, documented, and billable — but never recovered.
Radiology CPT Coding Errors That Put Practices on Payer Audit Watchlists in 2026
How Everest A/R Management Group Helps Imaging Centers Stay Compliant, Profitable, and Audit-Ready
In 2026, payer audits no longer begin with suspicion — they begin with data.
Advanced payer analytics and AI-driven monitoring systems are quietly scanning radiology claims for patterns that look risky, aggressive, or inconsistent. Once a practice is flagged, audits expand quickly, payments slow down, and prior claims are re-examined for recoupment.
Cross-State Telehealth Billing Risks Practices Overlook
Telehealth made crossing state lines easy. Billing it correctly did not.
As virtual care expands, more medical practices are unknowingly exposing themselves to claim denials, audits, recoupments, and even legal action by billing telehealth services across state lines without fully understanding payer, licensing, and compliance requirements.
Telehealth Shortcuts Are Becoming Criminal Cases
Recent federal enforcement actions in the telehealth space are sending a clear message to providers and digital health platforms alike: virtual care does not come with virtual compliance.
Scaling Smarter: How Large Medical Groups Use Flexible Technology to Control Costs and Improve Cash Flow
As large medical groups expand across locations, specialties, and patient volumes, one challenge becomes unavoidable: growth increases complexity—and costs.
Legacy systems, rigid billing workflows, and disconnected technology stacks often turn expansion into a financial risk instead of a strategic advantage. Everest A/R Management Group helps medical groups scale smarter by providing modern, flexible technology solutions that improve efficiency, reduce operational costs, and strengthen cash flow.
Why OB/GYN Practices Are Losing Up to 30% Revenue — And How Specialized OB/GYN Billing Services Fix It
OB/GYN practices face some of the most complex billing challenges in healthcare. From global maternity packages and ultrasound billing to preventive care, modifiers, and payer-specific rules, even small errors can snowball into massive revenue loss.
DME Prior Authorization Delays Are Killing Your Revenue — Here’s How Outsourced Billing Fixes It
Durable Medical Equipment (DME) providers operate in one of the most demanding segments of healthcare billing. Between complex documentation requirements, payer-specific rules, and strict compliance guidelines, prior authorization (PA) has become a constant bottleneck.
Why Practices Lose Revenue & How Strong RCM Systems Prevent Leakage
In today’s complex healthcare environment, practices don’t lose revenue because of one major issue — they lose it because of dozens of small, preventable gaps across the revenue cycle. From incorrect patient information to coding errors to slow follow-ups, every missed step can cost a practice thousands per month.
This is exactly where Everest A/R Management Group steps in.
5 Reasons Physicians Lose Revenue & How RCM Solves Them
In today’s rapidly changing healthcare environment, physicians are facing an alarming trend—consistent revenue loss despite increasing patient volumes. Whether you run a small private practice or a large specialty group, hidden gaps in your revenue cycle can silently drain thousands of dollars every month.
Population Health Management in 2025: Strategies Every Medical Practice Must Adopt
As healthcare rapidly shifts toward value-based care, medical practices must evolve the way they manage populations, deliver preventive care, and address patient risk. In 2025, Population Health Management (PHM) is no longer optional—it’s a core strategy for improving outcomes, reducing costs, and staying competitive in a data-driven healthcare environment.
Top 7 Revenue Integrity Audit Strategies to Prevent Revenue Leakage in 2025
Revenue leakage is one of the most overlooked yet costly issues in healthcare. Even minor errors in charge capture, coding, or documentation can lead to significant financial losses. Revenue Integrity Audits are critical to identifying gaps in the revenue cycle and ensuring that healthcare organizations maximize collections while maintaining compliance.
The Ultimate Guide to Cardiology Coding in 2025: CPT, ICD-10, Modifiers & Documentation Tips
Cardiology billing and coding are some of the most complex areas in healthcare revenue cycle management. With rapidly evolving CPT codes, strict documentation rules, challenging procedures like PCI and EP studies, and frequent denials, accurate cardiology coding is critical for maintaining revenue and compliance.
The Future of Ambulance Transportation Billing: Automation, AI, and Real-Time Tracking
Ambulance transportation plays a vital role in patient care — but behind every emergency response lies a complex billing process that demands precision, speed, and compliance. As healthcare reimbursement rules grow stricter, ambulance billing is evolving rapidly with the help of automation, artificial intelligence (AI), and real-time tracking technologies.
7 Proven Strategies to Improve Healthcare Revenue Cycle Management (RCM)
Everest A/R Management Group, Inc.
In today’s competitive healthcare environment, effective Revenue Cycle Management (RCM) is the backbone of a financially successful practice. From patient registration to final payment collection, every step in the cycle affects cash flow, compliance, and patient satisfaction. Optimizing RCM is no longer optional—it’s essential for sustainability and growth.
Here are 7 proven strategies to help your healthcare organization improve efficiency, reduce denials, and maximize revenue.
How Effective Denial Management Improves Your Practice’s Cash Flow and Compliance
In today’s evolving healthcare environment, efficient denial management is essential for every medical practice aiming to maintain strong cash flow and regulatory compliance. Denied claims don’t just delay payments—they reveal critical gaps in your revenue cycle.
Cardiology Medical Billing & CPT Codes Explained – Maximize Reimbursement in 2025
Cardiology is one of the most complex and high-stakes medical specialties—requiring precise documentation, accurate coding, and efficient billing processes. Errors in cardiology billing can lead to costly denials and delayed reimbursements. That’s why partnering with a professional Cardiology Billing Service is essential for maintaining financial health and compliance in 2025’s evolving healthcare landscape.
Bringing Quality Care to Your Doorstep Expert Home Healthcare Services
In today’s fast-paced world, many families seek compassionate, professional care for their loved ones—right in the comfort of their own homes. Home healthcare services bridge the gap between hospital care and independent living, offering medical and personal support tailored to each patient’s unique needs. Whether it’s post-surgery recovery, elderly care, or chronic illness management, expert home healthcare ensures that quality care is never out of reach.