Urgent Care CPT + ICD Pairing Errors That Slow Down Payments — Complete Guide
Urgent care centers rely on fast, accurate reimbursement to stay profitable. But CPT + ICD-10 pairing errors remain the #1 cause of payment delays, denials, down-coding, and audit flags in urgent care billing.
Why Medicare Audits Are Increasing for Home Health in 2025 — And How Proper Billing Protects You
Medicare audits are rising sharply in 2025 — and home health agencies are feeling the pressure more than ever. From PDGM documentation errors to EVV inconsistencies, CMS has increased oversight, risk scoring, and automated claim monitoring.
Why Alamo, Texas Medical Practices Are Losing 18–25% Revenue — And How Everest A/R Management Group Fixes It Fast
Running a medical practice in Alamo, Texas is becoming more challenging each year. Insurance rules keep changing, payers tighten their policies, and small practices struggle to keep up with administrative work.
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.
Boost Cash Flow in Your Florida Practice With Real-Time Eligibility & Accurate Coding
Running a medical practice in Florida comes with unique financial challenges — high patient volumes, seasonal residents, frequent insurance changes, and strict payer rules. These issues often lead to claim denials, payment delays, and unnecessary revenue loss.
Why Large Medical Groups Should Outsource Coding to Reduce Backlogs & Improve Encounter Accuracy
Large medical groups process thousands of encounters every month across multiple specialties, providers, and locations. With this volume, even a small coding delay can snowball into massive backlogs, inaccurate claims, and millions in delayed or lost revenue.
Top 7 Revenue Leaks Most Practices Don’t Notice — And How Outsourced Billing Fixes Them
Every medical practice loses revenue — but the biggest losses don’t come from major billing errors.
They come from small, silent revenue leaks that go unnoticed for months (or years).
These hidden gaps can drain 10–30% of your revenue without any obvious red flags. The good news? Almost all of these leaks can be fixed quickly with the right billing partner.
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.
Utah Specific CPT & ICD-10 Billing Challenges Most Practices Struggle With (2025 Guide)
Utah’s healthcare landscape continues to expand, and so do the complexities of accurate CPT & ICD-10 coding. Providers across Salt Lake City, Provo, Ogden, St. George, Logan, and surrounding areas face constant claim denials due to coding gaps, payer-specific rules, and changing state Medicaid guidelines.
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.
Top Challenges in Florida Medical Billing & How to Overcome Them
Florida is one of the fastest-growing healthcare markets in the U.S., but with growth comes complexity—especially in medical billing. Providers across the state face unique challenges related to Florida Medicaid rules, payer requirements, telehealth expansion, high patient volume, and strict compliance regulations.
This 2025 guide breaks down the top challenges in Florida medical billing—and offers proven solutions to help healthcare practices stay compliant, accelerate reimbursements, and improve cash flow.
Top OB/GYN Billing Challenges and How Outsourced Experts Solve Them
OB/GYN medical billing is among the most complex areas in healthcare revenue cycle management. From global obstetric packages to payer-specific requirements and frequent coding updates, OB/GYN billing can easily overwhelm in-house teams.
That’s why many obstetrics and gynecology practices partner with Everest A/R Management Group, Inc. — a trusted name in medical billing and revenue cycle management services. Our experts help providers streamline operations, eliminate errors, and maximize reimbursements
Behavioral Health Billing in Hospice: CPT Codes, Documentation & Reimbursement Strategies
As hospice care continues to evolve, the integration of behavioral health services has become essential. Patients nearing the end of life often face complex emotional and psychological challenges — including depression, anxiety, grief, and trauma. However, billing for behavioral health in hospice care can be complicated due to coverage limitations, documentation requirements, and compliance rules.
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.
The Convergence of AI, Telehealth & Billing: What Neonatology Practices Must Know
Neonatology is one of the most data-intensive, time-sensitive, and regulation-heavy specialties in modern healthcare. NICU care requires:
✅ Continuous monitoring
✅ High-acuity clinical decisions
✅ Parental education & counseling
✅ Multidisciplinary coordination
✅ Strict documentation and billing precision
The Convergence of AI, Telehealth & Billing: What Internal Medicine, Pulmonology & Cardiology Practices Must Know
Internal medicine, pulmonology, and cardiology are specialties at the center of America’s chronic-disease burden — diabetes, COPD, hypertension, obesity, asthma, heart failure, arrhythmias, and more. As patient volume grows and care shifts beyond the clinic walls, three forces are reshaping specialty care:
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.
The Future of Orthopedic Billing: Smart Tech, Accurate Coding, and Faster Payments
Orthopedic practices are under growing pressure to manage complex procedures, evolving payer rules, and shrinking reimbursements — all while delivering top-quality patient care. In 2025, the future of orthopedic billing depends on smart technology, accurate coding, and automated payment solutions that simplify the entire revenue cycle.
The Ultimate Guide to Mental Health Billing & CPT Codes in 2025
Mental health services are more essential than ever — but getting properly reimbursed for them can be complex. With constant updates in CPT codes, payer requirements, and compliance standards, mental health professionals often face billing challenges that delay payments or cause denials.