Denial Prevention Is the New Revenue Growth Strategy in 2026
For years, healthcare organizations focused on volume-based growth—more patients, more procedures, more claims. In 2026, that strategy is failing.
Payers aren’t reducing reimbursements quietly—they’re denying claims aggressively. Practices that continue to rely on post-denial appeals are discovering a harsh reality:
Denied revenue is often never recovered.
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.
In-House Billing vs Outsourcing: What Small Practices Should Choose in 2026
Small medical practices are facing unprecedented pressure in 2026. Rising operating costs, staffing shortages, payer complexity, and stricter compliance requirements are forcing practice owners to rethink how they manage one of the most critical functions in healthcare—medical billing.
At Everest A/R Management Group, we work closely with small practices nationwide, and one question comes up repeatedly:
Medicaid Telehealth in 2026: What’s Still Billable, What’s Gone, and What Gets Denied
Telehealth remains a critical access point for Medicaid patients—but in 2026, Medicaid telehealth reimbursement has become one of the most complex and denial-prone areas of medical billing. What was once a flexible, access-driven reimbursement model has evolved into a compliance-driven, payer-controlled system where even small mistakes can result in nonpayment, recoupments, or audits.
Anesthesia Denials Aren’t Random — They’re Baked Into the Billing Process
Anesthesia practices often hear the same explanation from payers: “The claim doesn’t meet requirements.”
But after reviewing thousands of anesthesia claims across hospitals and ASCs, one truth becomes clear:
👉 Most anesthesia denials are not accidental. They are predictable, repeatable, and built into flawed billing workflows.
Urgent Doesn’t Mean Payable: How S-Codes Trigger Automatic Commercial Denials
Urgent care centers are designed for speed. Patients walk in, receive treatment quickly, and expect insurance reimbursement to move just as fast. Unfortunately, many urgent care practices are discovering a hard truth in today’s commercial payer environment:
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.
Best EHR-Compatible Home Health Billing Services: What Agencies Must Demand in 2026
In 2026, nearly every Home Health agency uses an Electronic Health Record (EHR).
Yet despite modern systems like WellSky, Homecare Homebase, AlayaCare, and others, agencies continue to lose 20–30% of collectible revenue.
Outsourced Gastroenterology Billing vs In-House Teams — 2026 ROI Breakdown
Gastroenterology practices are busier than ever—colonoscopies, advanced endoscopic procedures, rising patient demand.
Yet many GI practices are working harder while collecting less.
In 2026, the biggest revenue decision for gastroenterology groups isn’t clinical—it’s billing strategy.
Should you continue with an in-house billing team, or move to outsourced gastroenterology billing services?
This ROI breakdown answers that question with real-world numbers, risks, and outcomes.
How Medical Coding Errors Create Silent Revenue Leakage
Most medical practices believe revenue loss comes from denials, slow payers, or billing inefficiencies.
In reality, the biggest financial drain often happens much earlier—during medical coding.
At Everest A/R Management Group, we consistently see practices losing 12–25% of collectible revenue due to silent medical coding errors that go undetected, unreported, and unrecovered.
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.
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.
Montana Medical Billing & Coding Services in 2025: Complete Revenue Solutions
Montana’s healthcare landscape is unique—large rural areas, limited staffing, reimbursement challenges, and rapidly changing payer rules. As a result, medical practices across the state continue to struggle with coding accuracy, rising denials, and delayed reimbursements.
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.
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.
How Medical Billing Outsourcing Improves Collections for Small Practices
Running a small medical practice today is more challenging than ever. Providers must balance patient care, rising operational costs, staff shortages, payer complexities, and constant changes in billing and coding guidelines. For many small practices, the biggest struggle is getting paid on time — and in full.
Medical Coding Backlog? How Outsourced Teams Clear It Fast & Improve Cash Flow
A growing medical coding backlog is one of the biggest revenue killers for healthcare practices today. When charts pile up, claims slow down, reimbursements stall, and cash flow drops — often rapidly. Many practices struggle with delays simply because their internal resources can’t keep up with patient volume, staffing shortages, turnover, or complex specialty coding.