Key Takeaways An emergency medicine billing company works the professional claim from hospital-sourced data, since federal rules keep insurance questions from delaying emergency screening and stabilization. Its coders need to level ED visits on medical decision making alone, the CPT standard since 2023. Critical care has to be coded by payer, because Medicare and CPT […]
Chris Saviano
Chris Saviano serves as the vice president of business development for Physicians Group Management. He has more than 20 years of experience in corporate finance and business development. Prior to joining PGM, Chris was a member of the corporate finance departments of Lehman Brothers and Societe Generale Corporate & Investment Banking in London. At Societe, he held various positions in departments focusing on equity capital markets, corporate derivatives, and leveraged finance. His work largely centered on debt and equity capital markets transactions in the healthcare sector across the Americas and Europe. Chris earned his MBA from Bocconi University in Milan, Italy, with concentrations in strategic management and finance.
Posts by Chris Saviano
What’s the Difference Between Physician Billing and Facility Billing?
Key Takeaways Physician billing covers the professional component: the physician’s exam, interpretation, judgment, and written report. Facility billing covers the technical component: the equipment, technicians, supplies, and overhead used to deliver the service. Modifier 26 reports the professional component only. Modifier TC reports the technical component only. No modifier means one entity is billing both […]
What is Revenue Cycle Management?
Key Takeaways Revenue cycle management (RCM) covers every financial step from scheduling a patient visit to fully resolving the account balance. RCM includes eligibility verification, charge capture, coding, claims submission, payment posting, denial management, and reporting. Medical billing is one part of RCM, not the whole of it. Problems that surface as denials often trace […]
Medical Billing Company vs. Revenue Cycle Management Company: What’s the Difference?
Key Takeaways A medical billing company handles claims submission, coding, and payment posting. A revenue cycle management company manages billing plus credentialing, patient billing, reporting, and often the practice management software itself. Medical billing is one function inside the broader revenue cycle, not a separate category. The two terms are used interchangeably across the industry, […]
Why Pain Management’s Nerve Block Coverage Is Still in Limbo
Key Takeaways Five Medicare Administrative Contractors have proposed LCDs that would eliminate coverage for most peripheral nerve block and denervation procedures for chronic pain. The proposals would leave coverage largely intact for facet joint interventions, epidural injections, and three narrowly defined exceptions. Public comment periods closed in November 2025, and none of the five MACs […]
Why Practices and Labs Switch Medical Billing Companies
Key Takeaways Practices rarely decide to leave a billing vendor over one incident. It’s usually the accumulation of smaller, unresolved issues that eventually forces the decision. The reasons span the entire relationship, claims accuracy, communication, compliance, even how patients experience billing, not just one type of failure. Several of the most common reasons have nothing […]
What to Look for in a Medical Billing Company
Key Takeaways Specialty experience is the most important differentiator among medical billing companies. Dedicated account management improves communication, accountability, and long-term financial results. Performance-based pricing aligns your billing partner’s incentives directly with your practice’s revenue. Strong denial management and pre-submission claim scrubbing are measurable indicators of billing quality. Technology only produces results when it is […]
What Credentialing Delays Really Cost Your Practice
Key Takeaways Provider credentialing typically takes 90 to 120 days — and during that window, in-network billing is not yet possible. Services rendered before enrollment is complete are either denied outright or subject to narrow retroactive billing windows that vary by payer. Medicare’s retroactive billing window is narrow by design — services rendered well before […]
Common Denials in Medical Billing: What They Are, Why They Happen, and How to Prevent Them
Key Takeaways Medical claim denials cluster into a small number of categories — most practices are dealing with the same types, even if the specific codes and circumstances differ Coding-related denials are the most prevalent and most preventable; they trace to claim elements that don’t align with each other or with payer rules Medical necessity […]
Orthopedic Billing Codes: The Errors Costing Surgical Practices the Most
Key Takeaways Global period exceptions require specific modifiers, and each carries a documentation requirement that, when unmet, turns a legitimate claim into a denial or a compliance flag. The multiple procedure reduction rule applies automatically to multi-procedure surgical cases; correct sequencing and modifier 51 exemptions still have to be managed manually. Modifier 22 is warranted […]