Traditional "just bill it" approaches fail in 2025 because healthcare practices face increased payer denials, new regulatory requirements, staffing shortages, and automated claim reviews. Simply submitting claims no longer guarantees payment—practices need revenue intelligence, denial analytics, and strategic RCM partnerships to identify where revenue leaks and how to prevent it.
When Cigna Healthcare's R49 policy made headlines in October 2025, many assumed it was an isolated case. Cigna Healthcare then paused the policy due to regulatory pressure. The relief was short-lived. The trend didn't stop; it had already spread to nearly every major insurer in the country.
For physical therapists, chiropractors, clinics, small hospitals, and private practices, unresolved claims and aging receivables can quietly hurt their profits.
That’s where RevQuest LLC comes in. RevQuest LLC offers hands-on accounts receivable (A/R) Recovery Audits for healthcare practices.
Jun 123 min read
In fact, one healthcare provider we worked with achieved 132% of monthly collection goals.
⚠️ Is Your Practice at Risk?
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I'll help you identify:
✓ Hidden revenue leaks in your payer contracts
✓ Downcoding exposure you might not see
✓ Early warning signs of contract breakdown