RevalonMD Billing & Coding Disclaimer

What This Disclaimer Covers

This disclaimer applies to all content published on revalonmd.com, including service descriptions, performance metrics, code references, and educational articles. It is intended for healthcare providers, practice administrators, and compliance officers evaluating RevalonMD's billing, coding, and revenue cycle management services.

Nothing on this site constitutes a guarantee of payment, a legal opinion, or clinical coding guidance specific to your practice. Readers should not act on any information here without first consulting a qualified healthcare attorney, compliance officer, or financial advisor.

No Guarantee of Reimbursement or Coverage

No. Billing estimates reflect expected charges based on available payer and eligibility information at the time of service. Final reimbursement depends on insurance carrier policies, claim documentation quality, patient eligibility at time of service, and payer-specific rules — factors outside RevalonMD's direct control.

Insurance carrier policies, patient eligibility, and benefit structures change without notice. An Explanation of Benefits (EOB) issued by the payer — not RevalonMD's estimate — determines final payment. The National Correct Coding Initiative (NCCI) edits, payer bundling rules, and medical necessity determinations all affect reimbursement independent of claim submission quality.

Medical Coding Estimates and Code-Year Caveats

CPT codes update annually (effective January 1, published by AMA). ICD-10-CM updates each fiscal year (October 1, published by CMS). HCPCS Level II codes update quarterly. RevalonMD applies current-year codes as released.

All CPT (Current Procedural Terminology) code references on this site reflect the applicable annual code set. The 2026 CPT code set, published by the American Medical Association (AMA), is effective January 1, 2026. ICD-10-CM diagnosis coding references reflect FY2026 (CMS; effective October 1, 2025). HCPCS Level II references reflect the Q1 2026 CMS quarterly update.

For current code lookups, refer to the AMA CPT code set and the CMS ICD-10-CM Official Coding Guidelines. These are the two external authority sources cited for code-year verification per RevalonMD's annual refresh protocol.

Performance Metrics — Context and Assumptions

Where RevalonMD publishes performance metrics — including first-pass claim acceptance rates and billing fee percentages — these figures represent internal performance targets and historical averages across RevalonMD's client portfolio. They are not guaranteed outcomes for any individual practice.

Good Faith Estimates and the No Surprises Act

Under 45 CFR 149.610 (No Surprises Act), providers must give uninsured or self-pay patients a Good Faith Estimate before scheduled services. RevalonMD helps practices comply; the GFE is issued by the provider, not RevalonMD.

The No Surprises Act (Pub. L. 116-260, Div. BB, Title I), implemented by the Centers for Medicare & Medicaid Services (CMS) under 45 CFR 149.610, requires healthcare providers to furnish a Good Faith Estimate (GFE) to uninsured and self-pay patients before scheduling items or services. The GFE must include expected charges, service codes, and the name and National Provider Identifier (NPI) of the rendering provider.

RevalonMD assists provider practices in building GFE workflows — including charge capture processes, scheduling prompts, and documentation templates — to support compliance with 45 CFR 149.610. The GFE itself is a provider-issued document, not a document issued by RevalonMD on behalf of the practice. RevalonMD does not have a direct patient relationship and is not the provider of record on any GFE.

Not Legal, Financial, or Clinical Advice

No. All content published on revalonmd.com — including service descriptions, performance metrics, educational articles, code references, and this disclaimer — is provided for general informational purposes only. It does not constitute legal, financial, compliance, or clinical advice.

RevalonMD is a revenue cycle management company, not a law firm, financial advisory firm, or clinical practice. Nothing on this site creates an attorney-client, fiduciary, or provider-patient relationship between RevalonMD and any reader. Decisions about billing practices, compliance programs, coding changes, or payer strategy should be made in consultation with a licensed healthcare attorney, qualified compliance officer, or certified billing and coding professional familiar with your specific practice circumstances. See also our general disclaimer for additional scope and limitation disclosures.

HIPAA, PHI, and Our Business Associate Agreement

Yes. RevalonMD executes a Business Associate Agreement (BAA) with every client before any Protected Health Information is accessed or transmitted. The BAA defines our HIPAA obligations and governs PHI handling throughout the revenue cycle management relationship.

As a Business Associate under 45 CFR Parts 160 and 164, RevalonMD handles Protected Health Information (PHI) exclusively under a signed BAA. No PHI is collected, accessed, processed, or transmitted through any web form, email contact, or channel that is not covered by an executed BAA. The contact form at /contact/ is for practice profile and general inquiries only — it is not a HIPAA-covered channel for PHI submission.

AAPC- and AHIMA-Certified Staff Disclosure

Yes. RevalonMD's coding team holds AAPC and AHIMA credentials, including Certified Professional Coder (CPC) and Certified Coding Specialist (CCS) designations. These credentials underpin our first-pass claim rate performance metric and are maintained with annual continuing education requirements.

RevalonMD's coding staff hold certifications from the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA) — the two primary credentialing bodies for professional coders in the United States. Credentials include but are not limited to the Certified Professional Coder (CPC, AAPC) and the Certified Coding Specialist (CCS, AHIMA). All coding staff complete annual continuing education to maintain certification and stay current with AMA CPT, CMS ICD-10-CM, and CMS HCPCS code-year changes.

For details on RevalonMD's team, see our credentialed billing and coding team.

Professional Services Scope

RevalonMD provides revenue cycle management services to independent physician practices and healthcare organizations across 50+ medical specialties in all 50 U.S. states. Services include medical billing, medical coding, provider credentialing, denial management, prior authorization, and accounts receivable recovery.

RevalonMD does not practice medicine, provide clinical care, or offer legal or compliance counsel. All PHI handling is governed by an executed Business Associate Agreement (BAA). RevalonMD does not file claims on behalf of practices that have not completed a practice profile, signed a service agreement, and executed a BAA. Any reference to payer-specific rates, code-specific reimbursement, or specialty billing strategies on this site is general information only.

Limitation of Liability

To the fullest extent permitted by applicable law, RevalonMD LLC, its officers, employees, agents, and contractors disclaim all liability for any direct, indirect, incidental, consequential, or punitive damages arising from use of, or reliance on, any information on revalonmd.com — including billing estimates, code references, performance metrics, and educational content — regardless of whether RevalonMD has been advised of the possibility of such damages.

This limitation applies whether the claim is based in contract, tort, statute, or any other legal theory. Some jurisdictions do not allow the exclusion or limitation of certain damages; in those jurisdictions, RevalonMD's liability is limited to the greatest extent permitted by law.

Updates to This Disclaimer

RevalonMD reviews this disclaimer annually, at minimum, and updates it whenever relevant regulations change. Mandatory review triggers include: the AMA CPT annual release (November, for January 1 effective date), the CMS ICD-10-CM fiscal year release (July, for October 1 effective date), the CMS HCPCS quarterly update (January, April, July, October), and any update to No Surprises Act guidance or HIPAA rules.

This disclaimer was last reviewed in June 2026by RevalonMD Leadership & Editorial Review and the RevalonMD Revenue Cycle Team. Continued use of revalonmd.com after any update constitutes acceptance of the revised disclaimer. Material changes will be noted with an updated last-reviewed date.

Last reviewed: June 2026  |  Effective date: 2026-06-10  |  Author:RevalonMD Leadership & Editorial Review  |  Reviewer: RevalonMD Revenue Cycle Team (RHIA, CRCR)

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