Latest articles
More billing guides — page 3
Guidance for independent practices navigating payer requirements and billing operations.
Accounts receivable · 7 min read · · FlowClaim RCM Editorial Team
Prepare focused payer calls with an insurance A/R checklist for claim status, missing information, next actions, deadlines, and reliable notes.
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Payment accuracy · 7 min read · · FlowClaim RCM Editorial Team
Review payer underpayments using contract terms, claim details, remittance reconciliation, and a documented dispute workflow without false positives.
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Denial management · 7 min read · · FlowClaim RCM Editorial Team
Build a denial management workflow with clear ownership, deadline tracking, evidence review, payer follow-up, and practical prevention measures.
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Denial prevention · 7 min read · · FlowClaim RCM Editorial Team
Build a practical medical necessity denial prevention workflow covering payer rules, documentation, claim review, denial analysis, and staff follow-up.
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Denial management · 7 min read · · FlowClaim RCM Editorial Team
Investigate CO-29 timely filing denials, organize submission evidence, check payer-specific review rights, and prevent missed claim deadlines.
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Denial management · 7 min read · · FlowClaim RCM Editorial Team
Investigate duplicate claim denials, understand OA-18 versus CO-18, reconcile the original claim, and prevent unnecessary resubmissions.
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Denial management · 7 min read · · FlowClaim RCM Editorial Team
Resolve CO-16 denials with a practical workflow for reading remark codes, correcting claim data, confirming receipt, and preventing repeat errors.
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Payment posting · 7 min read · · FlowClaim RCM Editorial Team
Read ERA adjustment codes in context, distinguish CARCs from RARCs, reconcile payments, and turn remittance details into the correct next action.
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Rejection management · 5 min read · · FlowClaim RCM Editorial Team
Understand the operational difference between claim rejections and denials, then choose the correct correction, resubmission, or appeal workflow.
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Prior authorization · 5 min read · · FlowClaim RCM Editorial Team
Use this practical prior authorization tracking checklist to manage payer requirements, documentation, follow-up, decisions, and claim handoffs.
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