Clear, practical articles on claims, reimbursement, denials, and the day-to-day work that keeps a practice’s revenue cycle moving.
Written for practice owners, administrators, and billing teams.
Guidance for independent practices navigating payer requirements and billing operations.
Telehealth billing · 7 min read · · FlowClaim RCM Editorial Team
Review 2026 telehealth claims for service eligibility, patient and provider location, modality, consent, POS, modifiers, documentation, and payer rules.
Read the articleDiagnosis coding updates · 7 min read · · FlowClaim RCM Editorial Team
Implement FY 2027 ICD-10-CM with checks for code files, documentation, templates, payer policies, system testing, denials, and October 1 dates.
Read the articleMedical coding updates · 7 min read · · FlowClaim RCM Editorial Team
Prepare for CPT 2027 with checks for code analysis, documentation, payer policies, system testing, fee schedules, education, and claim monitoring.
Read the articleMaternity care coding · 7 min read · · FlowClaim RCM Editorial Team
Prepare for the 2027 maternity restructure with checks for phase-based reporting, active pregnancies, contracts, authorization, systems, and education.
Read the articlePrior authorization · 5 min read · · FlowClaim RCM Editorial Team
Review CMS prior authorization milestones for 2026, upcoming API requirements, and practical preparation steps for medical practices.
Read the articleMedicare billing updates · 7 min read · · FlowClaim RCM Editorial Team
Review the 2026 Medicare Physician Fee Schedule changes, dual conversion factors, efficiency adjustments, telehealth policies, and practice action steps.
Read the articleTelehealth billing · 7 min read · · FlowClaim RCM Editorial Team
Choose POS 02 or POS 10 by confirming the patient's location, payer policy, service eligibility, modality, and claim requirements for the date of service.
Read the articleEvaluation and management coding · 7 min read · · FlowClaim RCM Editorial Team
Compare medical decision making and time for E/M code selection with documentation checks, excluded time, workflow examples, and Medicare caveats.
Read the articleMedical coding · 7 min read · · FlowClaim RCM Editorial Team
Review Modifier 25 with a practical checklist for significant, separately identifiable E/M work, procedure context, documentation, and payer edits.
Read the articleMedical coding · 7 min read · · FlowClaim RCM Editorial Team
Compare Modifier 59 with XE, XP, XS, and XU using NCCI edit status, distinct-service evidence, documentation checks, and payer-specific review.
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