Lisa Eramo, freelance healthcare writer

Tackle ACA uncertainty, telehealth claim holds, and payer downcoding with insights from October’s most critical RCM news for practices and billing companies.

Learn about 2026 evaluation and management (E/M) coding updates, along with documentation and workflow tips.

Discover 9 proven strategies to protect your medical billing business from economic uncertainty and emerge stronger than your competitors.

By promoting health insurance financial literacy, practices can directly improve RCM performance.

Enhance patient care and engagement, increase revenue, and improve quality metrics with combined visits.

Navigate July 2025 RCM healthcare news: proposed Medicare payment increases, ACA changes, and prior authorization updates you need to know for your practice or billing company.

Stay ahead of Medicare cuts, enhanced MA audits, telehealth compliance risks, and payment friction trends impacting medical practices in 2025.

The latest on potential Medicaid cuts, evolving telehealth policies, upcoding across outpatient settings, and more.

The legislation ending the longest government shutdown grants short-term funding for CMS and health extenders, but introduces uncertainty around enhanced premium tax credits and key telehealth flexibilities. Learn more here.

Discover critical 2025 MIPS and MACRA updates affecting your practice’s reimbursement, performance thresholds, and scoring changes you need to know now.

Learn about critical medical coding updates for 2025 — including 252 new ICD-10 codes and 270 new CPT codes — to boost your practice’s or billing company’s revenue and compliance.

Mastering pre-op coding is crucial. Here are 5 key practices, from patient clearance to ICD-10-CM codes, to ensure accurate billing and avoid denials.

Learn about RCM, including what it is, what it involves, and how to improve it for practice success.

Quality reporting in healthcare continues to play an important role in helping providers improve patient outcomes and generate additional revenue.

A summary of October RCM news

Learn why CPT 99214 led Medicare improper payments in 2023 — and discover 5 essential steps to ensure compliant documentation and proper reimbursement.

Discover 288 new CPT codes for 2026 and learn how to update your practice systems to ensure compliance and maximize reimbursement.

Wondering how to measure patient engagement? Here are 5 KPIs that reveal the efficacy of your efforts.

CMS is ramping up oversight of remote patient monitoring claims — find out if your practice’s billing patterns could trigger an audit.

Discover 10 recently published medical billing books covering a wide variety of topics that can help you elevate your business.

Navigate 2026 CPT code changes, rising denials, and new regulations impacting medical practices and billing companies this fall.

Starting October 1, 2025, Cigna will automatically downcode your high-level E/M codes if documentation doesn’t support complexity. Here’s how to prepare.

Medical providers who treated Blue Cross Blue Shield patients may be eligible for compensation from a groundbreaking $2.8B antitrust settlement.

Protect your business, safeguard your clients, and cement your role as their strategic partner and trusted advisor.

Stay ahead of August 2025 RCM healthcare news impacting your practice: Cigna E/M changes, telehealth rollbacks, AI solutions, and cybersecurity risks.