DMEPOS prior auth is nationwide already; what expanded April 13, 2026 was the code list. Learn the difference between that and the separate 6-state WISeR model.
CMS-0057-F requires payers to build five FHIR APIs by January 2027. Here’s what each one does and how it changes prior authorization workflow for billers.
CMS-0057-F’s electronic prior auth API deadline hits January 1, 2027. Learn what’s already required now, what changes then, and how to prepare your practice.
IDR batching, CARC/RARC guidance, CMS-0057-F APIs, DMEPOS list updates, and the exemption cycle. Five concrete regulatory dates every RCM team should have on one shared calendar right now.
Hospital price transparency got real teeth in 2026 with new median/percentile reporting. Payer-side Transparency in Coverage reform is still just a proposed rule. Here’s what’s actually enforceable.
Patient balance-billing protections are unchanged, but the federal IDR process got a major overhaul in 2026: a $15 fee (down from $115) and dispute batching. Here’s what to actually do.
D9224/D9225 are already generating denials at practices that haven’t updated documentation habits. Here’s exactly what payers require and how to fix your anesthesia note template.
CDT 2026 brings 31 new codes, 14 revisions, and 6 deletions. Here’s what changed and what your dental billing team needs to update before your next claims run.