Category: Trending Topics
Medicare Eligibility Verification for Providers: What Changes in 2026
CMS is pressing providers toward mandatory real-time Medicare eligibility verification in 2026, using HIPAA 270/271 transactions through the HETS...
CMS Prior Authorization Reform 2026: How to Slash Claim Denials and Recover Lost Revenue
Key Takeaway: The CMS Prior Authorization Rule is now live. Payers must respond to PA requests in 7...
AI Prior Authorization & Rising Claim Denials in 2026: What Practice Owners Must Do Now
Claim denial rates in 2026 have climbed to 15–17%, and a new CMS AI prior authorization pilot now...
Claim Denials in 2026: Why 1 in 10 Claims Gets Rejected – and What Your Practice Can Do About It
Claim denials cost U.S. healthcare practices $262 billion every year, and 62% of RCM leaders now call them...