Featured news
Not every headline deserves your attention, so we were picky with this section.
FY 2027 ICD-10 Codes and Medicare NCD Revisions Take Effect October 1
The FY 2027 ICD-10-CM and ICD-10-PCS code sets take effect October 1, 2026, alongside CMS Change Request 14464 updating coding for several National Coverage Determinations. Billing teams should update coding software, review revised NCD requirements, and test high-volume codes before implementation. These changes maintain existing coverage policies but require timely preparation to prevent avoidable claim rejections and denials.
- Anna Walker
- September 23, 2026
- 2 min read
Oracle Health, Surescripts Expand AI-Driven Prior Authorization Workflows Ahead of 2027
Oracle Health is expanding AI-driven revenue cycle management capabilities, while Surescripts plans to integrate prescription prior authorization into its workflows in 2027. These developments reflect growing efforts to streamline healthcare administration. Providers should monitor implementation timelines, interoperability requirements, and CMS regulations when evaluating technologies that could improve authorization efficiency, reduce administrative burdens, and minimize treatment delays.
- Anna Walker
- September 26, 2026
- 3 min read
CMS Starts Building 2027 HPSA Bonus File — ZIP List Due in December
CMS will continue offering a 10% bonus on qualifying professional services delivered in eligible Health Professional Shortage Areas in 2027. Providers should verify location-specific eligibility, understand modifier AQ requirements, and review quarterly payment procedures. Accurate eligibility checks and compliant billing practices can help qualifying physicians receive appropriate Medicare incentive payments while reducing avoidable reimbursement issues.
- Anna Walker
- September 23, 2026
- 3 min read
Another healthcare update? Of course there is.
Not every important healthcare update makes a big announcement. Sometimes it’s a CPT code change, a payer policy revision, or a small shift in the rules that affects how your practice operates. We would love to be your billing informant. No spam, just the good stuff, occasionally with an eye roll included.