Headway’s $9.99 Recurring Therapy Fee & Paused Provider Contract Ignite Clinician Backlash

Headway, the $2.3 billion mental-health platform with more than 65,000 providers, is facing organized provider opposition over two October decisions […]

Headway

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FY 2027 ICD-10 codes and Medicare NCD revisions take effect October 1

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.
Oracle Health AI Prior Authorization

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.
CMS starts building 2027 HPSA bonus file — ZIP list due in December

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.

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.

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That payer update you vaguely remember reading about last month? We saved you the trouble of finding it again.

Headway’s $9.99 Recurring Therapy Fee & Paused Provider Contract Ignite Clinician Backlash

Headway, the $2.3 billion mental-health platform with more than 65,000 providers, is facing organized provider opposition over two October decisions […]

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