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
Six New ABA CPT Codes Take Effect January 1 — The Biggest Changes Since 2019
The 2027 CPT updates introduce six new Category I codes for adaptive behavior services, revise codes 97151–97158, and delete codes 0362T and 0373T. Behavioral health providers should review documentation requirements, update billing workflows and EHR systems, and confirm payer policies. Preparing early can support accurate coding, smoother claims processing, and continued reimbursement compliance.
- Anna Walker
- September 26, 2026
- 3 min read
Otter Health Raises $8M to Replace Prior Authorization with AI-Driven Clinical Monitoring
Otter Health has launched with $8 million in seed funding to develop AI-powered clinical guideline monitoring. Its approach aims to reduce reliance on traditional prior authorization by evaluating care against established guidelines after clinical decisions. This development highlights emerging opportunities and important considerations for healthcare providers, payers, and revenue cycle management teams seeking more efficient administrative processes.
- Anna Walker
- October 19, 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.