CMS requests updated billing information from qualifying APM participants

September 2, 2026
News & Insights

CMS released an advisory for certain clinicians who are qualifying alternative payment model (APM) participants, notifying them that their current billing information must be updated to receive funds for the 2026 payment year.

UnitedHealthcare to cut prior authorization requirements for 1,700 services

September 9, 2026
News & Insights

UnitedHealthcare is fulfilling its pledge to reduce prior authorization requirements by 30% by the end of the year. Starting October 1, 2026, the insurer will no longer require approval for more than 1,700 procedure codes across various plans.

CDC survey finds continued decline in HAIs

September 16, 2026
News & Insights

The prevalence of healthcare-associated infections (HAI) in U.S. hospitals declined between 2015 and 2023, according to a CDC survey recently published in The New England Journal of Medicine. 

CMS updates COVID-19 vaccine pricing for 2026‒2027 season

September 23, 2026
News & Insights

CMS recently released its 2026‒2027 seasonal influenza and COVID-19 vaccine pricing file, providing updated Part B payment allowances for several COVID-19 vaccine products.

2027 CPT code set: Updates for maternity care, hernia repairs, and more

September 30, 2026
News & Insights

The American Medical Association (AMA) released the 2027 Current Procedural Terminology (CPT®) code set, detailing 299 additions, 74 revisions, and 80 deletions set to take effect next year.