Payer requirements are constantly changing, while the information that organizations need to respond to those changes can be scattered and difficult to pull together.
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.
Beginning in 2027, services for antepartum care, labor management, delivery, and postpartum care will be coded separately. The old global approach to billing obstetric care was intended to simplify billing, but it no longer reflects the variation and complexity of care across the phases of pregnancy.
A healthcare organization can terminate a vendor contract, disable accounts, shut down integrations, and move on to another technology provider. The information entrusted to that vendor, however, may not leave with the contract.
