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.
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.
With extensive CPT coding changes on the horizon for all aspects of maternity care, revenue cycle professionals should review key updates for prenatal services.
In the 2027 Medicare Advantage (MA) and Part D rate announcement, CMS highlighted risk adjustment accuracy, payment integrity, and accountability for diagnoses that drive reimbursement.
