Category: Policy Updates
Your AI Vendor May Be Your Compliance Risk: What Physicians Should Ask Before Putting AI Into the Practice
By Slava Kurdov, Billing Department, WCH
Payers Are Changing Your Rates. Most Practices Haven’t Noticed Yet.
By Tatyana Kantor, Billing Department, WCH Rate changes are showing up across New York Medicaid MCO plans, contracts, specialties, and…
Your Payer Contract May Be Paying You Less Than You Think
A contract is signed once. It is rarely read again. Most practices treat a payer contract as a fixed reference…
Aetna Is Changing Cancer Prior Authorization. Here’s What Oncology Practices Need to Know
If you run an oncology practice that sees Aetna patients, you already know the drill: diagnosis, then paperwork, then more…
The Medicare Advantage DMEPOS Gap Every Prescribing Physician Should Know About
By Elena Pak, Credentialing Department, WCH Quick question: when you write a durable medical equipment order for a Medicare Advantage…
The Prior Authorization Deadline Is Now a Revenue Tool — If You Track It
For as long as most physicians have been in practice, prior authorization timelines have varied wildly depending on the payer,…
Medicaid Work Requirements Are Coming. Why Providers Should Prepare Before 2027
Medicaid providers are approaching another major change in how patient eligibility is determined. Beginning January 1, 2027, states generally must…
UnitedHealthcare Is Cutting Prior Authorizations by 30%. The Real Change Starts October 1.
By Elena Pak, Credentialing Department, WCH Beginning October 1, 2026, UnitedHealthcare will remove prior authorization requirements for approximately 30% of…
