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…
Category: Policy Updates
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…
The 2027 Medicare Fee Schedule Is Already Being Written. Most Practices Won’t Look Until It’s Too Late.
By Elizaveta Bannova, Billing Department WCH, Educational Officer AAPC Every fall, the same thing happens. CMS releases the proposed Physician…
Who Owns the Codes Doctors Use to Get Paid?
For most medical practices, CPT codes aren’t controversial. They’re part of the daily routine. A physician performs a service, a…
Medicare Is Putting Certain Procedures Under a New Review System. Is Your Practice Ready?
For practices performing certain procedures for Original Medicare patients, a new payment checkpoint is already in place. The Centers for…
CMS Wants to Reduce Administrative Burden. Here’s What Practices Will Actually Have to Change
Every year CMS releases the Physician Fee Schedule proposed rule, and every year the press release says roughly the same…
AI Didn’t Kill the Billing Job. It Changed What the Job Is.
Every few months another headline predicts that AI is coming for medical billing jobs. One announcement this week offers a…
