Category: Policy Updates
CY 2027 Medicare Physician Fee Schedule Proposed Rule: What It Means for Providers
A practical briefing on CMS-1848-P for physicians, virtual care organizations, ACOs, RHCs/FQHCs, and revenue-cycle teams by Olga Khabinskay, Director of…
Northwell and Fidelis Are Out of Network — And Every Provider Should Be Paying Attention to Why
As of July 16, roughly 240,000 people in the New York metro area lost in-network access to Northwell Health, the…
The AMA’s SNOMED CT–to–CPT Mapping Initiative: An Analytical and Practical Review
By Elizaveta Bannova, Billing Department, WCH What Was Announced On July 14, 2026, the American Medical Association announced a new…
A Crack in CMS’s Star Ratings System Is Turning Into a Courtroom Pile-On
Four Medicare Advantage insurers have now sued the federal government over the same grievance, and the number is unlikely to…
Nurses Gain ‘Professional’ Status for Federal Loans: What It Means for Healthcare Providers
By Elizaveta Bannova, Billing Department, WCH A federal court stepped in one week before new lending rules would have dramatically…
The OIG Is Back — And Their Math Doesn’t Add Up
By Elizaveta Bannova, Billing Department, WCH If you were hoping the OIG’s audit activity would stay quiet through the summer,…
Ghosts in the Network
How Inaccurate Medicaid Managed Care Provider Directories Undermine Real Access to Maternal Care in the United States By Elena Pak,…