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The ICD-10-CM FY 2026 Official Guidelines are in effect for dates of service from October 1, 2025 through September 30, 2026. Key areas include SDOH documentation, sepsis sequencing, COVID-19 coding,

Nearly $17 million in federal Rural Health Transformation Program funding is being directed to rural Kansas to support emerging healthcare technologies and patient transportation. The investment includes $16 million for

Healthcare revenue cycle management is moving upstream from reactive denial recovery to proactive denial prevention. By identifying risks in registration, eligibility, prior authorization, documentation, coding, and payer rules before claims

CMS announced a $58 million investment in Hawaii through the Rural Health Transformation Program, including $45 million for healthcare workforce development and $13 million for new ambulances and emergency communications

CMS has prevented more than $1.6 billion in potentially fraudulent Medicare laboratory payments through provider revocations, payment suspensions, overpayment recoveries, and law enforcement referrals. The enforcement effort uses AI-powered analytics

CMS has released the CY 2027 Medicare Physician Fee Schedule proposed rule, outlining major physician payment changes effective January 1, 2027. The rule includes lower conversion factors, proposed E/M complexity

A new AMA survey finds that only one in three physicians believe insurer prior authorization reform pledges will create meaningful change. Physicians continue to report care delays, rising denials, inconsistent

HRSA has announced nearly $140 million in new funding to improve health in rural communities, supporting substance use prevention and recovery, rural medical residency programs, provider network sustainability, and telehealth

EHR adoption among U.S. non-federal acute care hospitals has reached near-universal levels, with more than 99% using certified EHR systems by 2024. With implementation now widespread, healthcare organizations are shifting

HHS and ONC have announced new steps to strengthen the TEFCA network as health records exchanged through the nationwide framework surpass one billion. The expansion increases focus on secure health