CMS-0057 Electronic Prior Auth Hits Jan. 1, 2027. What Billers Must Ask EHR and AI Vendors Now
On October 12, 2026, Medical Economics published a practice-facing checklist for the January 1, 2027 Prior Authorization API deadline under CMS-0057-F —…
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Pick a denial code and payer, fill in claim details, copy a ready-to-edit appeal letter.
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Search any CARC/RARC (e.g. CO-97, CO-16) for its meaning and fix steps.
On October 12, 2026, Medical Economics published a practice-facing checklist for the January 1, 2027 Prior Authorization API deadline under CMS-0057-F —…
On October 13, 2026, ambient clinical intelligence company Suki announced $90 million in Series E financing. New investors include Healthier Capital, Crosslink…
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On October 9, 2026, Sens. Patty Murray (D-WA) and Ron Wyden (D-OR) held a Vancouver roundtable with Washington clinicians about CMS’s Wasteful…
Fitch Ratings’ Artificial Intelligence Stress Test, published October 5, 2026, scores health insurers at 20 out of 100. That is well below…
Two class actions make the same claim. They say Medicare Advantage insurers used an AI tool called nH Predict to end nursing…
Alabama’s SB 63 took effect on October 1, 2026. It covers state-regulated health plans that use AI on prior authorization requests. The…
On October 2, 2026, AKASA launched what it calls an autonomous AI platform for the “mid-cycle.” AKASA is a revenue cycle AI…
Got a medical bill months after the visit? Resolve it in four steps before you pay. Ask the provider for the EOB…