The January 2027 prior authorization API deadline will change how providers work with payers. Here are five steps your team should take now to prepare.
CMS-0057-F went into effect on January 1, 2026, requiring faster prior authorization decisions, specific denial reasons, and the first public reporting of payer approval and denial rates. But the rule left submission methods, clinical criteria, and drug prior authorizations untouched. Here is what actually changed, what stayed the same, and where your RCM team should be focusing right now.
Denials are rising, billing teams are stretched, and AI is not yet delivering clear returns. Explore seven healthcare revenue cycle management trends shaping 2026.
Estimate the number of customer support agents your operation may need based on contact volume, average handling time, coverage, occupancy, shrinkage and demand patterns.
World Humanitarian Day is an opportunity to recognize the power of compassion, shared responsibility, and support for organizations creating lasting impact within their communities.
