News
Revenue cycle updates on denials, prior authorization, payer policy, and cost-to-collect — every claim links to a real, dated source.
Why Cost-to-Collect Is Climbing — and Why the Denominator Matters
· AdvancedCare RCM Desk
MGMA found 90% of medical groups reported higher year-to-date operating costs in 2025 than 2024, up about 11% on average, while Premier put the average cost to adjudicate a single claim at $57.23. Rising cost-to-collect is real — but comparing it across practices only works if everyone is measuring the same thing.
Read more →UnitedHealthcare's Prior Auth Cuts: What's Actually Changing in 2026
· AdvancedCare RCM Desk
UnitedHealthcare says it will cut prior-authorization requirements by another 30% by the end of 2026, building on its National Gold Card program. Here's what's covered, who qualifies for Gold Card status, and what billing teams should verify before assuming a claim is exempt.
Read more →Prior Authorization by the Numbers: Inside the AMA's 2026 Physician Survey
· AdvancedCare RCM Desk
The American Medical Association's newest physician survey finds 95% of doctors say prior authorization delays necessary care and 32% say requests are often or always denied. For billing teams, the burden data points to where documentation effort pays off most.
Read more →The CMS Prior Authorization Rule Billing Teams Need to Track in 2026
· AdvancedCare RCM Desk
CMS-0057-F, the federal Interoperability and Prior Authorization final rule, starts cutting standard decision timeframes and forcing public denial-rate reporting in 2026, with a prior-authorization API mandate following in 2027. Here's what's actually taking effect and who it applies to.
Read more →Claim Denials Keep Climbing: What the 2026 Benchmarking Data Means for Billing Teams
· AdvancedCare RCM Desk
Kodiak Solutions' latest revenue-cycle benchmarking data shows hospitals' median final denial rate rose from 2.5% to 2.7% in 2025, and Premier's national survey puts total claims-adjudication costs at $25.7 billion. Here's what both reports mean for denial-prevention priorities.
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