THE MEDCODE BRIEF
What changed, what it means for a specialty practice, and what is still unknown.
An October 21 employer statement adds momentum to electronic prior authorization, while a separate CMS rule sets narrower 2026 and 2027 requirements. Here is what specialty practices can check now.
Read the articleA Georgia hospital payment lawsuit is a reminder to separate documentation, processing, authorization and contract questions before assigning denial work.
Read the articleElevance described a wider payment-integrity effort. Here is a practical chart-to-code check without assuming a new denial trend.
Read the articleSee how MedCode Pro reviews coding and documentation against actual cases.
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