Regulatory Updates

Compliance, demystified.

Timely updates on CMS policy changes, payer requirements, coding revisions, and compliance guidelines that impact your revenue cycle.

HIPAA Security Rule NPRM: Where the Proposal Stands in 2026
Regulatory Updates

HIPAA Security Rule NPRM: Where the Proposal Stands in 2026

HHS OCR's HIPAA Security Rule NPRM would mandate encryption, MFA, and annual risk analyses. Here is the status in early 2026 and what practices should do now.

March 24, 2026 Read update
Hospital Price Transparency: The April 1, 2026 Enforcement Deadline
Regulatory Updates

Hospital Price Transparency: The April 1, 2026 Enforcement Deadline

CMS finalized new price transparency rules requiring actual-dollar allowed amounts in machine-readable files. Enforcement begins April 1, 2026.

March 3, 2026 Read update
No Surprises Act IDR: Where Things Actually Stand in 2026
Regulatory Updates

No Surprises Act IDR: Where Things Actually Stand in 2026

The IDR backlog hit 430,000 disputes and the Supreme Court declined to hear a key enforcement case. Here is the honest state of No Surprises Act disputes in 2026.

February 19, 2026 Read update
CMS Prior Authorization Rule: What Took Effect January 1, 2026
Regulatory Updates

CMS Prior Authorization Rule: What Took Effect January 1, 2026

Payers must now decide urgent prior auths in 72 hours and standard requests in 7 days. Here is what CMS-0057-F changes for independent practices in 2026.

February 4, 2026 Read update
Inside the 2026 Medicare Physician Fee Schedule Final Rule
Regulatory Updates

Inside the 2026 Medicare Physician Fee Schedule Final Rule

The CY 2026 MPFS Final Rule finalized dual conversion factors, a 2.5% efficiency cut to work RVUs, and new telehealth rules. Here is what it means for your practice.

January 22, 2026 Read update
FY 2026 ICD-10-CM Updates: 487 New Codes You Should Know
Regulatory Updates

FY 2026 ICD-10-CM Updates: 487 New Codes You Should Know

CMS added 487 new ICD-10-CM codes, deleted 28, and revised 38 effective October 1, 2025. Here is what independent practices need to update in their billing workflows.

January 9, 2026 Read update