Few issues create more frustration for providers than prior authorization (PA). It delays care, creates administrative headaches, and slows down reimbursement. In 2026, prior authorization reform will reshape both Traditional Medicare and Medicare Advantage (MA) in ways that every practice and laboratory needs to prepare for.
The healthcare revenue cycle is always evolving, but 2026 will bring changes that are broader, deeper, and more disruptive than anything practices and laboratories have seen in the past decade. From Medicare fee cuts and ICD-10 documentation updates to staffing shortages and prior authorization reform, the financial and operational pressures are converging into a true tipping point year.
The Importance of Patient Engagement: Why They - And You - Need It
Learn why patient engagement is a necessity and how you can master it within your practice.
Medical Billing / RCM | workers' Comp
Workers’ Compensation (WC) billing is one of the most detail-driven, regulation-heavy segments of medical and legal revenue cycle management (RCM). It demands precision, organization, and an ability to track complex data points over potentially long case timelines.
Medical Billing / RCM | RCM | Laboratory
Choosing the right laboratory software isn’t just an IT decision—it’s a business-critical investment that can shape everything from daily workflow to long-term profitability. Whether you’re a clinical lab, toxicology group, pathology practice, or molecular testing facility, the wrong system slows you down, exposes you to billing errors, and limits scalability.
Electronic Health Records | behavioral health
In today’s fast-evolving healthcare landscape, behavioral health practices face a unique set of challenges. Managing complex patient information, maintaining detailed clinical notes, navigating intricate billing requirements, and staying compliant with ever-changing regulations demand more than just basic record-keeping systems. This is where behavioral health EHR software becomes indispensable.
Electronic Health Records | behavioral health
In today's rapidly evolving healthcare landscape, behavioral and mental health providers face unique challenges that require specialized solutions. At Advanced Data Systems Corporation (ADSC), we understand the intricacies of mental health care and offer tailored EHR and EMR systems designed to meet the specific needs of this vital sector.
In the rapidly evolving healthcare industry, the ability to effectively manage the revenue cycle is a critical factor in ensuring the financial health and operational efficiency of medical practices. For doctors and practice administrators, the decision to outsource Revenue Cycle Management (RCM) can be transformative, offering a strategic advantage in navigating the complexities of billing, coding, and compliance. Let's delve into why outsourcing RCM is not just a necessity but a strategic imperative for practices aiming to enhance their financial and operational performance.
Practice Management | Electronic Health Records | Healthcare Advice
In the rapidly evolving landscape of healthcare, the way physicians communicate complex and sensitive patient information has undergone a significant transformation, especially with the rise of the Internet. Traditional practices, rooted in the era before digitalization, have started giving way to more efficient and patient-friendly approaches. One such evolution is in how we handle prescriptions, where the shift from paper-based to electronic methods has become increasingly vital.
While medical professionals such as nurses and doctors are typically focused on the physical health of their patients, they also need to take into account people’s mental state as part of their overall well-being.
Healthcare professionals need to remain aware of any changes that may affect the industry and their responsibilities to respond to requests for information from the government. Specifically, it’s crucial to stay on top of updates from the Centers for Medicare & Medicaid Services, such as CMS quality measures.