Healthcare Reimbursement
Intelligence, Delivered
CMS policy changes, code updates, rate shifts, and denial trends — distilled into a 5-minute weekly brief for revenue cycle professionals.
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What You Get Every Week
Actionable reimbursement intelligence designed for healthcare finance and revenue cycle teams.
CMS Policy Tracking
Real-time monitoring of CMS proposed and final rules affecting reimbursement rates and coverage policies.
CPT/ICD Code Updates
Stay ahead of annual code changes, new additions, and revised guidelines that impact billing accuracy.
Rate Change Alerts
Medicare and Medicaid fee schedule updates, conversion factor changes, and RVU adjustments.
Payer Policy Shifts
Commercial payer policy changes, prior auth updates, and coverage determination shifts.
Denial Trend Analysis
Data-driven insights on denial patterns, root causes, and actionable recovery strategies.
Revenue Impact Scores
Every update scored by potential revenue impact so you can prioritize what matters most.
Sample Intelligence Brief
Here's what a typical ReimbursementIQ edition looks like.
CMS Finalizes 2026 OPPS Rule: +2.9% Payment Update
CMS published the final CY2026 Outpatient Prospective Payment System rule with a 2.9% payment increase. Key changes include revised packaging thresholds for clinic visit codes and new separately payable status for 12 drug administration codes.
Q4 Denial Trends: Prior Auth Denials Up 18%
Analysis of 2.1M claims shows prior authorization denials surged 18% in Q4 2025, driven primarily by commercial payers tightening imaging and specialty drug criteria.
New CPT Codes for Remote Monitoring (Effective July 2026)
AMA approved 8 new CPT codes for remote therapeutic monitoring of musculoskeletal and respiratory conditions. Medicare has signaled coverage intent with proposed national rates.
Don't Miss a Rate Change
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