As the leaves start to turn and the air grows crisp, it’s not just the season that’s changing—so is the world of healthcare. Welcome to the first post in our “Change is in the Air” fall series, designed to help clinicians, coders, and administrative staff stay ahead of the important updates shaping the next year. Whether you’re new to healthcare or a seasoned professional, this series will give you the insights and tools you need to navigate upcoming changes confidently.
Why Fall is a Season of Change in Healthcare
Fall has always been a pivotal time in healthcare. It’s when payers release final rules, CMS updates take effect, and new coding guidelines are introduced. This year, several critical changes are coming your way, including:
- Telehealth transitions: Many temporary telehealth flexibilities are ending, requiring updates to workflows, documentation, and billing practices.
- ICD-10-CM updates for 2026: New, revised, and deleted codes will impact chronic disease management, specialty care, and primary care coding.
- RVU and payment adjustments: Medicare and other payers are updating service values, affecting reimbursement.
- HCC coding changes: Risk adjustment rules are evolving, making accurate coding more important than ever.
What to Expect in This Series
Over the coming weeks, we’ll cover each of these topics in depth, providing:
- Actionable guidance for clinicians, coders, and office staff.
- Tips for compliance and documentation to avoid audits and ensure accurate reimbursement.
Some posts will focus on coding nuances, others on documentation strategies, and several will give advice for managing telehealth and year-end updates.
Why It Matters
Staying informed isn’t just about avoiding mistakes—it’s about delivering better patient care, capturing appropriate revenue, and keeping your practice efficient and compliant. By understanding these changes now, your team can be proactive rather than reactive, avoiding common pitfalls and navigating the transition into 2026 with confidence.
Stay Tuned
We’ll kick off next week with a closer look at telehealth transitions and what the end of temporary extensions means for your practice. Subscribe or follow along to make sure you don’t miss a single update.
Change is in the air—let’s make sure your practice is ready for it.Sign up for our mailing list and follow along for more insights. http://eepurl.com/ihek1L