What Changes for Prior Authorization on January 1, 2027?
On January 1, 2027, Medicare Advantage, Medicaid and marketplace plans must run electronic prior authorization APIs. See what changes for small practices
Read the articleEmail: info@webillhealth.com | Call: +1 (425) 818 9351
Business hours: Monday to Friday, 8am to 9pm EST
White paper
The Front Desk Revenue Standard 2026
Why most denials start at check in, the four federal rules your front desk is already bound by, and a twelve step routine with a daily scorecard.
9 pagesPlain language, no jargon
10 primary sourcesEvery figure dated and linked
2026 editionUpdated when the rules change
What is inside
- The six front desk errors that become denials, and what prevents each
- What to read on every eligibility response, and the MBI rule
- Patient responsibility: deductibles and time of service collection, sourced
- Four federal rules: good faith estimates, the $400 dispute, the ABN and the MBI
- The twelve step standard, the checklist and the daily scorecard
Every paper in the WeBill Health library is written the same way: primary sources only for rules and numbers, every figure dated, a table wherever the rule varies by state or payer, and a worksheet or checklist at the end you can run on your own claims the same day.
Third party figures are quoted as published and are never mixed with WeBill Health's own metrics. Nothing in a paper is legal or payer specific advice. Confirm every deadline against your own contracts.
Worth reading
View all articles
What Did the First Study of Medicare’s WISeR Prior Authorization Model Find?
The first study of Medicare's WISeR prior authorization pilot found care fell 15% to 20% in six states. Here is what small
Read the articleThe Prior Authorization Rulebook 2026 to 2027
The federal deadlines now in force, the state gold card laws that let you skip authorization, which rule applies to which patient, and the front desk routine that prevents authorization denials.