June 2026 Newsletter
3Gen Consulting, Content TeamJune 24, 2026
How Will June 2026 Healthcare RCM Updates Shape Your Billing?
Stay ahead of billing updates with experts who track them for you.
Connect with our experts to:
- Navigate new billing code changes
- Respond to payer contract shifts
- Strengthen revenue cycle strategy
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FAQs
The FAQ section simplifies key information about 3Gen Consulting’s services, helping partners navigate our offerings, methodologies, and value.
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A 45-hospital Texas rural network is ending its UnitedHealthcare contracts – including provider organization and ACO agreements – effective no earlier than June 6, 2027, citing reimbursement rates that don't reflect the cost of rural care delivery. It signals growing payer-provider tension over rate adequacy and a practical reminder that revenue cycle leaders should audit payer contracts for both rate sustainability and termination language.
CMS released two separate October 1, 2026 update files. ICD-10-PCS procedure code updates apply to inpatient discharges from October 1, 2026 through March 31, 2027. ICD-10-CM diagnosis code updates apply to patient encounters from October 1, 2026 through September 30, 2027. Medical coding and billing teams should download both files from CMS now and update documentation workflows, code sets, and claim edits before October 1 to prevent rejections at the start of the new period.
McKinsey's April 2026 survey of 215 revenue cycle leaders at care delivery organizations found that healthcare RCM is shifting from a back-office function to a strategic organizational priority. AI adoption, automation, and outsourcing are the top strategies being evaluated – particularly as margin pressures intensify. The survey is a useful benchmark for organizations assessing where their own revenue cycle strategy stands relative to peers.
Revenue cycle leaders featured in Becker's June 2026 article highlighted four KPIs as most critical: daily cash collections, AR aging over 90 days, denial rates by payer, and insurance net collection ratio. These metrics track both operational health and financial performance and should be reviewed at minimum monthly at the leadership level to catch deterioration before it compounds into structural AR problems.
CMS has released the July 2026 HCPCS quarterly update files, available for download under the file name "July 2026 Alpha-Numeric HCPCS File." The update implements fee schedule amounts for existing and new codes and applies changes to payment policies. Billing teams should download and review the updated files from CMS and check for additions, deletions, and revisions relevant to their specialty and payer mix before claims process under the new codes.
3Gen's revenue cycle teams monitor CMS releases, ICD-10 and HCPCS updates, payer policy changes, and regulatory developments on a continuous basis – incorporating those changes into client billing workflows before they generate denials or rejections. For organizations managing billing in-house, the monthly volume of CMS change requests, code updates, and payer bulletins is one of the most common bandwidth gaps that outsourced revenue cycle management resolves.