Healthcare reimbursement and compliance requirements continue to evolve.
Here are the key updates physician practices should be watching this month.

 Policy Watch: 2027 Medicare Physician Fee Schedule Proposed Rule Released

CMS has released the proposed 2027 Medicare Physician Fee Schedule (PFS), outlining potential changes to physician reimbursement, MIPS reporting, E/M coding, practice expense calculations, and more. While the rule is not yet final, now is the time for practices to understand what may be ahead and begin preparing for potential operational and financial impacts.

 Don’t wait for the final rule. Understand the proposed changes now. Read our analysis →

 Policy Update: Humana Paper Claims

Effective July 1, 2026, Humana Medicare Advantage may charge a $5 administrative fee for eligible paper claims (CMS-1500 or UB-04) with reimbursement amounts of $10 or more.

If your practice still submits paper claims, now is the time to review your processes and transition eligible claims to electronic submission whenever possible to avoid unnecessary fees.

Learn more: Humana Claims Payment Policies →

 Policy Watch: HIPAA Security Rule Update Delayed

HHS has postponed final action on the proposed HIPAA Security Rule overhaul until at least July 2027. While organizations have more time to prepare, the proposed changes remain significant and could reshape cybersecurity expectations across healthcare. We’re continuing to monitor developments.

 Here’s a brief recap of what’s currently proposed →

Ask Peregrine

Q: A recent prospect asked us: “A vendor is recommending procedures because they generate strong reimbursement. What should we consider before moving forward?”

A:  Revenue is an important part of practice growth, but it should never be the sole factor driving clinical decisions. Practices should evaluate whether recommendations align with patient needs, physician expertise, payer requirements, documentation expectations, and accepted standards of care. Sustainable success comes from balancing financial performance with compliance, clinical integrity, and quality patient care.

 Read More: Learn why practices should evaluate growth opportunities through the lens of medical necessity, compliance, and long-term practice integrity in our latest blog: Responsible Practice Growth: Why Medical Necessity Must Remain the Priority →

Stay Connected Between Issues

The Pulse delivers the highlights each month, but we share important payer, compliance, credentialing, and reimbursement updates all month long. Follow Peregrine Healthcare on Facebook, LinkedIn, and Instagram to stay informed.