The 7-day prior-auth rule is making denials worse
Automating a prior-authorisation intake you have not cleaned up first does not reduce denials. It produces them faster, against a clock that is now shorter.
The CMS seven day prior-authorisation rule took effect on 1 January 2026, and the WISeR model launched the same day in six states. This issue works through what happens when a revenue cycle team automates on top of an intake process that was already producing avoidable denials, and what to fix in what order instead.
Read the full issue. This one went out to the list on July 9, 2026. The complete text, with the figures and the sources, is here: read it in full.
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Published under the Institute's editorial standard.
Author: Neel Chauhan, MD MBA, physician-executive and founder of the Healthcare AI Institute. Last reviewed against the standard on 2026-08-05.
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