# RCM Industry News Canonical: https://www.flobotics.io/rcm-industry-news --- [Home](https://www.flobotics.io/)/[Resources](https://www.flobotics.io/resources)/RCM industry news RCM industry news # Latest News & Updates From regulatory updates to billing trends and reimbursement strategies - an RCM news page that keeps everyone on track. AllRevenue Cycle ManagementPrior AuthorizationClaims & DenialsRegulatory & CMSCompetitive & Market [ Prior Authorization ## Optum unveils two new AI tools for digital prior authorization Optum is launching two AI tools — Digital Auth Complete and InterQual Auth Accelerator — to cut prior authorization delays. Digital Auth Complete integrates into the EHR and automates multiple parts of the process to return responses faster. Fierce HealthcareJuly 19, 2026 ](https://www.flobotics.io/rcm-industry-news/optum-ai-digital-prior-authorization-tools)[ Competitive & Market ## UiPath launches agentic AI solutions for healthcare administration UiPath announced agentic AI solutions for healthcare: medical records summarization, claim denial prevention and resolution, and prior authorization — using agentic automation to accelerate revenue cycle management. UiPath (Investor Relations)July 19, 2026 ](https://www.flobotics.io/rcm-industry-news/uipath-agentic-ai-healthcare-admin)[ Prior Authorization ## Abridge teams with Availity to scale real-time prior authorization An integration between Abridge and Availity aims to speed prior authorization from weeks to minutes, shifting the process from post-visit to real time during the patient exam. Fierce HealthcareJuly 19, 2026 ](https://www.flobotics.io/rcm-industry-news/abridge-availity-real-time-prior-auth)[ Competitive & Market ## Autonomize AI Launches Genie AI Autonomous Agent Autonomize AI launched Genie AI, a healthcare-native AI agent that lets clinicians, care managers, and operations staff build automated workflows using natural language. The tool targets utilization management, prior authorization, appeals, and care coordination, and is designed to keep generated workflows auditable and governed within existing enterprise systems. Autonomize AI (GlobeNewswire)July 15, 2026 ](https://www.flobotics.io/rcm-industry-news/autonomize-ai-launches-genie-ai-autonomous-agent)[ Claims & Denials ## MDaudit Adds Auditor Assist to Its Continuous Risk Monitoring Suite MDaudit added Auditor Assist, an AI-powered companion that helps human auditors review coding-integrity cases faster while keeping a human in control of the final call. The launch responds to a reported 30% year-over-year rise in payer audit volume, with coding-related denials up as much as 26%. MDaudit (GlobeNewswire)July 15, 2026 ](https://www.flobotics.io/rcm-industry-news/mdaudit-adds-auditor-assist-continuous-risk-monitoring)[ Revenue Cycle Management ## Black Book Research Recognizes Inovalon for End-to-End Revenue Cycle Platform and Eligibility Intelligence Inovalon was named a top-rated revenue cycle management vendor by Black Book Research in two categories: full-suite intake-to-final-payment platform breadth, and real-time eligibility and benefits verification. The ranking is based on evaluations from more than 1,300 hospital and health system finance leaders. Business Wire (Inovalon)July 15, 2026 ](https://www.flobotics.io/rcm-industry-news/black-book-research-recognizes-inovalon-rcm-platform)[ Regulatory & CMS ## CMS CY 2027 Physician Fee Schedule Proposed Rule Includes Interoperability RFI CMS's CY 2027 Physician Fee Schedule proposed rule includes a Request for Information on duplicate laboratory testing and imaging caused by data siloed within electronic health record systems. Comments on the RFI are due September 14, 2026. CMSJuly 14, 2026 ](https://www.flobotics.io/rcm-industry-news/cms-2027-physician-fee-schedule-interoperability-rfi)[ Revenue Cycle Management ## Athenahealth rolls out 80+ AI-native revenue cycle features Athenahealth built more than 80 AI-native features into athenaOne, targeting high-friction tasks such as insurance verification, coding, prior authorization and denials. AI voice agents place over 23,000 prior authorization calls each month, some completed in under an hour. Becker's Hospital ReviewJune 3, 2026 ](https://www.flobotics.io/rcm-industry-news/athenahealth-80-ai-native-revenue-cycle-tools)[ Regulatory & CMS ## States Continue Efforts to Regulate AI in Healthcare: A Review of Legislation Passed in 2026 A 2026 legislative review tracks state laws enacted this year regulating insurers' use of AI in prior authorization and claims decisions. States including Georgia, Maryland, Washington and Utah added disclosure, human-oversight and reporting requirements for AI-assisted adverse determinations. Holland & KnightMay 26, 2026 ](https://www.flobotics.io/rcm-industry-news/2026-07-19-states-continue-efforts-to-regulate-ai-in-healthcare)[ Competitive & Market ## How AI is transforming revenue cycle management right now Oliver Wyman's 2026 Healthcare RCM Survey of 200+ decision-makers and 90 end users finds AI adoption moving from pilots to enterprise scale. Ambient documentation, coding automation and electronic prior authorization are the top investment areas cited by respondents. Oliver WymanApril 29, 2026 ](https://www.flobotics.io/rcm-industry-news/2026-07-19-how-ai-is-transforming-revenue-cycle-management)[ Regulatory & CMS ## CMS proposes rule for electronic prior authorization of drugs (CMS-0062-P) A proposed CMS rule extends electronic prior authorization requirements from non-drug items to drugs, adopts FHIR standards for prior auth transactions and mandates API metrics reporting. Most compliance dates begin October 1, 2027. CMSApril 10, 2026 ](https://www.flobotics.io/rcm-industry-news/cms-electronic-prior-authorization-drugs-rule) No news in this topic yet.