BC Advantage - 2025 Issue 11

Four Critical Billing and Coding Trends to Watch in 2026

As the end of 2025 approaches, the operating environment for healthcare organizations remains essentially unchanged from the previous year.   Many system financial leaders continue to grapple with rising costs, workforce shortages, increased compliance burdens, and growing patient expectations.   For example, 2025 year-to-date hospital operating margins ticked up just 1% through May compared to the previous year, according to data from Kaufman Hall. While net operating revenue per calendar day was up 7% over the same period, this gain was offset by 7% growth in expenses per calendar day.   In particular, costs for supplies (27%), drugs (25%)...

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