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Take an early look at the latest updates to the National Correct Coding Initiative (NCCI) procedure-to-procedure (PTP) and medically unlikely edits (MUE), which go into effect April 1, 2026. You'll find more than 3,750 new PTP code pairs bundled together, placing restrictions on billing eligibility.
 
CMS is forging ahead with the ambulatory specialty model, a mandatory quality of care program set to launch Jan. 1, 2027, and run through 2031.
 
Medicare patients can continue to receive telehealth services from home for the next two years, thanks to the latest extension of popular waivers that were introduced during the COVID-19 public health emergency.
 
 
Remind staff that the virtual direct supervision rule will remain even if Congress fails to extend telehealth waivers by Jan. 30.
 
 
Physicians who meet the basic requirements for participation in the new, mandatory value-based care program take note: CMS took another step toward implementing the ambulatory specialty model, which will begin Jan. 1, 2027.
 

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