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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 will expedite the next National Correct Coding Initiative update to stop denials when a provider reports administration of the COVID-19 vaccine and another vaccine code for the same patient on the same day.
 
The Continuing Appropriations and Extensions Act, 2026 (CAE 2026), reactivated the COVID-19 telehealth waivers until Jan. 30, 2026. Better still, the CAE 2026 closed a potential telehealth payment gap by backdating the extension to Sept. 30, 2025.
Fallout from the Change Healthcare hack continues. 
Check your payments for telehealth services reported with place of service 10 (Telehealth provided in patient’s home) after Jan. 1, 2024. If your MAC paid the facility rate that’s a big mistake.

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