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Make sure your practice uses the new version of the Advance Beneficiary Notice of Noncoverage when it goes into effect and consider an early switch to prevent mistakes.
 
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. 

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