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Medicare & Medicaid · Sep 27, 2026

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Billing & paymentMedicare & MedicaidNew in this edition

CMS revises the October NCD coding update and moves stem-cell changes to April 2027

CMS’s revised October NCD coding instructions remove the stem-cell changes for a later April 2027 request. October 5 implementation remains scheduled for the retained coding updates, including some earlier effective dates. CMS distinguishes these maintenance changes from new coverage policy.

High priority · Sep 27, 2026 editionRead story →

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Audits & program integrityMedicare & MedicaidContinuing

CMS reports $1.6 billion in Medicare laboratory program integrity actions across revocations, suspensions, recoupments and referrals

CMS’s August 28 laboratory announcement combines projected savings, suspended payments, recoupments and referral-related prevention. Its examples describe rapid billing intervention, but the headline total is not a single recovered sum or an adjudication that every associated claim was fraudulent.

High priority · Sep 27, 2026 editionRead story →

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