Governance & business operationsCompliance SweepNew in this edition
Eugia recalls one lot of vancomycin injection to the hospital level for glass particulate
High priority · Nov 8, 2026 editionRead story →
Browse healthcare stories
Published November 8, 2026 · Reporting window November 1–7, 2026, Pacific. Later developments are labelled. Source coverage is incomplete; the complete reports describe the limitations.
76 articles and reminders
Governance & business operationsCompliance SweepNew in this edition
FDA early alert: ButterflyBVM bag-valve-mask resuscitators, removal of lots 000109 to 000117 and pre-use test for others
High priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepNew in this edition
CDPH AFL 26-33 updates hospital respiratory-virus surge guidance for 2026-2027 and supersedes AFL 23-30
Medium priority · Nov 8, 2026 editionRead story →
Payment & health plan rulesCompliance SweepNew in this edition
CMS proposes CARE rule (CMS-3484-P) to remove hospital and CAH obstetric training and OB QAPI requirements set for January 2027, adopt 2024 Life Safety Code, and drop exterior-window rule
Medium priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepNew in this edition
Labor Department finalizes PBM fee-disclosure rule for large self-insured ERISA health plans
Medium priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepNew in this edition
FDA classifies Abiomed Automated Impella Controller removal as Class I
Medium priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepNew in this edition
Cardinal Health Presource kits with recalled BD Alaris infusion sets: correction posted in FDA recall database
Medium priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepNew in this edition
Baxter TruSystem surgical tables: correction for unexpected lift drop posted in FDA recall database
Medium priority · Nov 8, 2026 editionRead story →
Payment & health plan rulesCompliance SweepNew in this edition
OIG adds FAQ: a gift card offered to a Federal health care program beneficiary to induce transfer to an affiliated hospital implicates the anti-kickback statute, and the Beneficiary Inducements CMP for Medicare and State health care program beneficiaries
Medium priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepNew in this edition
Off-campus provider-based departments need a separate NPI and a provider-based attestation (by December 31, 2027 for departments furnishing services on or before January 1, 2028), or lose OPPS payment from January 1, 2028
Medium priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepNew in this edition
OHCA posts November 18 Board agenda: progressive enforcement regulations, statewide target and high-cost hospital adjustment methodology
Lower priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepNew in this edition
FDA finalizes hepatitis B blood-donation testing guidance
Lower priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepNew in this edition
FDA investigating malignancy risk with Zolgensma and Itvisma gene therapy
Lower priority · Nov 8, 2026 editionRead story →
Privacy & health informationCompliance SweepNew in this edition
CISA, FBI and HHS urge hardening of refrigeration and cold-chain monitoring systems
Lower priority · Nov 8, 2026 editionRead story →
AI & digital healthCompliance SweepNew in this edition
VA and Department of War join TEFCA
Lower priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepNew in this edition
Hospital accreditors may survey EMTALA administrative requirements (signage, central log, 5-year transfer records, on-call list) during accreditation surveys
Lower priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepConditional reminder
OHCA first-year provisional NOLA (labor-cost adjustment) requests still due November 16, 2026
High priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepConditional reminder
StatStrip Gen 2.0 glucose meter Class I correction: interim safeguards until the software update
High priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepConditional reminder
Medline-brand beds and accessories early alert: fire and entrapment risks, use under updated instructions until repair or replacement
High priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepConditional reminder
B. Braun Dialog+ bloodline early alert: three Streamline Bloodline Set lots removed over connector detachment risk
High priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepConditional reminder
HemosIL AcuStar HIT-IgG(PF4-H) lot recall: destroy listed lots and document on the response form
High priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepConditional reminder
Transparency in Coverage final rule: phased machine-readable file and phone-disclosure duties still ahead
High priority · Nov 8, 2026 editionRead story →
Governance & business operationsCompliance SweepNew in this edition
CDPH notices readoption of acute psychiatric hospital nurse-to-patient ratio emergency regulations; 5-day period ran November 2 to 6
Medium priority · Nov 8, 2026 editionRead story →
Payment & health plan rulesCompliance SweepNew in this edition
OIG updated its Health Care Fraud Self-Disclosure Protocol on October 15, 2026, starting the 90-day investigation clock at initial submission
Medium priority · Nov 8, 2026 editionRead story →
Billing fraud & false claimsEnforcement BriefingNew in this edition
California lab and its owner agree to pay $1.25 million to resolve allegations of kickbacks to marketers
Medium priority · Nov 8, 2026 editionRead story →
Billing fraud & false claimsEnforcement BriefingNew in this edition
Quest Diagnostics pays $13 million and signs five-year CIA to resolve allegations of free sports entertainment for referral sources
Medium priority · Nov 8, 2026 editionRead story →
Billing fraud & false claimsEnforcement BriefingNew in this edition
Tennessee physician group agrees to pay $2.8 million to resolve allegations that non-physician services were billed under physicians' NPIs
Medium priority · Nov 8, 2026 editionRead story →
Consumer & business misconductEnforcement BriefingNew in this edition
Four state AGs settle with medical transcription vendor Perry Johnson & Associates over 13.3 million-person breach
Medium priority · Nov 8, 2026 editionRead story →
Health plan oversightEnforcement BriefingNew in this edition
DHCS Suspended and Ineligible Provider List shows four suspensions dated November 5, 2026
Lower priority · Nov 8, 2026 editionRead story →
Consumer & business misconductEnforcement BriefingNew in this edition
CRD settles with genetic testing company Natera over alleged late pay data reports; $375,000
Lower priority · Nov 8, 2026 editionRead story →
Billing fraud & false claimsEnforcement BriefingNew in this edition
Orlando clinic CEO and VA employee sentenced for kickbacks steering VA Community Care patients
Lower priority · Nov 8, 2026 editionRead story →
Billing fraud & false claimsEnforcement BriefingNew in this edition
D.C. behavioral-health provider executives indicted over alleged inflated telehealth Medicaid billing
Lower priority · Nov 8, 2026 editionRead story →
Billing fraud & false claimsEnforcement BriefingNew in this edition
DOJ files amended Tunney Act response in OhioHealth steering and price-transparency restriction case
Lower priority · Nov 8, 2026 editionRead story →
Consumer & business misconductEnforcement BriefingNew in this edition
Michigan home health and hospice agency settles EEOC suit alleging race-based visit assignments
Lower priority · Nov 8, 2026 editionRead story →
Consumer & business misconductEnforcement BriefingNew in this edition
HHS appeals judge affirms Medicare revocation of a physician who could not produce records for equipment she ordered; the judge had no authority to review the length of the ten-year reenrollment bar
Lower priority · Nov 8, 2026 editionRead story →
Consumer & business misconductEnforcement BriefingNew in this edition
HHS appeals judge upholds revocation of a clinic/group practice that said it provides remote physiological monitoring and whose listed practice location was a flexible workspace
Lower priority · Nov 8, 2026 editionRead story →
Consumer & business misconductEnforcement BriefingNew in this edition
HHS appeals judge: a late revalidation set the Medicare reactivation date at the day the application that was later processed to approval arrived
Lower priority · Nov 8, 2026 editionRead story →
Billing fraud & false claimsEnforcement BriefingUpdated
CIA repository: the date filter returned no agreement for the window or for the 90 days ending November 7
Lower priority · Nov 8, 2026 editionRead story →
Billing fraud & false claimsEnforcement BriefingConditional reminder
DOJ reports California physician Violetta Mailyan sentenced to 15 years in prison in Medicare Botox billing case
High priority · Nov 8, 2026 editionRead story →
Billing fraud & false claimsEnforcement BriefingConditional reminder
Adult day-care owner pleads guilty in $65 million Medicaid scheme
High priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
CMS issues CY 2027 Physician Fee Schedule final rule (CMS-1848-F): conversion factors fall, same-day E/M and 0-day global payment cut, new 340B Part D claims repository duty
High priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
Medicare to pay ASP minus 28 percent for separately payable 340B-acquired drugs at non-exempt hospitals from January 1, 2027 (pass-through drugs, vaccines and non-opioid pain relief drugs excluded); every separately paid OPPS drug line must carry modifier JG, TB or ND
High priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
CMS seeks emergency clearance to expand the home health Review Choice Demonstration to California
Medium priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
CMS says the home health Review Choice Demonstration expands to California for billing periods from January 18, 2027, pending paperwork approval
Medium priority · Nov 8, 2026 editionRead story →
Coverage & clinical policyMedicare & Medicaid SweepUpdated
Noridian A57079 R7 (tendon, ligament and ganglion cyst injections) now in effect
Medium priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
CY 2027 Home Health PPS final rule (CMS-1844-F) expands the grounds for retroactive Medicare enrollment revocations, across provider types; the printed effective date for those provisions predates the rule
Medium priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
CMS issues State Operations Manual Transmittal 251: revised CAH rural and distance evaluation guidance, new-hospital re-evaluation, decennial reviews from 2033
Medium priority · Nov 8, 2026 editionRead story →
Medi-Cal & Medicaid policyMedicare & Medicaid SweepNew in this edition
Medi-Cal: members with Unsatisfactory Immigration Status move from managed care to fee-for-service on January 1, 2027; clinic billing rules posted
Medium priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepUpdated
October NCD coding update (R13968) is implemented; a related NCD 110.23 stem-cell coding instruction, R14035CP, was issued for April 5, 2027
Medium priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
CMS finalizes CY 2027 OPPS update: 2.3 percent increase factor, $99.970 conversion factor, $7,150 outlier threshold
Medium priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
340B remedy offset rises from 0.5 percent to 2 percent of the OPPS conversion factor for CY 2027, running to an estimated CY 2031
Medium priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
Imaging without contrast at excepted off-campus PBDs moves to the PFS-equivalent rate on January 1, 2027
Medium priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
CMS removes 637 more services from the inpatient only list and adds at least 619 procedures (618 in the rule summary, plus CPT 64629) to the ASC covered procedures list for CY 2027
Medium priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
Eight more botulinum toxin injection codes need Medicare OPD prior authorization for dates of service on or after July 1, 2027
Medium priority · Nov 8, 2026 editionRead story →
Coverage & clinical policyMedicare & Medicaid SweepNew in this edition
Noridian peripheral nerve injection LCD L40265 and article A60300 take effect November 1; nerve blockade LCD L35456 and article A56034 retired October 31
Medium priority · Nov 8, 2026 editionRead story →
Coverage & clinical policyMedicare & Medicaid SweepNew in this edition
QPP in the CY 2027 PFS final rule: traditional MIPS sunsets after CY 2030, Security Risk Analysis measure removed, electronic prior authorization measures required from CY 2028
Lower priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
Transmittal R14035CP (CR 14645): claims coding for expanded NCD 110.23 coverage of allogeneic stem cell transplant for MDS
Lower priority · Nov 8, 2026 editionRead story →
Medi-Cal & Medicaid policyMedicare & Medicaid SweepNew in this edition
DHCS issues BHIN 26-034 on CARE Act reimbursement rates and billing
Lower priority · Nov 8, 2026 editionRead story →
Medi-Cal & Medicaid policyMedicare & Medicaid SweepNew in this edition
Medi-Cal updates payment rates for selected 2026 procedure codes
Lower priority · Nov 8, 2026 editionRead story →
Audits & program integrityMedicare & Medicaid SweepNew in this edition
OIG audit: HRSA made $658 million in potential overpayments to selected Phase 3 Provider Relief Fund recipients and should seek repayment
Lower priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
ASC rates rise 2.3 percent for CY 2027; conversion factor $57.721 ($56.592 for ASCs failing quality reporting)
Lower priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
Hospital OQR and ASCQR drop the colonoscopy follow-up measure; OQR validation adds eCQM scoring, a 3-year lag between reporting and payment determination, and smaller samples; REH program unchanged
Lower priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
Two closed teaching hospitals' resident slots open for application through MEARIS until February 2, 2027
Lower priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
CMS-1850-FC comment period: comments received by January 4, 2027 are assured consideration; open items are interim APC, status and payment indicators for new codes
Lower priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
Pass-through and packaging for CY 2027: 9 device pass-through approvals, 49 drugs' pass-through ending, sheet-form skin substitutes held at $127.14 per cm2
Lower priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepNew in this edition
Software as a Medical Service gets new status indicator O1; algorithmic analyses of prior lab tests move from the CLFS to the OPPS
Lower priority · Nov 8, 2026 editionRead story →
Medicare Advantage & Part DMedicare & Medicaid SweepNew in this edition
CMS issues final rule codifying the Medicare Drug Price Negotiation Program for 2029 and later (CMS-4215-F)
Lower priority · Nov 8, 2026 editionRead story →
Coverage & clinical policyMedicare & Medicaid SweepNew in this edition
Noridian revises MolDX minimal residual disease article A58454 (R20): two Q4 codes added, RaDaR added
Lower priority · Nov 8, 2026 editionRead story →
Coverage & clinical policyMedicare & Medicaid SweepNew in this edition
Noridian updates its nusinersen (SPINRAZA) billing and coding education article
Lower priority · Nov 8, 2026 editionRead story →
Coverage & clinical policyMedicare & Medicaid SweepNew in this edition
Noridian portal now accepts up to five files at once for prior authorization requests
Lower priority · Nov 8, 2026 editionRead story →
Billing & paymentMedicare & Medicaid SweepConditional reminder
CY 2027 ESRD PPS final rule: base rate, low-volume attestation and quality changes
High priority · Nov 8, 2026 editionRead story →
Provider operationsMedicare & Medicaid SweepConditional reminder
Hospice election addendum: mandatory since October 1; CMS enforcement discretion on missing or incomplete addenda ends December 31
High priority · Nov 8, 2026 editionRead story →
Medi-Cal & Medicaid policyMedicare & Medicaid SweepConditional reminder
Medi-Cal youth gender-affirming services (APL 26-018): federal reimbursement limit from October 13, 2026 and hormone transition through April 12, 2027
High priority · Nov 8, 2026 editionRead story →
Medi-Cal & Medicaid policyMedicare & Medicaid SweepConditional reminder
DHCS warns assisted living waiver facilities of denials and reprocessing
High priority · Nov 8, 2026 editionRead story →
Medi-Cal & Medicaid policyMedicare & Medicaid SweepConditional reminder
DHCS notice (October 9): Medi-Cal clinic institutional claims submitted from October 15 require diagnosis codes
High priority · Nov 8, 2026 editionRead story →
Provider operationsMedicare & Medicaid SweepNew in this edition
CDPH AFL 26-34 (dated November 9): CDPH says it will send Medi-Cal revalidation intent letters to facilities beginning November 9; no response within 35 calendar days means termination from Medi-Cal
High priority · Nov 8, 2026 editionRead story →
No matching articles.
All articles