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09/21/2026
Alert your team to the next and final batch of National Correct Coding Initiative (NCCI) edits for 2026. Even though CMS will close out the year without procedure-to-procedure (PTP) edits for many new CPT codes, practices will find changes that impact their coding, and in some cases eliminate contradictions between NCCI and CPT guidance.
09/21/2026
A recent survey suggests patients want to be told when their health care providers use artificial intelligence (AI). That may be easy when the AI does only administrative tasks. But when physicians employ those tools to help with diagnosis and treatment options, the situation can get thorny.
09/21/2026
Heads up: While currently only the Office of the Inspector General (OIG) can exclude Medicare providers for cause, it appears HHS is giving CMS the authority to do so as well.
09/21/2026
Question: What are common documentation gaps in behavioral health encounters?
09/21/2026
Eleven specialties reported the visit-complexity add-on code G2211 more than 1 million times apiece in 2025, with total claims topping 45 million and payments nearing $455 million, both figures up significantly from the previous year.
09/07/2026
Practices that perform allergy testing take note: A uniform allergy diagnostic testing policy for Medicare Part B patients will go into effect in 38 states as soon as Sept. 27. Practices should use the notice period to prepare because the new rules will apply to any services performed on or after the effective date, including the initial encounter, even if the appointment was scheduled months earlier.
09/07/2026
Hot on the heels of a proposed overhaul of the J-1 program, under which many foreign-born doctors employed in the U.S. would face new challenges, the Department of Homeland Security (DHS) has published a rule that would add a $103,265 fee to a similar program.
09/07/2026
Every request for medical records tests an organization’s ability to coordinate people, processes and technology. Remember that success depends not only on understanding HIPAA’s Right of Access requirements, but also on building workflows that consistently deliver timely, complete responses.
09/07/2026
CMS released an advisory for certain clinicians who are qualifying alternative payment model (APM) participants and are eligible to receive APM incentive payments, notifying them that their current billing information must be updated to receive funds for the 2026 payment year.
09/07/2026
Question: How does documentation specificity affect diabetes code assignment?

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