like us on facebook connect with us on linkedin connect with us on instagram October 21, 2026

Boehringer Logo Rgb Accent Green

To learn more about CareConnect4Me, Click Here

Section Header Section Header Section Header

Patient Assistance Programs

• EMD Serono's CoverOne
• Eisai Assistance Program 
• Kite Tecartus Support

Details >
Section Header

WPS Recent Oncology Related News

• 2026 National Provider Enrollment Conference
• 2027 Dollar Amount in Controversy
• CMS Identity Management (IDM) Login Changes

Details >

WPS Educational Offerings

New Education Tracks - Check Them Out!

• Live Trainings
• Encore Presentations
• YouTube Videos

Details >
Section Header

CMS-Medicare

Recent Oncology Related Articles

• Prescription Drug Programs Expected to Remain Stable in 2027
• Final Determinations for the HCPCS Level II Q3 2026 Coding Cycle
• Global Benchmark for Efficient Drug Pricing Model
• Medicaid Drug Payment Model to Bring Down Drug Costs
• ASP Data Collection System Reporting Window Now Open
• PC-Print Oct. 2026 DP1 Updated CARC and RARCs Now Available

Details >

Quality Payment Program (QPP)

• CY 2027 CMS Physician Fee Schedule Proposed Rule
• 2026 MIPS Value Pathway (MVP) Registration is Open
• 2026 Quality Payment Program Exception Applications are Available
• And More!

Details >

Medically Unlikely Edit (MUE)

• NCCI First Quarter Edit Files Effective October 1
• Procedure-to-Procedure Edits
• Medically Unlikely Edits
• Add-on Code Edits

Details >

Recent RAC Monitor Article

This edition includes articles on

• The Empty Chair in Medicare Overpayment Appeals
• The AI Healthcare Promise Meets the Policy Reality
• Inside the Coder’s Mind

Details >
Section Header

Blue Cross Blue Shield

Recent Oncology Related News

• New 2027 Formulary for BCBS and BCN Plans
• Biosimilar Product update starting Jan 1
• Grace Period: Referrals to Home Healthcare for Medicare Advantage
• And More

Details >

Blue Care Network

Publications - Important Articles to Note

Details >
Section Header

Payer Issue Tracking Page

Prior Authorization Processes and Turnaround Times for Radiation Oncology Services

Details >

Aetna

• October OfficeLink Updates
• Changes to Medical Plan Drug Lists
• Combined Benefit Management drug list changes
• Helpful Links

Details >

Health Alliance Plan

• Chronically Ill Condition Verification for 2027
• Protecting Program Integrity and Healthcare Resources
• Emergency Department and Outpatient Services
• The Health Alliance Plan Pledge

Details >

Humana

• Provider Prior Authorization Notification Lists
• Drug Lists for Providers
• Claims Payment Policies

Details >

Medicaid

• MMP Bulletins
• Proposed Medicaid Policy 2632-Clinic 
• SL Modifier Reminder
• Direct Care Worker Compensation
• And More!

Details >

Molina

• Provider Bulletins
• Preferred Drug List August - October
• Billing & Reimbursement Policies

Details >

Priority Health Update

• Federal Rules Change Oct 1 Medicaid Eligibility
• NEW Coding Connection Resource
• October 2026 Billing Policy Updates
• NEW Medicaid-only Credentialing Form Now Available
• And More!

Details >

United Healthcare

• October Medical & Reimbursement Policy Updates
• Pharmacy & Clinical Updates
• Specialty Drugs & Benefit Updates 

Details >
Section Header Section Header Section Header

ASK MSHO

October 2026 Frequently Asked Questions

• IMRT (77418) along with image guidance with ultrasound (76965)
• Correct code to report bilateral procedure with 38525
• Documentation of 96413 and 96360 on same day

Details >