Reimbursement Intelligence Digest — Week of July 13, 2026
### Actions Required This Week #### Home Health - **Policy:** CMS-T-R13794CP, CMS-T-R13793CP **Action:** Review the quarterly update of HCPCS co
Digest for CMS and MAC Policy Updates: Week of July 13, 2026
Actions Required This Week
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Quick answers
What actions are required for the quarterly HCPCS code update in Home Health?
Review the CMS-T-R13794CP policy update and implement the revised HCPCS codes within your systems immediately to maintain compliance.
What are the implications of the proposed LCDs for pain management?
The proposed LCDs are open for comment. Review the policies and prepare any necessary comments or objections by the MAC-specified deadline.
How should coding teams handle the new molecular entity approvals in rheumatology and oncology?
Update medication databases and prescribing protocols to include newly approved treatments TRUTAKNA and OLUMIANT to ensure all prescriptions are compliant.
What is the deadline to comment on the Hospital Outpatient proposed rule changes?
Prepare and submit comments on the proposed rule changes by July 20, 2026, as outlined in policy FR-2026-13656.
Content summarized from publicly available federal publications including CMS, MAC contractors, and the Federal Register. CLV Intelligence is not affiliated with or endorsed by any government agency. This is not legal or medical advice.