Reimbursement Intelligence Digest — Week of August 24, 2026
- **Hospice:** - Review the CMS Transmittal R13924CP regarding updates to Hospice Payment Rates, Hospice Cap, Hospice Wage Index, and Hospice Price
Actions Required This Week
- Hospice:
- Review the CMS Transmittal R13924CP regarding updates to Hospice Payment Rates, Hospice Cap, Hospice Wage Index, and Hospice Pricer. The deadline is imminent; ensure all billing and claims are adjusted accordingly.
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Quick answers
What should the coding team do about the CMS HCPCS code updates?
The coding team should immediately verify and implement the updates specified in CMS Transmittal R13881CP to ensure accurate coding effective for October 2026.
Are there specific actions required for new FDA drug approvals?
Yes, update documentation and charge capture protocols to include newly approved drugs such as TAUKLARIFY and LEROCHOL, and ensure readiness for prescribing and billing.
How should coding teams prepare for the proposed data collection activities?
Review the details of FR-2026-17112 and FR-2026-17128, discuss within the team, and prepare comments for submission before the September 30, 2026 deadline.
What changes should be made for the new LCD on allergy diagnostic testing?
Review the CPT/HCPCS codes affected by LCD-L40326, adjust coding practices accordingly, and verify compliance with policy requirements immediately.
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.