Policy Updates

Reimbursement Intelligence Digest — Week of August 31, 2026

By CLV IntelligenceSource published August 31, 2026

### Actions Required This Week **Oncology** - Review and incorporate updates for the FDA approval of Ziihera (POLICY: FDA-BLA761416) and Tevimbra (P

Weekly Compliance Digest

Actions Required This Week

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Quick answers

What actions are required this week for neurology specialists?

Neurology specialists need to update charge capture systems with FDA approval details for Imaavy by September 7, 2026.

When will the CMS updates to the Medicare Physician Fee Schedule Database be effective?

The CMS updates to the Medicare Physician Fee Schedule Database will be effective on October 1, 2026.

What is the deadline to prepare for the Annual Clotting Factor Furnishing Fee Update?

Preparation for the Annual Clotting Factor Furnishing Fee Update due January 1, 2027, should be initiated well in advance of the effective date.

What is the next step after a proposed LCD is issued?

After a proposed LCD is issued, assess its potential compliance impact, draft comments if necessary, and submit them before the specified deadline.

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.