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Patient Assistance Programs

• Genentech BioOncology Access Solutions
• Sanofi CareASSIST 
• Sun Pharma UNILOXCYT SUPPORT

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WPS Recent Oncology Related News

• Chronic Care Management – CERT Denials
• Outstanding Citibank Checks
• J8 Part B Targeted Probe and Educate Problem Error Rates

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WPS Educational Offerings

New Education Tracks - Check Them Out!

• Live Trainings
• Encore Presentations
• YouTube Videos

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CMS-Medicare

Recent Oncology Related Articles

• New Comment Guide for 2026 Interoperability Standards and PA
• Early Adopters to Advance Solutions for Electronic Prior Authorization
• CMS Announces Aggressive Nationwide Crackdown on Fraud
• And More

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Quality Payment Program (QPP)

• 2026 MIPS Value Pathway (MVP) Registration Now Open
• 2026 Consumer Assessment of Healthcare Providers Survey Open
• Doctors and Clinicians Preview Period Open

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Medically Unlikely Edit (MUE)

• NCCI Add-on Code Edits
• Procedure-to-Procedure Edits
• Resources

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Recent RAC Monitor Article

This edition includes articles on

• Changes in E&M Coding for 2027
• Healthcare Compliance in the Machine-Learning Era
• Lessons Learned: Appealing Audits

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Blue Cross Blue Shield

Recent Oncology Related News

• Expansion of Pharmacists' Scope of Practice
• HCPCS 1st-quarter update: New, deleted codes
• Changes to Prior Authorization Requirements
• And More!

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Blue Care Network

Publications - Important Articles to Note

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Aetna

• May OfficeLink Updates
• Provider Education Bulletin
• Changes to Commercial Drug Lists

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Health Alliance Plan

• Medical Record Review Projects
• After Hours Survey Coming Soon
• Monthly Reminders
• Updates from HAP CareSource

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Medicaid

• MMP Bulletins 
• Updates to Home Help Program Policy
• Estate Recovery Waivers

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Molina

Recent Oncology Related News

• Stepping into a New Era with Digital Correspondence
• Provider Orientation Sessions
• Provider Bulletins

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Priority Health Update

• 7 Days is New Standard Authorization Turnaround Time
• Drug Changes Coming July 1
• Notice of Admission Requirement

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United Healthcare

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

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Product Updates

Regeneron's Lynozfic J-Code

Merck's Keytruda Qlex HCPCS J-Code

Merck's KEYTRUDA® New Indication
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ASK MSHO

May 2026 Frequently Asked Questions

• Administered drug dose does not match total units in a single-dose
• JZ modifier first introduced
• APP supervising chemotherapy

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