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Patient Assistance Programs

• Astellas Pharma Support Solutions
• Daiichi Sankyo's Access Support 
• ServierOne

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WPS Recent Oncology Related News

• 2026 National Provider Enrollment Conference
• Claims Processing Instructions for the Gene Therapy Drug, Encelto™
• Submitting Records Relating to Recovery Audit Contractor Letters

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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

• Modernize Technology, Expand Telehealth & Improve Connectivity
• COVID-19 Vaccine: Updated Pricing
• Oral Anticancer & Antiemetic Drugs Prevent Claim Denials
• MedLearn Matter Articles

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Quality Payment Program (QPP)

• CY 2027 CMS Physician Fee Schedule Proposed Rule
• CY 2024 QPP Performance Information Released
• 2026 MVPs Registration Open
• And More!

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Medically Unlikely Edit (MUE)

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

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Recent RAC Monitor Article

This edition includes articles on

• Precautions for Use of AI in Auditing
• Payment Rates and Physician Shortages
• AI Fluency Is Now Essential – But Expertise Still Matters

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Blue Cross Blue Shield

Recent Oncology Related News

• Oncology Value Mgt Program Through OncoHealth: FAQs for Providers
• Use modifier SA on incident-to claims, starting Sept. 1
• 2026 CPT 2nd Quarter Update: New and Deleted Codes
• And More

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Blue Care Network

Publications - Important Articles to Note

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Payer Issue Tracking Page

Prior Authorization Processes and Turnaround Times for Radiation Oncology Services

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Aetna

• September OfficeLink Updates
• Changes to Medical Plan Drug Lists
• Digital Prior Authorization Can Help Your Practice
• Helpful Links

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Health Alliance Plan

• New Online Prior Authorization Platform 
• Angle Health – TPA Leasing Our PPO Network
• Henry Ford Health Select Plan – Participating Network
• And More!

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Humana

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

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Medicaid

• MMP Bulletins
• Plan Enrollment Process for Medicaid Health Plan Provider 

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Molina

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

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Priority Health Update

• New Provider Portal and Payment Vendor Launch Delayed
• Updated Timelines for Our Payment Process Change
• September 2026 Billing Policy Updates
• ETS Exclusive Vendor for Transplants and Gene and Cell Therapy
• And More!

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United Healthcare

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

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Recent Oncology Related FDA Approvals and Expanded Indications

• Jazz Pharmaceuticals' Ziihera
• Takeda's MIMRYLO

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ASK MSHO

September 2026 Frequently Asked Questions

• Impact of 2027 Conversation Factor on Radiology
• Methotrexate Injection for Rheumatoid Arthritis

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