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    • MEDICAID ELIGIBILITY—D.Mass.: Court vacates Medicaid frailty rule limiting eligibility exemption
    • ADMINISTRATION OF FDC ACT—NOTICES: Issuance of priority review voucher for Emcitate
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    • ANTI-KICKBACK PROHIBITION—OIG ADVISORY OPINIONS: Arrangement to receive donations to offset beneficiary trust costs in the clear
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    • BILLING AND CODING—OIG REPORTS: Coding errors in provider claims for Medicare Part B drugs, opportunities for improvement in CMS, MAC Oversight
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    • CONTROLLED SUBSTANCES—FINAL RULES: Placement of centanafadine in Schedule III
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    • ELECTRONIC HEALTH RECORDS—Ill. App.: Patients failed to allege injuries traceable to transcription data breach involving Cook County Hospitals
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    • END-STAGE RENAL DISEASE—FINAL RULES: CMS raises 2027 dialysis base rate, reshapes ESRD payment adjustments
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    • HEALTH CARE REFORM—NOTICES: Privacy Act of 1974; Matching program
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    • MEDICAL DEVICES—FINAL RULES: Classification of the spinal imaging system for neuraxial procedures
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    Health Law Daily Wrap Up, BILLING AND CODING—OIG REPORTS: Coding errors in provider claims for Medicare Part B drugs, opportunities for improvement in CMS, MAC Oversight, (Oct 30, 2026)

    By K. C. Salcedo, J.D.

    CMS and MACs’ oversight activities did not have either the system edits to ensure correct procedure code billing or sufficient provider education to support accurate billing practices.

    The Office of Inspector General’s (OIG) audit of Med ...

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