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Provider News - June 2026
Security Health Plan·WI·Provider News
We identified it
Jun 20, 2026
Summary
Security Health Plan's June 2026 provider newsletter highlights increased CMS and OIG audits of diagnosis coding compliance, requiring stricter ICD-10-CM documentation. The newsletter also covers authorization changes for EviCore/Eviti procedures and pharmacy prior authorization updates.
Action Required
Immediately: Review all diagnosis coding practices to ensure ICD-10-CM guideline compliance as CMS and OIG are increasing claim audits. Billing team must strengthen documentation supporting all coded diagnoses to avoid overpayment recoveries. Submit high-end imaging, cardiac imaging and musculoskeletal authorization revisions through EviCore. Submit radiation oncology downcoding requests with updated treatment plans through Eviti.