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Verify the current MAC LCD for the most recent coverage determination before billing semaglutide or tirzepatide for non-diabetes indications Source: CMS LCD Database RCM teams managing injection billing must verify that their billing software reflects the April 2026 quarterly MPFSDB update

[585] The Shared Savings Program's existing financial methodology does not fully account for actions taken to protect the integrity of the Medicare program, or address the impact of improper payments, including improper payments resulting from fraud or similar fault on program calculations

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Smolskaya S, Logashina YA, Andreev YA (2020) Escherichia coli extract-based cell-free expression system as an alternative for difficult-to-obtain protein biosynthesis

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