From d6eef34509603fe95866dc5853009228fc00b440 Mon Sep 17 00:00:00 2001 From: Kisa Date: Thu, 14 May 2026 04:35:08 -0400 Subject: [PATCH] fix: remove em dash from whitepaper PA section Co-Authored-By: Claude Sonnet 4.6 --- pitch/signal-whitepaper-v1.md | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/pitch/signal-whitepaper-v1.md b/pitch/signal-whitepaper-v1.md index 70a7969..408be1b 100644 --- a/pitch/signal-whitepaper-v1.md +++ b/pitch/signal-whitepaper-v1.md @@ -38,7 +38,7 @@ CGM coverage requires a documented chain of events that spans the patient, the p The most frequent failure points: -**Prior authorization.** CGM codes sit on the CMS Master List — the staging ground for Required PA. Seven new HCPCS codes were added to the Required PA List on April 13, 2026, and the expansion pattern is consistent. Suppliers without clean PA submission habits now will be unprotected when CGM codes follow. A PA submitted but not yet affirmed, with a resupply due in five days, creates a decision most suppliers make the wrong way. If the PA subsequently denies, there is no recovery path. +**Prior authorization.** CGM codes sit on the CMS Master List, the staging ground for Required PA. Seven new HCPCS codes were added to the Required PA List on April 13, 2026, and the expansion pattern is consistent. Suppliers without clean PA submission habits now will be unprotected when CGM codes follow. A PA submitted but not yet affirmed, with a resupply due in five days, creates a decision most suppliers make the wrong way. If the PA subsequently denies, there is no recovery path. **The 6-month visit requirement.** Continued CGM coverage requires a documented face-to-face or telehealth visit within 6 months of each resupply. That visit happens in the physician's schedule, not the supplier's. When it does not happen on time, the supplier finds out on the denial notice, not before.