Code updates. Site-of-service rule changes. Specialty drug billing classifications. Telehealth policy still being written. Coding technology evolving. The environment that edit programs have to keep up with in 2026 is more complex than it has ever been, and an annual review cycle is not enough. This session looks at what a well-governed, modern, continuously maintained edit program looks like in practice, where the most costly gaps tend to open and how technology can keep your plan ahead.
- How to build an edit governance process that keeps pace with frequent policy changes across multiple lines of business
- Where the highest-risk edit gaps are opening right now and how to prioritise closing them without expanding every programme at once
- How to defend edits in provider disputes when the underlying policy they are based on is itself in transition