Latest Updates

Articles posted in the "Latest Updates" are compiled and published into a bulletin quarterly.

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Articles Source Posted
Washington Exclusive: WISeR Training on Virtix Health Portal Webinar - 01/13/2026 Dec 19, 2025
Arizona Exclusive: WISeR Training on Zyter | TruCare ProAuth Portal Webinar - 01/07/2026 Dec 19, 2025
CWF Errors Leading to Claim Denials Related to Medicare Advantage (MA) Plan Enrollment - Resolved 12/18/25 Dec 19, 2025
IPF PPS: FY 2026 Updates CR14206 Dec 18, 2025
ICD-10 & Other Coding Revisions to NCDs: April 2026 Update CR14263 Dec 18, 2025
CAR T-Cell Therapy Claims: End of REMS & KX Modifier Requirement CR14204 Dec 18, 2025
Adding EV Defibrillator Codes to NCD 20.4: ICDs CR14253 Dec 18, 2025
MLN Connects - December 18, 2025 Dec 18, 2025
Billing and Coding: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea (A57948) - R8 - Effective December 8, 2025 Dec 18, 2025
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58456) - R15 - Effective Multiple Dates, 2025 Dec 18, 2025
Holding Claims for Pricing Based on the January 2026 FISS Release Dec 17, 2025
Introducing the Noridian Educational Experience (NEE) Dec 16, 2025
Notification of the 2026 Dollar Amount in Controversy Required to Sustain Appeal Rights for an Administrative Law Judge (ALJ) Hearing or Federal District Court Review Dec 12, 2025
Rural Health Clinic & Intensive Outpatient Program Payment Rates: CY 2026 Update CR14303 Dec 11, 2025
Medicare Physician Fee Schedule Final Rule Summary: CY 2026 CR14315 Dec 11, 2025
Medicare Deductible, Coinsurance & Premium Rates: CY 2026 Update CR14279 Dec 11, 2025
FQHC & IOP Payment Rates: CY 2026 Update CR14309 Dec 11, 2025
CLFS 2026 Annual Update CR14312 Dec 11, 2025
MLN Connects - December 11, 2025 Dec 11, 2025
Hospital-Based Ambulance Coverage and Billing Webinar - 01/27/2026 Dec 10, 2025
Modifiers: Service Specific Part 1 Webinar - 01/22/2026 Dec 10, 2025
Hospital Enrollment Basics Webinar - 01/21/2026 Dec 10, 2025
Common Enrollment Errors Webinar - 01/14/2026 Dec 10, 2025
Enrollment Basics for Federally Qualified Health Centers and Rural Health Clinics Webinar - 01/28/2026 Dec 10, 2025
Medicare Secondary Payer (MSP) Billing Webinar - 01/15/2026 Dec 10, 2025
Quarterly Medicare Updates - A/B After Hours Webinar - 01/08/2026 Dec 10, 2025
Quarterly Medicare Updates Webinar - 01/06/2026 Dec 10, 2025
Harvesting Relief - Facet Joint Intervention for Pain Management - On-Demand Webinar Available Dec 09, 2025
Alert: Fraudulent Correspondence Targeting Medicare Providers Dec 04, 2025
Therapy Code List: 2026 Annual Update CR14250 Dec 04, 2025
MLN Connects - December 4, 2025 Dec 04, 2025
MLN Connects Special Edition: 2026 Medicare Participation Announcement | Home Health Final Rule - December 3, 2025 Dec 03, 2025
Attention Ambulance Suppliers and Providers Dec 02, 2025
Portal, IVR and Customer Service Limited Availability on January 2-4, 2026 Dec 02, 2025
Hyperbaric Oxygen Therapy (HBO) for Compromised Skin Grafts Dec 01, 2025
Outpatient Services for Hospice Patients: New Edit CR14219 Dec 01, 2025
Implementing the Transforming Episode Accountability Model: Telehealth Waiver CR14215 Dec 01, 2025
MLN Connects - November 26, 2025 Dec 01, 2025
MLN Connects Special Edition: OPPS/ASC Final Payment Rule - November 24, 2025 Nov 24, 2025
MLN Connects Special Edition: Claims Processing Update | ESRD Final Payment Rule - November 21, 2025 Nov 21, 2025
DMEPOS Fee Schedule: October 2025 Quarterly Update - Revised CR14214 Nov 20, 2025
Hospital OPPS: October 2025 Update CR14223 Nov 20, 2025
MLN Connects - November 20, 2025 Nov 20, 2025
B-type Natriuretic Peptide (BNP) Testing (L34038) - R8 - Effective October 01, 2019 Nov 20, 2025
Billing and Coding: MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative Neoplasms (A59837) - R1 - Effective August 17, 2025 Nov 20, 2025
Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies (A57892) - R9 - Effective February 10, 2020 Nov 20, 2025
Billing and Coding: Routine Foot Care (A57954) - R20 - Effective October 1, 2025 Nov 20, 2025
Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) (L34228) - R13 - Effective November 20, 2025 Nov 20, 2025
MLN Connects Special Edition: Medicare Participation Announcement for CY 2026: Decide by December 31 Nov 14, 2025
Billing and Coding: MolDX: Pharmacogenomics Testing (A57385) - R18 - Effective September 2, 2025 Nov 13, 2025
A/B MACs to Return Certain Telehealth and Acute Hospital Care at Home (AHCAH) Claims to Providers Nov 12, 2025
Medicare Reassignments: Understanding Their Importance Webinar - 12/02/2025 Nov 12, 2025
MLN Connects Special Edition: Update on Processing of Telehealth and Acute Hospital Care at Home Claims - November 7, 2025 Nov 07, 2025
Billing and Coding: Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease (A58097) - R4 - Effective January 01, 2024 Nov 06, 2025
Intraosseous Basivertebral Nerve Ablation (L39644) - R1 - Effective January 28, 2024 Nov 06, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R31 - Effective October 1, 2025 Nov 06, 2025
Multiple Billing and Coding Articles Retirement - Effective November 6, 2025 Nov 06, 2025
Multiple LCDs and Billing and Coding Articles Retirement - Effective November 6, 2025 Nov 06, 2025
MLN Connects - November 3, 2025 Nov 03, 2025
Nerve Blockade for Treatment of Chronic Pain and Neuropathy L35457 - R19 - Effective 12/01/2019 Oct 30, 2025
LCD Transurethral Waterjet Ablation of the Prostate - Effective December 14, 2025 Oct 30, 2025
Chest X-Ray L37549 - R5 - Effective November 01, 2019 Oct 30, 2025
Billing and Coding: Botulinum Toxins Type A and B (A57186) - R10 - Effective October 1, 2025 Oct 30, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R30 - Effective October 1, 2025 Oct 30, 2025
CERT Review Contractor Phone Number Misidentified as Spam Oct 29, 2025
Wound and Skin Debridement - On-Demand Webinar Available Oct 28, 2025
Billing and Coding: Total Knee Arthroplasty (A57686)- R2 - Effective December 1, 2019 Oct 23, 2025
ICD-10 Billing and Coding Article Updates - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumors (A58456) - R14 - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: Cataract Surgery in Adults (A57195) - R9 - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: MolDX: Melanoma Risk Stratification Molecular Testing (A57290) - R4 - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: MolDX: Proteomics Testing (A59642) - R11 - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: MolDX: Repeat Germline Testing (A57332) - R18 - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57527) - R25 - Effective October 1, 2025 Oct 23, 2025
Multiple LCDs and Billing and Coding Articles Retirement - Effective October 23, 2025 Oct 23, 2025
MLN Connects Special Edition: Claims Hold Update - October 21, 2025 Oct 21, 2025
Medicare A News JF October 2025 Bulletin - Now Available Oct 20, 2025
Billing and Coding: Zika Virus Testing by PCR and ELISA Methods (A55327) - R12 - Effective October 01, 2022 Oct 16, 2025
MolDX: DecisionDx-UM (Uveal Melanoma) (L37072) - R7 - Effective June 30, 2022 Oct 16, 2025
MolDX: Prometheus IBD sgi Diagnostic Policy (L37313) - R9 - Effective March 13, 2025 Oct 16, 2025
MDS FISH (L37622) - R6 - Effective June 30, 2022 Oct 16, 2025
MolDX: Melanoma Risk Stratification Molecular Testing (L37748) - R8 - Effective June 26, 2025 Oct 16, 2025
Multiple LCDs and Billing and Coding Articles Retirement - Effective October 16, 2025 Oct 16, 2025
Billing and Coding: Routine Foot Care (A57957) - R16 - Effective October 1, 2025 Oct 16, 2025
MLN Connects Special Edition: Claims Hold Update - October 15, 2025 Oct 15, 2025
Outpatient Therapy Services: Clarifying Qualifications for Speech-Language Pathologists Oct 09, 2025
Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) (L39812) - R2 - Effective April 17, 2025 Oct 09, 2025
ProMark Risk Score (L36706) - R6 - Effective December 30, 2021 Oct 09, 2025
MolDX: Non-Next Generation Sequencing Tests for the Diagnosis of BCR-ABL Negative Myeloproliferative Neoplasms (L39927) - R2 - Effective August 17, 2025 Oct 09, 2025
MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (L39003) - R5 - Effective July 3, 2025 Oct 09, 2025
MolDX: Molecular Diagnostic Tests (MDT) (L36256) - R16 - Effective May 5, 2025 Oct 09, 2025
MolDX: NRAS Genetic Testing (L36339) - R8 - Effective July 23, 2023 Oct 09, 2025
MolDX: Molecular Biomarker Testing for Risk Stratification of Cutaneous Squamous Cell Carcinoma (L39594) - R8 - Effective August 18, 2024 Oct 09, 2025
MolDX: Minimal Residual Disease Testing for Cancer (L38816) - R1 - Effective January 2, 2022 Oct 09, 2025
Claims for RHC and FQHC visits at Skilled Nursing Facilities (SNFs) inappropriately rejected with Common Working File (CWF) edit C7252 Oct 08, 2025
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective Multiple Dates Oct 02, 2025
BDX-XL2 (L37062) - R4 - Effective April 28, 2022 Oct 02, 2025
MolDX: Pharmacogenomics Testing (L38337) - R3 - Effective October 2, 2025 Oct 02, 2025
Billing and Coding: MolDX: Pharmacogenomics Testing (A57385) - R17 - Effective July 3, 2025 Oct 02, 2025
Billing and Coding: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (A57424) - R5 - Effective November 7, 2024 Oct 02, 2025
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