Latest Updates

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

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Articles Source Posted
Chemotherapy Administration Part A - Webinar on Demand Recording Available jul 07, 2025
Alert: Medicare Fraud Scheme Involving Phishing Fax Requests jul 07, 2025
CERT Awareness Month: 2025 CERT Documentation Deadline jul 07, 2025
Hospital OPPS: July 2025 Update CR14091 jul 03, 2025
Inpatient Rehabilitation Facility PPS: FY 2026 Pricer Update CR14132 jul 03, 2025
Billing and Coding Investigational Device Exemptions (IDE) - IDE Documentation Requirements for Studies with an FDA Approval dated January 01, 2015, or later (A54919) - R8 - Effective October 1, 2015 jul 03, 2025
MLN Connects - July 3, 2025 jul 03, 2025
2025 Q3 MolDX CPT/HCPCS Billing and Coding Article Updates - Effective July 1, 2025 jul 03, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R26 - Effective July 1, 2025 jul 03, 2025
Billing and Coding: MolDX: Pharmacogenomics Testing (A57384) - R16 - Effective July 1, 2025 jul 03, 2025
MolDX: Breast Cancer Index (BCI) Gene Expression Test (L37822) - R5 - Effective July 3, 2025 jul 03, 2025
MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer (L39005) - R2 - Effective July 3, 2025 jul 03, 2025
MolDX: Pharmacogenomics Testing (L38335) - R2 - Effective July 3, 2025 jul 03, 2025
MolDX: Phenotypic Biomarker Detection from Circulating Tumor Cells (L38643) - R2 - Effective July 3, 2025 jul 03, 2025
MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer (L38327) - R3 - Effective July 3, 2025 jul 03, 2025
MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer (L38647) - R2 - Effective July 3, 2025 jul 03, 2025
MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease (L38339) - R3 - Effective July 3, 2025 jul 03, 2025
MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (L39001) - R4 - Effective July 3, 2025 jul 03, 2025
MolDX Local Coverage Determinations (LCDs) Finalized - Effective August 17, 2025 jul 03, 2025
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R21 - Effective July 1, 2025 jul 03, 2025
Recovery Audit Contract Announcement jul 02, 2025
How to Register Your Molecular Diagnostics (MolDX) Test - On-Demand Tutorials Available jun 30, 2025
Holding Claims for Pricing Based on the July 2025 FISS Release jun 27, 2025
Clarification for Interdisciplinary Team Meetings (IDT) for Inpatient Rehabilitation Facility (IRF) Services jun 26, 2025
DMEPOS Fee Schedule: July 2025 Quarterly Update CR14088 jun 26, 2025
Clinicians - Are You Ordering Urological Supplies for Your Patients jun 26, 2025
MLN Connects - June 26, 2025 jun 26, 2025
Self-Administered Drug Exclusion List (A53032) - R42 - Effective July 1, 2025 jun 26, 2025
2025 CPT/HCPCS Billing and Coding Article Updates - Effective July 1, 2025 jun 26, 2025
Billing and Coding: MolDX: Immunohistochemistry (IHC) Indications for Breast Pathology (A57523) Retirement - Effective June 26, 2025 jun 26, 2025
Billing and Coding: Peripheral Nerve Stimulation (A55530) - R11 - Effective June 26, 2025 jun 26, 2025
MolDX: Melanoma Risk Stratification Molecular Testing (L37750) - R7 - Effective June 26, 2025 jun 26, 2025
Enrollment Changes and Revalidations Webinar - 08/13/2025 jun 25, 2025
Inpatient Prospective Payment System (IPPS) Webinar - 08/14/2025 jun 25, 2025
National Correct Code Initiative (NCCI) Webinar - 08/12/2025 jun 25, 2025
Recovery Audit Program and Recovery Audit Contractor (RAC) Webinar - 07/31/2025 jun 19, 2025
Billing and Coding: Epidural Steroid Injections for Pain Management (A58993) - R5 - Effective November 15, 2023 jun 19, 2025
Updates to CRC Screening & Hepatitis B Vaccine Policies CR14031 jun 18, 2025
MLN Connects - June 18, 2025 jun 18, 2025
Skilled Nursing Facility (SNF) 102 Webinar - 07/23/2025 jun 17, 2025
5 Levels of Appeals Webinar - 07/15/2025 jun 17, 2025
PECOS Application Final Steps Webinar - 07/23/2025 jun 17, 2025
PECOS Application Data Entry Webinar - 07/16/2025 jun 17, 2025
PECOS Introduction and Overview Webinar - 07/09/2025 jun 17, 2025
ICD-10 & Other Coding Revisions to National Coverage Determinations: October 2025 Update CR14041 jun 12, 2025
ESRD PPS: July 2025 Update CR14089 jun 12, 2025
MLN Connects - June 12, 2025 jun 12, 2025
Updated Noridian On-Demand Tutorials Available jun 11, 2025
Documentation Requirements for Laboratory jun 10, 2025
ESRD & AKI Dialysis: CY 2025 Updates - Revised CR13686 jun 05, 2025
MLN Connects - June 5, 2025 jun 05, 2025
Polysomnography and Other Sleep Studies Final LCD - Effective July 20, 2025 jun 05, 2025
Interactive Voice Response (IVR) Authenticate Requirements may 30, 2025
Open Public Meeting Announcement - Transurethral Waterjet Ablation of the Prostate - June 26, 2025 may 29, 2025
Proposed LCD Transurethral Waterjet Ablation of the Prostate - Published for Review and Comments may 29, 2025
Skilled Nursing Facility (SNF) 101 Webinar - 07/09/2025 may 29, 2025
National Coverage Determination 20.36: Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management CR14000 may 29, 2025
Qualifications for Speech-Language Pathologists Providing Outpatient Speech-Language Pathology Services CR13922 may 29, 2025
MLN Connects - May 29, 2025 may 29, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R25 - Effective May 29, 2025 may 29, 2025
Psychiatric Care: Prevent Claim Denials may 29, 2025
Quarterly Medicare Updates - A/B Webinar - 07/08/2025 may 29, 2025
Quarterly Medicare Updates - A/B - After Hours Webinar - 07/10/2025 may 29, 2025
MLN Connects - May 22, 2025 - Departments of Labor, Health and Human Services, Treasury Announce Move to Strengthen Healthcare Price Transparency may 22, 2025
MLN Connects - May 22, 2025 may 22, 2025
Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection (A58168)- R10 - Effective November 21, 2024 may 22, 2025
Prior Authorization for Certain Hospital Outpatient Department (OPD) Services Live Chat Webinar - 08/21/2025 may 20, 2025
Prior Authorization for Certain Hospital Outpatient Department (OPD) Services Live Chat Webinar - 09/11/2025 may 20, 2025
Prior Authorization for Certain Hospital Outpatient Department (OPD) Services Live Chat Webinar - 07/17/2025 may 20, 2025
Share Mental Health Screenings with Beneficiaries may 20, 2025
Urine Drug Testing (UDT) Reminders may 19, 2025
MLN Connects - May 15, 2025 may 15, 2025
Proposed LCDs - Published for Review and Comments may 15, 2025
Open Public Meeting Announcement - Multiple LCDs - June 26, 2025 may 15, 2025
Reminder for Part A Providers: Medicare Cost Report Submission may 14, 2025
MLN Connects - May 13, 2025 may 13, 2025
Redetermination versus Reconsideration - Appeals Newsletter Part 15 may 13, 2025
MLN Connects - May 8, 2025 may 08, 2025
Partial Hospitalization Program (PHP) versus Intensive Outpatient Program (IOP) may 08, 2025
Reminder to Use “Browse by Provider” for Outpatient Services on Radiation Oncology and Radiology may 08, 2025
Mandatory SNF Off-Cycle Revalidation EXTENDED to August 1, 2025 may 01, 2025
HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement: July 2025 Quarterly Update CR14049 may 01, 2025
CLFS & Laboratory Services Subject to Reasonable Charge Payment: July 2025 Update CR14055 may 01, 2025
Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors (A58973) - R8 - Effective February 14, 2025 may 01, 2025
MLN Connects - May 1, 2025 may 01, 2025
Billing and Coding: Immune Globulin Intravenous (IVIg) (A57187) - R9 - Effective January 1, 2025 abr 24, 2025
Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers (A58996) - R9 - Effective January 1, 2025 abr 24, 2025
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58454) - R10 - February 18, 2025 abr 24, 2025
Billing and Coding: Bariatric Surgery Coverage (A53026) - R18 - Effective October 1, 2024 abr 24, 2025
Billing and Coding: Billing Limitations for Pharmacies (A56119) - R10 - Effective January 1, 2025 abr 24, 2025
Medicare A News JE April 2025 Bulletin - Now Available abr 24, 2025
Inpatient Psychiatric Facilities: Return to Provider Claims with Point of Origin for Admission or Visit Code D & Charges for ED Services CR14026 abr 24, 2025
MLN Connects - April 24, 2025 abr 24, 2025
MLN Connects - April 17, 2025 abr 17, 2025
Self-Administered Drug Exclusion List (A53032) - R41- Effective June 1, 2025 abr 17, 2025
Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors (A58973) - R7 - Effective April 17, 2025 abr 17, 2025
Revisions to the Benefit Policy Manual Chapter 13 - Rural Health Center (RHC) and Federally Qualified Health Center (FQHC) abr 16, 2025
Volume Decrease Adjustment (VDA) Checklist Now Available abr 14, 2025
MLN Connects - April 14, 2025 abr 14, 2025
MLN Connects - April 11, 2025 abr 11, 2025