Latest Updates

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

Previously published articles are available within the Noridian Bulletins webpage. Exclusions to this include time-sensitive announcements such as: Noridian and CMS educational Events, Ask-the-Contractor Teleconferences, and claims processing downtime.

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Articles Source Posted
Medicare Secondary Payer (MSP) Billing for Part A Webinar - 08/22/2024 jul 15, 2024
CMS Officially Launched the GUIDE Dementia Model July 1, 2024 jul 12, 2024
Temporary Disruption to External Print and Mail Services Alert jul 12, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R18 - Effective July 1, 2024 jul 11, 2024
Billing and Coding: MolDX: Repeat Germline Testing (A57332) - R12 - Effective July 1, 2024 jul 11, 2024
MLN Connects - July 11, 2024 jul 11, 2024
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58454) - R7 - Effective July 11, 2024 jul 11, 2024
Billing and Coding: MolDX: Molecular Biomarker Testing to Guide Targeted Therapy Selection in Rheumatoid Arthritis (A59522) - R2 - Effective July 1, 2024 jul 11, 2024
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55323) - R17 - Effective July 1, 2024 jul 05, 2024
Self-Administered Drug Exclusion List (A53033) - R38 - Effective July 1, 2024 jul 05, 2024
Local Coverage Determinations (LCDs) Finalized - Effective August 18, 2024 jul 05, 2024
Billing and Coding: MolDX: Proteomics Testing (A59642) - R5 - Effective July 1, 2024 jul 05, 2024
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57527) - R19 - Effective July 1, 2024 jul 05, 2024
RARC, CARC, MREP and PC Print Update CR13517 jul 03, 2024
Diabetes Screening & Definitions Update: CY 2024 Physician Fee Schedule Final Rule - Revised CR13487 jul 03, 2024
Changes to the Laboratory NCD Edit Software: October 2024 Update CR13672 jul 03, 2024
MLN Connects - July 3, 2024 jul 03, 2024
July 2024 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13560 jul 01, 2024
July 2024 Quarterly Update to HCPCS Codes Used for SNF CB Enforcement CR13576 jul 01, 2024
Billing the Subsequent Inpatient Care 99232 Correctly - Appeals Newsletter Part 9 jun 28, 2024
Part A Ask the Contractor Meeting (ACM) Webinar - 08/28/2024 jun 27, 2024
MLN Connects - June 27, 2024 jun 27, 2024
DMEPOS Fee Schedule: July 2024 Quarterly Update CR13658 jun 27, 2024
2024 CPT/HCPCS Local Coverage Article (LCA) Updates jun 27, 2024
Register Now: 2024 Virtual National Provider Compliance Conference! jun 26, 2024
MLN Connects - June 20, 2024 jun 20, 2024
Medicare Benefit Policy Manual Update: DMEPOS BCD CR13651 jun 20, 2024
MolDX: Pigmented Lesion Assay (L38153) - R1 - Effective June 20, 2024 jun 20, 2024
MolDX: Melanoma Risk Stratification Molecular Testing (L37748) - R6 - Effective June 20, 2024 jun 20, 2024
Cardiac and Pulmonary Rehabilitation Programs Webinar - 08/01/2024 jun 19, 2024
Holding Claims for Pricing Based on the July 2024 FISS Release jun 17, 2024
July 2024 I/OCE Specifications Version 25.2 CR13626 jun 13, 2024
Hospital OPPS: July 2024 Update CR13632 jun 13, 2024
HCPCS Codes Used for SNF CB Enforcement: October 2024 Quarterly Update CR13661 jun 13, 2024
Local Coverage Determinations (LCDs) Finalized - Effective July 28, 2024 jun 13, 2024
MLN Connects - June 13, 2024 jun 13, 2024
Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) (A56573) - R5 - Effective January 10, 2021 jun 13, 2024
Cost Reports - Making a Change Webinar - 07/31/2024 jun 11, 2024
Skilled Nursing Facility (SNF) Fundamentals of Billing (102) Webinar - 07/24/2024 jun 11, 2024
Appeals Basics Webinar - 07/25/2024 jun 11, 2024
Billing and Coding: Epidural Steroid Injections for Pain Management (A58995) - R3 - November 15, 2023 jun 11, 2024
Billing and Coding: Sacroiliac Joint Injections and Procedures (A59244) - R5 - Effective June 1, 2024 jun 11, 2024
Prospective Payment System (PPS) Rate Request Changes jun 11, 2024
Billing and Coding: Leadless Pacemakers (A59828) - Effective June 6, 2024 jun 07, 2024
Pass-Thru (PT) and Payment Confirmation Reports (PCR) Requests jun 07, 2024
National Coverage Determination 200.3: Monoclonal Antibodies for the Treatment of Alzheimer’s Disease CR13598 jun 06, 2024
MLN Connects - June 6, 2024 jun 06, 2024
Billing and Coding: MolDX: Billing and Coding: MolDx: ResponseDX Tissue of Origin (A54496) Retirement - Effective May 30, 2024 jun 06, 2024
Billing and Coding: MolDX: PAX6 Gene Sequencing (A55632) Retirement - Effective May 29, 2024 jun 06, 2024
Billing and Coding: MolDX: MMACHC Test (A55289) Retirement - Effective May 30, 2024 jun 06, 2024
Billing and Coding: MolDX: Mitochondrial Nuclear Gene Tests (A55291) Retirement - Effective May 29, 2024 jun 06, 2024
Billing and Coding: MolDX: CDH1 Genetic Testing (A55971) Retirement - Effective May 30, 2024 jun 06, 2024
Successful Claims and Appeals for Postoperative Pain Nerve Blocks - Appeals Newsletter Part 8 jun 03, 2024
Enrollment Changes and Revalidations Webinar - 07/24/2024 jun 03, 2024
Provider Enrollment Tips for Addresses, Site Visits, and More Webinar - 07/31/2024 jun 03, 2024
Provider Enrollment Basics and Overview Webinar - 07/17/2024 jun 03, 2024
New Provider Enrollment - On-Demand Tutorials Available may 31, 2024
Billing and Coding: MolDX: Proteomics Testing (A59642) - R4 - Effective May 30, 2024 may 30, 2024
Open Meeting Announcement Botulinum Toxin Injections, Micro Invasive Glaucoma Surgery (MIGS), Artificial Intelligence Enabled Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA) - June 27, 2024 may 30, 2024
MLN Connects - May 30, 2024 may 30, 2024
Billing and Coding: MolDX: SMPD1 Genetic Testing (A55631) Retirement - Effective May 21, 2024 may 30, 2024
Billing and Coding: MolDX: MCOLN1 Genetic Testing (A55284) Retirement - Effective May 23, 2024 may 30, 2024
Billing and Coding: MolDX: L1CAM Gene Sequencing (A55278) Retirement - Effective May 24, 2024 may 30, 2024
Billing and Coding: MolDX: Fragile X (A55242) Retirement - Effective May 23, 2024 may 30, 2024
Billing and Coding: MolDX: FANCC Genetic Testing (A55184) Retirement - Effective May 21, 2024 may 30, 2024
Billing and Coding: MolDX: FDA-Approved EGFR Tests (A54424) - R6 - Effective May 30, 2024 may 30, 2024
Billing and Coding: MolDX: 9p21 Genotype Test (A55093) Retirement - Effective May 24, 2024 may 30, 2024
Comprehensive Error Rate Testing: Reporting Year 2024 Progress Report Letters may 29, 2024
Local Coverage Determinations (LCDs) Finalized - Effective July 7, 2024 may 23, 2024
Quarterly Update to the MPFS Database - July 2024 Update CR13624 may 23, 2024
National Coverage Determination 110.23: Allogeneic HSCT CR13604 may 23, 2024
ICD-10 & Other Coding Revisions to National Coverage Determinations: October 2024 Update CR13596 may 23, 2024
MLN Connects - May 23, 2024 may 23, 2024
MolDX: Clarification of Order Requirements for Laboratory and Molecular Diagnostic Services (A59744) - R1 - Effective May 23, 2024 may 23, 2024
Billing and Coding: MolDX: HAX1 Gene Sequencing (A55252) Retirement - Effective May 14, 2024 may 23, 2024
MolDX: Blood Product Molecular Antigen Typing (L38333) - R4 - Effective May 23, 2024 may 23, 2024
Billing and Coding: MolDX: Aspartoacyclase 2 Deficiency (ASPA) Testing (A55089) Retirement - Effective May 14, 2024 may 23, 2024
Clinical Laboratory Fee Schedule & Laboratory Services Reasonable Charge Payment: Quarterly Update CR13613 may 16, 2024
ESRD Prospective Payment System: Quarterly Update CR13608 may 16, 2024
Updates for Split or Shared E/M Visits CR13592 may 16, 2024
Annual Wellness Visit: SDOH Risk Assessment CR13486 may 16, 2024
Update to Pub. 100-02 Medicare Benefit Policy Manual, Chapter 15, Section 110.8 DMEPOS Benefit Category Determinations and Add Section 145 Lymphedema Compression Treatment Items CR13526 may 16, 2024
MLN Connects - May 16, 2024 may 16, 2024
Billing and Coding: MolDX: HEXA Gene Analysis (A55256) Retirement - Effective May 8, 2024 may 16, 2024
Billing and Coding: MolDX: BCKDHB Gene Test (A55100) Retirement - Effective May 8, 2024 may 16, 2024
Billing and Coding: MolDX: IKBKAP Genetic Testing (A55613) Retirement - Effective May 7, 2024 may 16, 2024
A/B DME Collaborative Nebulizers and Nebulizer Drugs Webinar Webinar - 06/04/2024 may 15, 2024
Updated Noridian On-Demand Tutorials Available may 14, 2024
Self-Administered Drug Exclusion List (A53033) - R35 - Effective June 23, 2024 may 09, 2024
MLN Connects - May 9, 2024 may 09, 2024
Billing and Coding: MolDX: TP53 Gene Tests (A55487) Retirement - Effective May 1, 2024 may 09, 2024
Billing and Coding: MolDX: TERC Gene Tests (A55616) Retirement - Effective May 1, 2024 may 09, 2024
Billing and Coding: MolDX: RPS19 Gene Tests (A55614) Retirement - Effective April 30, 2024 may 09, 2024
Billing and Coding: MolDX: NSD1 Gene Tests (A55615) Retirement - Effective April 30, 2024 may 09, 2024
Skin Substitutes Grafts/Cellular Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers - Published for Review and Comments may 02, 2024
MolDX: Clarification of Order Requirements for Laboratory and Molecular Diagnostic services (A59744) - Effective May 2, 2024 may 02, 2024
Billing and Coding: MolDX: Prometheus® IBD sgi Diagnostic® Policy (A57517) - R3 - Effective October 20, 2022 may 02, 2024
Outlier Reconciliation and CCR Updates for the IPPS and LTCH PPS - Rescinded CR13566 may 02, 2024
MLN Connects - May 2, 2024 may 02, 2024
Billing and Coding: MolDX: KIF6 Genotype (A55273) Retirement - Effective April 26, 2024 may 02, 2024
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