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 Diabetes Prevention Program (MDPP) 2025 Changes Mar 24, 2025
Holding Claims for Pricing Based on the April 2025 FISS Release Mar 21, 2025
Billing and Coding: Epidural Steroid Injections for Pain Management (A58993) - R4 - Effective June 19, 2022 Mar 20, 2025
Hyperbaric Oxygen Therapy (HBO) for Diabetic Wounds Mar 20, 2025
New Provider New Biller Webinar - 04/23/2025 Mar 19, 2025
Provider Enrollment Tips for Addresses, Site Visits, and More Webinar - 04/30/2025 Mar 19, 2025
Enrollment Rebuttals Reconsiderations and CAPs Webinar - 04/23/2025 Mar 19, 2025
Billing and Coding: Guardant360® (A58192) Retirement - Effective December 25, 2022 Mar 17, 2025
Facet Joint Intervention for Pain Management - On-Demand Tutorials Available Mar 14, 2025
Updates for the Hospital Outpatient Department (OPD) Prior Authorization (PA) Program - Webinar on Demand Recording Available Mar 14, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720)- R24- Effective March 13, 2025 Mar 14, 2025
MolDX: Prometheus IBD sgi Diagnostic Policy (L37299) - R8 - Effective March 13, 2025 Mar 14, 2025
MolDX: Molecular Testing for Risk Stratification of Thyroid Nodules (L39682) - R1 - Effective March 13, 2025 Mar 14, 2025
MolDX: Molecular Testing for Detection of Upper Gastrointestinal Metaplasia, Dysplasia, and Neoplasia (L39262) - R1 - Effective March 13, 2025 Mar 14, 2025
MLN Connects - March 13, 2025 Mar 13, 2025
Skilled Nursing Facilities Enrollment Tips Webinar - 04/01/2025 Mar 13, 2025
Advanced Beneficiary Notice of Noncoverage (ABN) Updated Noridian On-Demand Tutorials Available Mar 12, 2025
Multiple Billing and Coding Article Retirement - Effective March 13, 2025 Mar 12, 2025
Skilled Nursing Facility (SNF) Demand Billing -On-Demand Tutorial Available Mar 12, 2025
Updated Noridian On-Demand Tutorials Available Mar 11, 2025
Enrollment Letters and Requests for Information Webinar - 04/16/2025 Mar 11, 2025
Hyperbaric Oxygen (HBO) Therapy - On Demand Tutorials Available Mar 11, 2025
Therapy Services: Get Updates for CY 2025 Mar 10, 2025
MolDX: Plasma-Based Genomic Profiling in Solid Tumors (L39230) - R1 - Effective March 6, 2025 Mar 07, 2025
MLN Connects - March 6, 2025 Mar 07, 2025
Transcranial Magnetic Stimulation (TMS) On Demand Tutorial Available Mar 07, 2025
MLN Connects - February 28, 2025 Mar 03, 2025
End Stage Renal Disease (ESRD) - Webinar On Demand Recording Available Feb 27, 2025
Intervertebral Disc Repair Final LCD - Effective April 13, 2025 Feb 27, 2025
Quarterly Medicare Updates - A/B Webinar - 04/10/2025 Feb 26, 2025
MLN Connects - February 24 Feb 24, 2025
ESRD Treatment Choices (ETC) Model Mass Adjustments - Resolved 02/21/25 Alert Feb 24, 2025
Medical Records Requirements for Redetermination Feb 21, 2025
Policy Revision(s) for Local Coverage Determinations - Effective February 14, 2025 Feb 20, 2025
Quarterly Medicare Updates - A/B Webinar - 04/03/2025 Feb 19, 2025
Travel Allowance Fees for Specimen Collection - 2025 Updates CR13947 Feb 14, 2025
Payment for Medicare Part B Preventive Vaccines & Their Administration for RHCs & FQHCs CR13923 Feb 14, 2025
Hospital OPPS: January 2025 Update CR13933 Feb 14, 2025
HCPCS Codes Used for SNF CB Enforcement: April 2025 Quarterly Update CR13945 Feb 14, 2025
MLN Connects - February 14 Feb 14, 2025
Patient Eligibility Unavailable on Interactive Voice Response (IVR) Feb 13, 2025
Outpatient Therapy Webinar on Demand Available Feb 13, 2025
Tips to Having a Successful New Year with Fewer Appeals - Appeals Newsletter Part 14 Feb 13, 2025
Provider Enrollment Self Service Tools Webinar - 03/26/2025 Feb 12, 2025
AB DME Collaborative Urological Supplies Webinar - 03/27/2025 Feb 12, 2025
Local Coverage Determination (LCD) and National Coverage Determination (NCD) Policy Webinar - 03/25/2025 Feb 12, 2025
CMS Telehealth Frequently Asked Questions (FAQ) Feb 11, 2025
Skin Substitutes - LCD Review Webinar - 09/18/2025 Feb 10, 2025
Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) - Published for Review and Comments Feb 10, 2025
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58454) - R9 - Effective November 18, 2024 Feb 10, 2025
MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (L39001) - R3 - Effective January 30, 2025 Feb 06, 2025
Recovery Audit Contractor (RAC) Informational Letter Versus Demand Letter - Appeals Newsletter Part 13 Feb 05, 2025
COBA Crossover Letters Available on NMP Feb 05, 2025
Initial Certification and Recertification Outpatient Therapy - New Exception Jan 30, 2025
Billing and Coding: Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea (A57948) - R4 - Effective December 1, 2024 Jan 30, 2025
Drugs and Biologicals - Outpatient Overview and Billing - Webinar on Demand Recording Available Jan 29, 2025
PECOS Introduction and Overview Webinar - 01/29/2025 Jan 23, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720)- R23 - Effective January 1, 2025 Jan 23, 2025
Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer (A58718)- R5 - Effective September 11, 2024 Jan 23, 2025
Provider Enrollment Basics and Overview Webinar - 03/05/2025 Jan 22, 2025
Federally Qualified Health Center (FQHC) MAC Assignment Jan 20, 2025
Billing and Coding: Diagnostic and Therapeutic Colonoscopy (A57342)- R6 - Effective October 1, 2024 Jan 17, 2025
California Wildfires Jan 16, 2025
Ask The Contractor Meeting (ACM) Webinar - 07/17/2025 Jan 16, 2025
January 2025 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13802 Jan 16, 2025
Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors (A58973)- R6 - Effective January 1, 2025 Jan 16, 2025
MLN Connects - January 16, 2025 Jan 16, 2025
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57526)- R21 - Effective January 1, 2025 Jan 16, 2025
Billing and Coding: Trigger Point Injections (TPI) (A57701) - R6 - Effective April 1, 2024 Jan 16, 2025
Billing and Coding: Cervical Fusion (A59624) - R3 - Effective July 7, 2024 Jan 16, 2025
Telehealth Evaluation and Management (E/M) services for 2025 Jan 14, 2025
Telehealth Waiver Extension - Through March 2025 Jan 14, 2025
Multi-Jurisdictional CAC Meeting Announcement - Peripheral Nerve Blocks - February 3, 2025, 2 - 4 p.m. ET Jan 13, 2025
Multi-Jurisdictional Contractor Advisory Committee (CAC) Peripheral Nerve Blocks - Key Questions and References Jan 13, 2025
Multi-Jurisdictional Peripheral Nerve Blocks Contractor Advisory Committee (CAC) Meeting Agenda Jan 13, 2025
2025 MolDX CPT/HCPCS Billing and Coding Article Updates - Effective January 1, 2025 Jan 09, 2025
MLN Connects - January 8, 2025 Jan 08, 2025
How to Use the Office & Outpatient Evaluation and Management Visit Complexity Add-on Code G2211 - Revised CR13473 Jan 08, 2025
Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations Policy CR13898 Jan 08, 2025
Clinical Laboratory Fee Schedule: 2025 Annual Update CR13889 Jan 08, 2025
Billing Instructions: Expedited Determinations Based on Medicare Change of Status Notifications CR13918 Jan 08, 2025
Provider Audit and Reimbursement Updates Webinar - 01/22/2025 Jan 06, 2025
Outpatient Therapy AB Certification and Recertification Webinar - 01/15/2025 Jan 06, 2025
Billing and Coding: Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea (A57948) - R4 - Effective December 1, 2024 Jan 03, 2025
Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) Final LCD - Effective February 16, 2025 Jan 02, 2025
Urine Drug Testing Final LCD - Effective February 16, 2025 Jan 02, 2025
Billing and Coding: Peripheral Nerve Stimulation (A55530) - R10 - Effective August 27, 2018 Jan 02, 2025
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R19 - Effective January 1, 2025 Jan 02, 2025
Billing and Coding: Intraocular Bevacizumab (A53008) - R17 - Effective January 1, 2025 Jan 02, 2025
Self-Administered Drug Exclusion List (A53032) - R41 - Effective January 1, 2025 Jan 02, 2025
2025 CPT/HCPCS Billing and Coding Article Updates Jan 02, 2025
Understanding Replacement in Medicare Durable Medical Equipment (DME) Coverage: Key Definitions and Guidelines Dec 30, 2024
2025 Annual Update for the HPSA Bonus Payments CR13789 Dec 26, 2024
2025 Annual Update of HCPCS Codes for SNF CB Update CR13786 Dec 26, 2024
Billing and Coding: Facet Joint Interventions for Pain Management (A58403) - R6 - Effective January 1, 2025 Dec 26, 2024
Skilled Nursing Facility (SNF) Consolidated Billing - Webinar On Demand Recording Available Dec 19, 2024
National Coverage Determination 210.15: PrEP for HIV Prevention CR13843 Dec 19, 2024
CY 2025 Update: DMEPOS Fee Schedule CR13888 Dec 19, 2024
MLN Connects - December 19, 2024 Dec 19, 2024
Holding Claims for Pricing Based on the January 2025 FISS Release Dec 19, 2024