Latest Updates

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

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Articles Source Posted
Worksheet S-10 Audits Webinar - 02/18/2025 Jan 21, 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
PECOS Application Final Steps Webinar - 02/26/2025 Jan 17, 2025
PECOS Application Data Entry Webinar - 02/19/2025 Jan 17, 2025
California Wildfires Jan 16, 2025
Ask The Contractor Meeting (ACM) Webinar - 07/17/2025 Jan 16, 2025
Ask The Contractor Meeting (ACM) Webinar - 02/27/2025 Jan 16, 2025
Medicare Secondary Payer (MSP) Basics Webinar - 02/18/2025 Jan 16, 2025
Skin Substitutes - LCD Review Webinar - 02/25/2025 Jan 16, 2025
January 2025 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13802 Jan 16, 2025
Prior Authorization (PA) for Certain Hospital Outpatient Department (OPD) Services Webinar - 02/26/2025 Jan 16, 2025
Part A Hospital Forms Webinar - 02/25/2025 Jan 16, 2025
Critical Access Hospital Coverage Webinar - 02/20/2025 Jan 16, 2025
Medicare Secondary Payer (MSP) Billing the Claim Webinar - 02/20/2025 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
The Language and Navigation of PECOS Webinar - 02/05/2025 Jan 10, 2025
New PECOS Enrollment Application Webinar - 02/12/2025 Jan 10, 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
Noridian Medicare Portal: Eligibility & MBI Lookup Tool Webinar - 02/27/2025 Jan 07, 2025
Noridian Medicare Portal: Eligibility & MBI Lookup Tool Webinar - 02/20/2025 Jan 07, 2025
Noridian Medicare Portal: Eligibility & MBI Lookup Tool Webinar - 02/13/2025 Jan 07, 2025
Noridian Medicare Portal: Eligibility & MBI Lookup Tool Webinar - 02/06/2025 Jan 07, 2025
Noridian Medicare Portal: Eligibility & MBI Lookup Tool Webinar - 01/30/2025 Jan 07, 2025
Noridian Medicare Portal: Eligibility & MBI Lookup Tool Webinar - 01/23/2025 Jan 07, 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
PECOS Introduction and Overview Webinar - 01/29/2025 Jan 06, 2025
Patient Eligibility Unavailable on Interactive Voice Response (IVR) Jan 03, 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
Modifiers: Provider and Service Specific Webinar - 01/28/2025 Dec 23, 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
New Timeframe for Prior Authorization Decisions Dec 12, 2024
MLN Connects - December 12, 2024 Dec 12, 2024
Identity and Access Connections Webinar - 01/22/2025 Dec 11, 2024
2025 Annual Update of Per-Beneficiary Threshold Amounts Dec 09, 2024
Annual Clotting Factor Furnishing Fee Update 2025 CR13742 Dec 05, 2024
Medicare Physician Fee Schedule Final Rule Summary: CY 2025 CR13887 Dec 05, 2024
Medicare Change of Status Notice Instructions (Expedited Determinations When a Patient is Reclassified from an Inpatient to an Outpatient Receiving Observation Services) CR13846 Dec 05, 2024
ESRD & AKI Dialysis: CY 2025 Updates CR13686 Dec 05, 2024
MLN Connects - December 5, 2024 Dec 05, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing: (A58720) - R22 - Effective September 13, 2024 Dec 05, 2024
Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer (A58718) - R4 - Effective November 28, 2024 Dec 02, 2024
Medicare Deductible, Coinsurance, & Premium Rates: CY 2025 Update - Revised CR13796 Nov 27, 2024
MLN Connects - November 27, 2024 Nov 27, 2024
System Availability Notices Nov 26, 2024
Updated Trigger Point Injections Local Coverage Determination (LCD) Policy Appeals Newsletter Part 12 Nov 21, 2024
MLN Connects - November 21, 2024 Nov 21, 2024
Town Hall Meeting - December 10, 2024 Nov 21, 2024
Submitting Documentation for Review Nov 19, 2024
Billing and Coding: Lab: Flow Cytometry (A57689) - R11 - Effective October 1, 2024 Nov 15, 2024
Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence (A53359) - R11 - Effective October 1, 2024 Nov 15, 2024
ICD-10 & Other Coding Revisions to NCDs: April 2025 Update (CR 2 of 2) CR13828 Nov 14, 2024
ICD-10 & Other Coding Revisions to NCDs: April 2025 Update (CR 1 of 2) CR13818 Nov 14, 2024
Skin Substitute Grafts/Cellular and Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers Final LCD - Effective February 12, 2025 Nov 14, 2024
Medicare Billing for Physical, Occupational and, Speech Therapy Based on Minutes Nov 14, 2024
Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers (A58996) - R8 - Effective July 11, 2024 Nov 14, 2024
MLN Connects - November 14, 2024 Nov 14, 2024
Evaluation and Management: Prescription Drug Management Nov 08, 2024
MLN Connects - November 7, 2024 Nov 07, 2024
MolDX: Blood Product Molecular Antigen Typing (L38331) - R5 - Effective November 7, 2024 Nov 07, 2024
Billing and Coding: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (A57423) - R4 - Effective November 7, 2024 Nov 07, 2024
New "Browse by Provider Type" Sections: Radiation Oncology and Radiology Nov 05, 2024
Incarcerated Claim Denials - Resolved 11/04/24 Alert Nov 04, 2024
MLN Connects - October 31, 2024 Oct 31, 2024
Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT )/Coronary Plaque Analysis (AI-CPA) Final LCD - Effective December 8, 2024 Oct 31, 2024
Five Levels of Appeal - On-Demand Tutorials Available Oct 28, 2024
Notification of the 2025 Dollar Amount in Controversy Required to Sustain Appeal Rights for an ALJ Hearing or Federal District Court Review Oct 28, 2024
Collaborative Lower Limb Orthoses Webinar Coming December 17 Oct 25, 2024
Changing the Frequency of No-Pay MSN Mailings from Every 90 Days to Every 120 Days - Revised CR13627 Oct 24, 2024
RHC and FQHC Medicare Benefit Policy Manual Chapter 13 Update CR13493 Oct 24, 2024