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
Advance Beneficiary Notice of Noncoverage (ABN) Webinar - 06/03/2025 Apr 23, 2025
Principles of NPIs Webinar - 06/04/2025 Apr 23, 2025
MLN Connects - April 17, 2025 Apr 17, 2025
Self-Administered Drug Exclusion List (A53032) - R41- Effective June 1, 2025 Apr 17, 2025
Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors (A58973) - R7 - Effective April 17, 2025 Apr 17, 2025
Revisions to the Benefit Policy Manual Chapter 13 - Rural Health Center (RHC) and Federally Qualified Health Center (FQHC) Apr 16, 2025
Volume Decrease Adjustment (VDA) Checklist Now Available Apr 14, 2025
MLN Connects - April 14, 2025 Apr 14, 2025
MLN Connects - April 11, 2025 Apr 11, 2025
Hospital OPPS: April 2025 Update CR13993 Apr 11, 2025
DMEPOS Fee Schedule: April 2025 Quarterly Update CR13990 Apr 11, 2025
ICD-10 & Other Coding Revisions to NCDs: July 2025 Update CR13939 Apr 11, 2025
National Ambulance Provider and Supplier Coalition Meeting: May 22, 2025 Apr 11, 2025
ACM Questions and Answers - February 27, 2025 Apr 11, 2025
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R20 - Effective April 1, 2025 Apr 11, 2025
Chemotherapy Administration Webinar - 05/21/2025 Apr 09, 2025
Federally Qualified Health Center (FQHC) Care Coordination Services Webinar - 05/22/2025 Apr 09, 2025
Medicare A News JE January 2025 Bulletin - Now Available Apr 08, 2025
Important Information on Pass-Thru (PT) and Lump Sum Report Requests Apr 04, 2025
Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection (A58168) - R9 - Effective April 1, 2025 Apr 04, 2025
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57526) - R22 - Effective April 1, 2025 Apr 04, 2025
Billing and Coding: MolDX: Proteomics Testing (A59641) - R8 - Effective April 1, 2025 Apr 04, 2025
Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors (A57901) - R7 - Effective April 1, 2025 Apr 04, 2025
Billing and Coding: MolDX: Repeat Germline Testing (A57331) - R16 - Effective April 1, 2025 Apr 04, 2025
Rural Health Clinic & Federally Qualified Health Center Medicare Benefit Policy Manual Update CR13946 Apr 04, 2025
MLN Connects - April 3, 2025 Apr 04, 2025
Billing and Coding: Leadless Pacemakers (A59819) - R3 - Effective October 08, 2024 Apr 03, 2025
Electronic Funds Transfer Authorization Agreement Webinar - 05/14/2025 Apr 02, 2025
Mandatory SNF Off-Cycle Revalidation due May 1, 2025 Apr 01, 2025
CLFS & Laboratory Services Subject to Reasonable Charge Payment: April 2025 Quarterly Update CR13966 Mar 28, 2025
April 2025 CPT/HCPCS Billing and Coding Article Updates Mar 28, 2025
MLN Connects - March 27, 2025 Mar 28, 2025
Proper Submission of DEX Z-Code® for Molecular Diagnostic Services (MolDX) Claims Mar 27, 2025
Documentation Required for Provider Enrollment Webinar - 05/07/2025 Mar 26, 2025
Cardiac and Pulmonary Rehabilitation Programs Webinar - 05/08/2025 Mar 26, 2025
Part A: Noridian and CMS Web Tours Webinar - 05/06/2025 Mar 26, 2025
MLN Connects - March 25, 2025 Mar 25, 2025
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
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
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
MLN Connects - February 24, 2025 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
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, 2025 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
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