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Latest Updates - JE Part A

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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.

The information included in the Latest Updates is also available by subscribing to the Noridian email list. Medicare news, regulations, workshop notices, and other related notifications will be delivered to you each week. Register Now!

Articles Source Posted
Inpatient & Long-Term Care Hospital Prospective Payment System: FY 2024 Changes CR13306 Sep 21, 2023
Limitation on Recoupment of Overpayments CR11262 Sep 21, 2023
MLN Connects - September 21, 2023   Sep 21, 2023
Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers - Coding and Billing (A54929) - R10 - Effective October 1, 2019   Sep 21, 2023
Billing and Coding: Billing Limitations for Pharmacies (A56119) - R5 - Effective October 1, 2023   Sep 21, 2023
Billing and Coding: Routine Foot Care (A57954) - R13 - Effective October 1, 2022   Sep 21, 2023
Top Denials and Solutions Part A - Q3 Webinar - October 26, 2023   Sep 19, 2023
Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (A58679) - R4 - Effective October 1, 2023   Sep 19, 2023
Billing and Coding: MolDX: Blood Product Molecular Antigen Typing (A57124) - R2 - Effective October 1, 2023   Sep 19, 2023
Avoiding Claim Denials with Self Service Tools   Sep 19, 2023
Revision to Implementation of CAA of 2023, Section 4143: Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments CR13337 Sep 18, 2023
Manage Diabetes with Confidence Using Continuous Glucose Monitoring - Webinar on October 3rd   Sep 18, 2023
MLN Connects Newsletter: COVID-19: Updated mRNA Vaccines for Patients 6 Months & Older - Sept 14, 2023   Sep 15, 2023
October 2023 I/OCE Specifications Version 24.3 CR13339 Sep 14, 2023
Quarterly Update to the MPFSDB - October 2023 Update CR13316 Sep 14, 2023
Hospital Outpatient Prospective Payment System: October 2023 Update CR13340 Sep 14, 2023
October 2023 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13260 Sep 14, 2023
DMEPOS Fee Schedule: October 2023 Quarterly Update CR13343 Sep 14, 2023
MLN Connects - September 14, 2023   Sep 14, 2023
Inpatient Rehabilitation Facility (IRF) Medical Review Top Errors Webinar - October 18, 2023   Sep 13, 2023
Portal, IVR and Customer Service Limited Availability on September 28 - October 1, 2023   Sep 13, 2023
Open Meeting Announcement Multiple MolDX Policies on October 11, 2023   Sep 13, 2023
One week away - Noridian's Educational Symposium September 20-21   Sep 12, 2023
Multijurisdictional Contractor Advisory Committee (CAC) Meeting: Botulinum Toxins   Sep 08, 2023
Update to Pub. 100-02 Medicare Benefit Policy, Chapter 15, Section 110.8 DMEPOS Benefit Category Determinations CR13228 Sep 07, 2023
IPF Prospective Payment System: FY 2024 Updates CR13335 Sep 07, 2023
Changes to the Laboratory NCD Edit Software: January 2024 Update CR13350 Sep 07, 2023
MLN Connects - September 7, 2023   Sep 07, 2023
Medicare Basics: Three Medicare Basics On-Demand Tutorials Available   Sep 07, 2023
Noridian On-Demand Tutorials Available-September   Sep 06, 2023
Get your CEUs, here - Noridian's Educational Symposium September 20-21   Sep 06, 2023
Updated Noridian On-Demand Tutorials Available   Sep 06, 2023
Quarterly Medicare Updates - A/B - After Hours Webinar - October 12, 2023   Sep 05, 2023
MolDX: Molecular Biomarker Testing to Guide Targeted Therapy Selection in Rheumatoid Arthritis (L39467) Final LCD - Effective October 15, 2023   Sep 05, 2023
New CMS Home Page - Provider Feedback Desired   Sep 01, 2023
2023 ICD-10 Local Coverage Article (LCA) Updates   Aug 31, 2023
MolDX: Gene Expression Profile Tests for Decision-Making in Castration Resistant and Metastatic Prostate Cancers (DL39686) and Billing and Coding: MolDX: Gene Expression Profile Tests for Decision-Making in Castration Resistant and Metastatic Prostate Cancers (DA59513) - Published for Review and Comments   Aug 31, 2023
MolDX: Molecular Biomarkers for Risk Stratification of Indeterminate Pulmonary Nodules Following Bronchoscopy (DL39678) and Billing and Coding: MolDX: Molecular Biomarkers for Risk Stratification of Indeterminate Pulmonary Nodules Following Bronchoscopy (DA59505) - Published for Review and Comments   Aug 31, 2023
MolDX: Molecular Testing for Risk Stratification of Thyroid Nodules (DL39682) and Billing and Coding: MolDX: Molecular Testing for Risk Stratification of Thyroid Nodules (DA59509) - Published for Review and Comments   Aug 31, 2023
MLN Connects - August 31, 2023   Aug 31, 2023
Billing and Coding: MolDX: ApoE Genotype (A55094) - R2 - Effective August 31, 2023   Aug 31, 2023
MolDX: Next-Generation Sequencing for Solid Tumors (L38119) - R2- Effective June 08, 2023   Aug 30, 2023
Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection (A58168) - R4 - Effective March 31, 2023   Aug 30, 2023
Quarterly Medicare Updates - A/B Webinar - October 3, 2023   Aug 29, 2023
Holding Claims for Pricing Based on the October 2023 FISS Release   Aug 29, 2023
Webinar on Demand Available - End Stage Renal Disease (ESRD) AB Coverage   Aug 29, 2023
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R11 - Effective October 01, 2023   Aug 25, 2023
MolDX: Pharmacogenomics Testing (L38335) - R1 - Effective August 24, 2023   Aug 25, 2023
Influenza and Pneumococcal Immunization Roster Billing Webinar - September 27, 2023   Aug 24, 2023
Critical Access Hospital (CAH) Swing Bed Services Webinar - September 28, 2023   Aug 24, 2023
Medicare Secondary Payer (MSP) Part A Billing Webinar - September 28, 2023   Aug 24, 2023
Influenza Vaccine Payment Allowances - Annual Update for 2023-2024 Season CR13317 Aug 24, 2023
Activation of Validation Edits for Providers with Multiple Service Locations - Revised SE19007 Aug 24, 2023
Clinical Laboratory Fee Schedule & Laboratory Services Reasonable Charge Payment: Quarterly Update CR13321 Aug 24, 2023
Final Urine Drug Testing LCD and Associated Billing and Coding: Urine Drug Testing - Effective October 08, 2023   Aug 24, 2023
MLN Connects - August 24, 2023   Aug 24, 2023
Billing and Coding: MolDX: FDA-Approved BRAF Tests (A54418) - R7 - Effective July 27, 2023   Aug 22, 2023
Billing and Coding: MolDX: FDA-Approved KRAS Tests (A54498) - R7 - Effective July 14, 2022   Aug 22, 2023
Annual Clotting Factor Furnishing Fee Update 2024 CR13313 Aug 17, 2023
Medicare Part A SNF PPS Pricer Update FY 2024 CR13270 Aug 17, 2023
IRF Annual Update: Prospective Payment System (PPS) PRICER Changes for Fiscal Year (FY) 2024 CR13266 Aug 17, 2023
National Coverage Determination 30.3.3 - Acupuncture for cLBP CR13288 Aug 17, 2023
ICD-10 & Other Coding Revisions to National Coverage Determinations: January 2024 Update CR13278 Aug 17, 2023
Proposed LCDs - Published for Review and Comments   Aug 17, 2023
MLN Connects - August 17, 2023   Aug 17, 2023
Part A Appeals: Noridian Reminds Providers to Use Specific Instructions with Appeal Submissions   Aug 16, 2023
MolDX: Molecular Testing for Solid Organ Allograft Rejection (DL38629) and Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection (DA58168) - Published for Review and Comments   Aug 15, 2023
Provide Enrollment -On-Demand Tutorials Available   Aug 14, 2023
Noridian On-Demand Tutorials Available - August   Aug 11, 2023
Open Meeting Announcement MolDX: Molecular Testing for Solid Organ Allograft Rejection Published for Review and Comments - September 20, 2023   Aug 11, 2023
Updated Noridian On-Demand FQHC Tutorials Available   Aug 10, 2023
New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician NPI - Phase 2 CR13219 Aug 10, 2023
Educational Instructions for the Implementation of the Medicare Payment Provisions for Dental Services as Finalized in the CY 2023 PFS Final Rule CR13190 Aug 10, 2023
Medicare Policy Updates for Dental Services as Finalized in the CY 2023 MPFS Final Rule CR13181 Aug 10, 2023
HCPCS Codes Used for SNF CB Enforcement: October 2023 Update CR13299 Aug 10, 2023
MLN Connects - August 10, 2023   Aug 10, 2023
Part B Providers Submitting Prior Authorization for Facet Joint Interventions in Hospital Outpatient Departments   Aug 04, 2023
Processing Services During Disenrollment from the Program of All-Inclusive Care for the Elderly CR13248 Aug 03, 2023
Patient Driven Payment Model Claim Edits CR13240 Aug 03, 2023
ESRD Prospective Payment System: October 2023 Update CR13275 Aug 03, 2023
MLN Connects - August 3, 2023   Aug 03, 2023
Noridian Medicare Portal: General Q&A Session Webinar - Wednesdays starting on August 9, 2023   Aug 02, 2023
MLN Connects Newsletter: 5 Final FY 2024 Payment Rules - Aug 1, 2023   Aug 01, 2023
Billing and Coding: MolDX: myPath® Melanoma Assay (A57626) Retirement - Effective August 06, 2023   Aug 01, 2023
MolDX: myPath® Melanoma Assay L37879 Retirement - Effective August 06, 2023   Aug 01, 2023
Outpatient Rehabilitation Modifiers -On-Demand Tutorials Available   Jul 31, 2023
MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (L36155) - R5 - Effective July 20, 2023   Jul 28, 2023
Technical Revisions Only to the NCD Manual, Pub 100-03 CR13220 Jul 27, 2023
MLN Connects - July 27, 2023   Jul 27, 2023
MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer (L38327) - R2 - Effective July 20, 2023   Jul 27, 2023
MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer (L39005) - R1 - Effective July 27, 2023   Jul 27, 2023
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R10 - Effective July 01, 2023   Jul 27, 2023
Transcranial Magnetic Stimulation (TMS) Local Coverage Determination (LCD) Finalized - Effective August 20, 2023   Jul 27, 2023
Billing and Coding: High Compression Bandage System Clarification (A53287) Retirement - Effective July 19, 2023   Jul 27, 2023
Critical Access Hospitals (CAH) Ambulance-On-Demand Tutorials Available   Jul 26, 2023
Medicare A News JE July 2023 Bulletin - Now Available   Jul 24, 2023
CMS Reminds Hospitals to Use Severe Malnutrition Codes Correctly   Jul 21, 2023
Medicare Opioid Treatment Program Enrollment Webinar - September 27, 2023   Jul 20, 2023
MLN Connects - July 20, 2023   Jul 20, 2023
RHC Claims with CG Modifier - Resolved 08/02/23 Alert Jul 19, 2023