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
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
ESRD Treatment Choices (ETC) Model Mass Adjustments Alert Feb 12, 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
Review of Cost Report Exhibit Templates Webinar - 03/20/2025 Feb 10, 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
Top Denials and Solutions - Q1 Webinar - 03/18/2025 Feb 06, 2025
Critical Access Hospital Billing Webinar - 03/20/2025 Feb 06, 2025
Noridian Provider Enrollment Website Tour Webinar - 03/19/2025 Feb 06, 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
PECOS Application Final Steps Webinar - 02/26/2025 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
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
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
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
2025 Annual Update of HCPCS Codes for SNF CB Update CR13786 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
Holding Claims for Pricing Based on the January 2025 FISS Release Dec 19, 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
MLN Connects - November 21, 2024 Nov 21, 2024
Town Hall Meeting - December 10, 2024 Nov 21, 2024
MLN Connects - November 14, 2024 Nov 14, 2024
MLN Connects - November 7, 2024 Nov 07, 2024
MLN Connects - October 31, 2024 Oct 31, 2024
Five Levels of Appeal - On-Demand Tutorials Available 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
MLN Connects - October 24, 2024 Oct 24, 2024
Medicare A News JE October 2024 Bulletin - Now Available Oct 21, 2024
MLN Connects - October 17, 2024 Oct 17, 2024
October 2024 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13679 Oct 10, 2024
MLN Connects - October 10, 2024 Oct 10, 2024
Disable Beneficiary Eligibility Information from MAC IVR Systems CR13754 Oct 03, 2024
RARC, CARC, MREP and PC Print Update CR13633 Oct 03, 2024
Billing and Coding: MolDX: ApoE Genotype (A55094) Retirement - Effective September 27, 2024 Oct 03, 2024
MLN Connects - October 3, 2024 Oct 03, 2024
Recoupment Overpayment Debt Collection Timeline - On-Demand Tutorials Available Sep 06, 2024
Electronic Funds Transfer Authorization Agreement - On-Demand Tutorials Available Aug 30, 2024
Recoupment: Overpayment Debt Collection Timeframe - On-Demand Tutorials Available Aug 28, 2024