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
Change Healthcare Security Incident Alert Mar 15, 2024
Stay of Enrollment CR13449 Mar 14, 2024
Comprehensive Outpatient Rehabilitation Facility Services: Prevent Claim Denials Mar 14, 2024
MLN Connects - March 14, 2024 Mar 14, 2024
Billing and Coding: MolDX: Proteomics Testing (A59641) - R2 - Effective January 31, 2024 Mar 14, 2024
MolDX: NRAS Genetic Testing (L36335) - R7 - Effective July 27, 2023 Mar 14, 2024
Federally Qualified Health Center (FQHC) Prospective Payment System (PPS): Final Rule Updates Mar 13, 2024
Noridian Medicare Portal: EDI Claim Submission Webinar - 03/27/2024 Mar 07, 2024
RARC, CARC, MREP and PC Print Update CR13433 Mar 07, 2024
MLN Connects - March 7, 2024 Mar 07, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R16 - Effective April 17, 2022 Mar 07, 2024
Temporary Disruption to External Print and Mail Services Alert Mar 06, 2024
Portal, IVR and Customer Service Limited Availability on March 29 - 31, 2024 Mar 05, 2024
Preventive Services - On-Demand Tutorials Available Feb 29, 2024
Clinical Laboratory Fee Schedule & Laboratory Services Reasonable Charge Payment: Quarterly Update CR13541 Feb 29, 2024
Appropriate Use Criteria for Advanced Diagnostic Imaging: CY 2024 Update CR13485 Feb 29, 2024
MolDX: Defining panel services in MolDX (A59685) - Effective February 29, 2024 Feb 29, 2024
MLN Connects - February 29, 2024 Feb 29, 2024
Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection (A58168) - R6 - Effective February 29, 2024 Feb 29, 2024
MolDX: Prometheus® IBD sgi Diagnostic® Policy (L37299) - R7 - Effective February 29, 2024 Feb 29, 2024
Quarterly Medicare Updates - A/B - Webinar - April 2, 2024 Feb 28, 2024
Quarterly Medicare Updates - A/B - After Hours Webinar - April 11, 2024 Feb 28, 2024
HCPCS J0129 with JA Modifier Denied in Error for SAD Exclusion List - Resolved 02/21/23 Feb 26, 2024
Health Equity Services Feb 23, 2024
Billing and Coding: MolDX: Proteomics Testing (A59641) - R1 - Effective January 31, 2024 Feb 22, 2024
IHS REH Provider Enrollment CR13312 Feb 22, 2024
Quarterly Update to the MPFSDB - April 2024 Update CR13529 Feb 22, 2024
Treatment of Medicare Part C Days in the Calculation of a Hospital’s Medicare Disproportionate Patient Percentage CR13294 Feb 22, 2024
Limitation on Recoupment of Medicare Overpayments CR11808 Feb 22, 2024
Pulmonary Rehabilitation, Cardiac Rehabilitation, & Intensive Cardiac Rehabilitation Expansion of Supervising Practitioners CR13513 Feb 22, 2024
Part A Facilities - On-Demand Tutorials Available Feb 22, 2024
Direct Data Entry (DDE) - On-Demand Tutorials Available Feb 22, 2024
MLN Connects - February 22, 2024 Feb 22, 2024
Medical Record Requirements for Redeterminations - On-Demand Tutorials Available Feb 22, 2024
CORRECTION: Leqembi-Related Drug Clinical Trial Number Feb 19, 2024
Activation of Validation Edits for Providers with Multiple Service Locations - Revised SE19007 Feb 15, 2024
ICD-10 & Other Coding Revisions to NCDs: July 2024 Update CR13507 Feb 15, 2024
MLN Connects - February 15, 2024 Feb 15, 2024
Local Coverage Determination (LCD) Finalized - Effective April 1, 2024 Feb 15, 2024
April 2024 Update to the MS-DRG Grouper and MCE Version 41.1 CR13458 Feb 08, 2024
MLN Connects - February 8, 2024 Feb 08, 2024
Billing and Coding: FDA Approved CLL Companion Diagnostic Test (A56009) Retirement - Effective March 30, 2023 Feb 08, 2024
Worksheet S-10 Webinar - March 19, 2024 Feb 06, 2024
Preventive Services - On-Demand Tutorials Available Feb 05, 2024
Payment for MFTs and MHCs in a Method II CAH CR13502 Feb 02, 2024
Internet Only Manual Updates to Pub. 100-02 and 100-04 to Implement Consolidated Appropriations Act 2023 Changes for Skilled Nursing Facility (SNF) CR13271 Feb 01, 2024
Updated Noridian On-Demand Tutorials Available Feb 01, 2024
Billing and Coding: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (A57421) - R10 - Effective January 1, 2024 Feb 01, 2024
Billing and Coding: MolDX: Microsatellite Instability-High (MSI-H) and Mismatch Repair Deficient (dMMR) Biomarker for Patients with Unresectable or Metastatic Solid Tumors (A56103) - R4 - Effective January 1, 2024 Feb 01, 2024
MLN Connects - February 1, 2024 Feb 01, 2024
Billing and Coding: Minimal Residual Disease Testing for Hematologic Cancers (A58996) - R5 - Effective January 1, 2024 Feb 01, 2024
CMS and Noridian Web Tours Webinar - March 20, 2024 Jan 30, 2024
New Provider New Biller Webinar - March 26, 2024 Jan 30, 2024
Critical Access Hospital (CAH) Coverage Webinar - March 21, 2024 Jan 30, 2024
Enrollment Rebuttals Reconsiderations and CAPs Webinar - March 20, 2024 Jan 29, 2024
Update to the Payment for Grandfathered Tribal FQHCs for Calendar Year (CY) 2024 CR13511 Jan 25, 2024
How to Use the Office & Outpatient Evaluation and Management Visit Complexity Add-on Code G2211 CR13473 Jan 25, 2024
HCPCS Codes Used for SNF CB Enforcement: April 2024 Quarterly Update CR13501 Jan 25, 2024
Billing Requirements for IOP Services for Federally Qualified Health Centers & Rural Health Clinics CR13264 Jan 25, 2024
Additional Self-Service Requirements Effective February 5, 2024 Jan 25, 2024
Billing and Coding: MolDX: DecisionDX-Melanoma (A57417) Retirement - Effective August 8, 2022 Jan 25, 2024
MLN Connects - January 25, 2024 Jan 25, 2024
Sacroiliac Joint Injections and Procedures (A59244) - R4 - Effective January 25, 2024 Jan 25, 2024
Billing and Coding: MolDX: Pharmacogenomics Testing (A57384) - R13 - Effective January 25, 2024 Jan 25, 2024
Billing and Coding: MolDX: Plasma-Based Genomic Profiling in Solid Tumors (A58973) - R4 - Effective January 1, 2024 Jan 25, 2024
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57526) - R17 - Effective January 1, 2024 Jan 25, 2024
340B Drug Payment Policy Remedy Payment for Calendar Year (CY) 2018 to CY 2022 Jan 22, 2024
Medicare A News JE January 2024 Bulletin - Now Available Jan 18, 2024
National Fee Schedule for Medicare Part B Vaccine Administration CMS - January 2024 - Rescinded CR13408 Jan 18, 2024
Specimen Collection Fees and Travel Allowance: 2024 Update CR13503 Jan 18, 2024
Hospital Outpatient Prospective Payment System: January 2024 Update CR13488 Jan 18, 2024
Proposed Local Coverage Determinations - Published for Review and Comments Jan 18, 2024
Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors (A57901) - R6 - Effective January 1, 2024 Jan 18, 2024
MLN Connects - January 18, 2024 Jan 18, 2024
Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies (A57891) - R7 - Effective January 1, 2024 Jan 18, 2024
Billing and Coding: MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer (A58181) - R7 - Effective January 1, 2024 Jan 18, 2024
Hyperbaric Oxygen (HBO) Therapy -On-Demand Tutorials Available Jan 15, 2024
Local Coverage Determinations (LCDs) Finalized - Effective February 25, 2024 Jan 15, 2024
Part A Ask the Contractor Meeting (ACM) Webinar - March 20, 2024 Jan 15, 2024
AIF for Calendar Year (CY) 2024 and Productivity Adjustment - Rescinded CR13400 Jan 11, 2024
2024 Annual Update of Per-Beneficiary Threshold Amounts CR13371 Jan 11, 2024
2024 Annual Update to the Therapy Code List CR13341 Jan 11, 2024
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58454) - R6- January 1, 2024 Jan 11, 2024
MLN Connects - January 11, 2024 Jan 11, 2024
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57526) - R16- January 1, 2024 Jan 11, 2024
Billing and Coding: MolDX: Repeat Germline Testing (A57331) - R10 - January 1, 2024 Jan 11, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R15 - January 1, 2024 Jan 11, 2024
Billing and Coding: MolDX: Fragile X (A55241) - R6 - January 1, 2024 Jan 11, 2024
Save the Date: Noridian’s Spring 2024 Virtual Symposium - "Medicare’s Greatest Hits" April 17-18 Jan 10, 2024
Electronic Funds Transfer Authorization Agreement -On-Demand Tutorials Available Jan 10, 2024
Prior Authorization for Certain Hospital Outpatient (OPD) Services: Rhinoplasty-On-Demand Tutorials Available Jan 09, 2024
Prior Authorization for Certain Hospital Outpatient (OPD) Services: Panniculectomy-On-Demand Tutorials Available Jan 09, 2024
Billing and Coding: MolDX: Proteomics Testing (A59641) - Effective January 31, 2024 Jan 04, 2024
2024 Annual Update of HCPCS Codes for SNF CB Update CR13394 Jan 04, 2024
January 2024 I/OCE Specifications Version 25.0 CR13456 Jan 04, 2024
New Condition Code 92: Billing Requirements for IOP Services CR13496 Jan 04, 2024
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R16 - Effective January 1, 2024 Jan 04, 2024
MLN Connects - January 4, 2024 Jan 04, 2024
Holding Claims for Pricing Based on the January 2024 FISS Release Dec 19, 2023
HIPPS Codes Rejections in EDI - Resolved 12/08/23 Alert Dec 08, 2023