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
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
Pulmonary Rehabilitation, Cardiac Rehabilitation, & Intensive Cardiac Rehabilitation Expansion of Supervising Practitioners CR13513 Feb 22, 2024
Limitation on Recoupment of Medicare Overpayments CR11808 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
HCPCS J0129 with JA Modifier Denied in Error for SAD Exclusion List Feb 15, 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
Identity and Access Connections Webinar - March 6, 2024 Jan 29, 2024
PECOS Introduction and Overview Webinar - March 13, 2024 Jan 29, 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
AB DME Workgroup - General Documentation Requirements Webinar - March 13, 2024 Jan 24, 2024
Disproportionate Share Hospital (DSH) Webinar - February 28, 2024 Jan 23, 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
Cataract Medical Review Errors and Solutions Webinar - February 27, 2024 Jan 16, 2024
Rural Health Clinic (RHC) Billing Requirements Webinar - March 28, 2024 Jan 16, 2024
Rural Health Clinic (RHC) Coverage Requirements Webinar - April 4, 2024 Jan 16, 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
Noridian Medicare Portal: Claim Status Webinar - February 29, 2024 Jan 12, 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
Identity and Access Personal Profiles Webinar - February 28, 2024 Dec 28, 2023
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
Overpaid ESRD Claims Processed 09/29/23 and 09/30/23 - Resolved 12/01/23 Alert Dec 01, 2023
Noridian Webinar on Demand Available - Federally Qualified Health Center (FQHC) Reimbursement Nov 29, 2023
Noridian Webinar on Demand Available - Facet Joint Interventions for Pain Management Nov 29, 2023
Updated Noridian On-Demand Prior Authorization Article Tutorials Available Nov 28, 2023
Updated Noridian On-Demand Tutorials Available Nov 28, 2023
New Preventive Series Tutorial Now Available on Our Education on Demand Page Nov 20, 2023
Facet Joint Intervention for Pain Management Coding and Limitations -On-Demand Tutorials Available Nov 16, 2023
ESRD Dialysis Line Level Covered Charges Under 100 Dollars - Resolved 11/15/23 Alert Nov 15, 2023
Provider Enrollment Updated and New - On-Demand Tutorials Available Nov 07, 2023
Updated Noridian On-Demand Tutorials Available Nov 07, 2023
Modifier Basics and Miscellaneous Modifiers - On-Demand Tutorials Available Oct 31, 2023
New Advance Beneficiary Notice of Noncoverage Tutorials Now Available Oct 20, 2023
Noridian Webinar on Demand Available - Quarterly Medicare Updates - AB Oct 19, 2023