Latest Updates

Articles posted in the "Latest Updates" are compiled and published into a bulletin quarterly.

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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
Telehealth Enrollment Basics Webinar - 04/02/2025 Feb 19, 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
HCPCS Codes Used for SNF CB Enforcement: April 2025 Quarterly Update CR13945 Feb 14, 2025
Ambulatory Surgical Center Payment Update - January 2025 CR13934 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 16 Feb 13, 2025
Telehealth Webinar - 03/27/2025 Feb 12, 2025
Ambulance Basics Webinar - 03/26/2025 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
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
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 15 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
ASC Claim Hold Until 01/28/25 - Resolved 01/29/25 Alert Jan 29, 2025
Drugs and Biologicals - Outpatient Overview and Billing - Webinar on Demand Recording Available Jan 29, 2025
Medicare Participating Provider Directory Now Available for 2025 Jan 27, 2025
Realizing Equity, Access, And Community Health (REACH) Demonstration Model Erroneous Overpayment or Refund Requests - Resolved 01/24/25 Alert Jan 24, 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
Behavioral Health Integration and Collaborative Care Model Webinar - 03/05/2025 Jan 22, 2025
Critical Care Webinar - 03/06/2025 Jan 22, 2025
Evaluation and Management Services Webinar - 03/04/2025 Jan 22, 2025
Provider Enrollment Basics and Overview Webinar - 03/05/2025 Jan 22, 2025
Update Regarding Part B Editing for NCD 110.21 - Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions - Recoupment Notification Jan 22, 2025
Updated Medicare 2025 Physician Fee Schedule Now Available Jan 20, 2025
DMEPOS Fee Schedules and Labor Payment - 2025 Update Jan 17, 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
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
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
Assistant-at-Surgery and Co-Surgery - Understanding the Differences Jan 09, 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
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
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
Mental Health On-Demand Tutorials Available Dec 31, 2024
2025 Annual Update for the HPSA Bonus Payments CR13789 Dec 26, 2024
2025 Annual Update of HCPCS Codes for SNF CB Update CR13786 Dec 26, 2024
Billing and Coding: Facet Joint Interventions for Pain Management (A58403) - R6 - Effective January 1, 2025 Dec 26, 2024
ACM B Questions and Answers - November 6, 2024 Dec 24, 2024
Intraocular Bevacizumab Denials - Resolved 12/24/24 Alert Dec 24, 2024
National Coverage Determination 210.15: PrEP for HIV Prevention CR13843 Dec 19, 2024
CY 2025 Update: DMEPOS Fee Schedule CR13888 Dec 19, 2024
MLN Connects - December 19, 2024 Dec 19, 2024
New Timeframe for Prior Authorization Decisions Dec 12, 2024
MLN Connects - December 12, 2024 Dec 12, 2024
2025 Annual Update of Per-Beneficiary Threshold Amounts Dec 09, 2024
Quarterly Update to the NCCI PTP Edits, Version 31.0, Effective January 1, 2025 CR13798 Dec 05, 2024
Annual Clotting Factor Furnishing Fee Update 2025 CR13742 Dec 05, 2024
Medicare Physician Fee Schedule Final Rule Summary: CY 2025 CR13887 Dec 05, 2024
MLN Connects - December 5, 2024 Dec 05, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing: (A58720) - R22 - Effective September 13, 2024 Dec 05, 2024
Part B Editing for NCD 110.21 - Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions Dec 04, 2024
Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer (A58718) - R4 - Effective November 28, 2024 Dec 02, 2024
Billing Tips for Psychotherapy with Evaluation & Management (E/M) Nov 27, 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
Updated Trigger Point Injections Local Coverage Determination (LCD) Policy Appeals Newsletter Part 14 Nov 21, 2024
MLN Connects - November 21, 2024 Nov 21, 2024
Town Hall Meeting - December 10, 2024 Nov 21, 2024
Submitting Documentation for Review Nov 19, 2024
Billing and Coding: Lab: Flow Cytometry (A57689) - R11 - Effective October 1, 2024 Nov 15, 2024
New Waived Tests CR13858 Nov 14, 2024