Latest Updates

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

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Articles Source Posted
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
Realizing Equity, Access, And Community Health (REACH) Demonstration Model Erroneous Overpayment or Refund Requests Alert 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
ICD-10 & Other Coding Revisions to NCDs: April 2025 Update (CR 2 of 2) CR13828 Nov 14, 2024
ICD-10 & Other Coding Revisions to NCDs: April 2025 Update (CR 1 of 2) CR13818 Nov 14, 2024
Skin Substitute Grafts/Cellular and Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers Final LCD - Effective February 12, 2025 Nov 14, 2024
Medicare Billing for Physical, Occupational and, Speech Therapy Based on Minutes Nov 14, 2024
Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers (A58996) - R8 - Effective July 11, 2024 Nov 14, 2024
MLN Connects - November 14, 2024 Nov 14, 2024
2025 Medicare Physician Fee Schedule Now Available Nov 12, 2024
2025 Medicare Physician Fee Schedule Available Soon Nov 11, 2024
Evaluation and Management: Prescription Drug Management Nov 08, 2024
How to Avoid Duplicate and Unbundling Denials - On-Demand Tutorials Available Nov 07, 2024
MLN Connects - November 7, 2024 Nov 07, 2024
MolDX: Blood Product Molecular Antigen Typing (L38331) - R5 - Effective November 7, 2024 Nov 07, 2024
Billing and Coding: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (A57423) - R4 - Effective November 7, 2024 Nov 07, 2024
Incarcerated Claim Denials - Resolved 11/04/24 Alert Nov 04, 2024
Influenza (Flu) Vaccine Denials - Resolved 11/01/24 Alert Nov 01, 2024
MLN Connects - October 31, 2024 Oct 31, 2024
Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT )/Coronary Plaque Analysis (AI-CPA) Final LCD - Effective December 8, 2024 Oct 31, 2024
DMEPOS Fee Schedules and Labor Payment - 4th Quarter 2024 Update Oct 29, 2024
Five Levels of Appeal - On-Demand Tutorials Available Oct 28, 2024
Notification of the 2025 Dollar Amount in Controversy Required to Sustain Appeal Rights for an ALJ Hearing or Federal District Court Review 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
Enhancements to Home Health Consolidated Billing Edits CR13550 Oct 24, 2024
MLN Connects - October 24, 2024 Oct 24, 2024
Billing and Coding: Lab: Cystatin C Measurement (A57643) - R5 - Effective January 1, 2023 Oct 24, 2024
Billing and Coding: MolDX: Pharmacogenomics Testing (A57384) - R14 - Effective August 1, 2024 Oct 24, 2024
Medicare B News JE October 2024 Bulletin - Now Available Oct 21, 2024
Ambulatory Surgical Center Payment Update - October 2024 - Revised CR13800 Oct 17, 2024
Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP) A58223 - R3 - Effective September 15, 2024 Oct 17, 2024
CLIA Lab B7 Denials - Resolved 10/17/24 Alert Oct 17, 2024
MLN Connects - October 17, 2024 Oct 17, 2024
Billing and Coding: Peripheral Nerve Stimulation (A55530) - R9 - Effective October 1, 2024 Oct 17, 2024
How to Avoid Common Appeals Mistakes Appeals Newsletter Part 13 Oct 16, 2024