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
Medicare Change of Status Notice Instructions (Expedited Determinations When a Patient is Reclassified from an Inpatient to an Outpatient Receiving Observation Services) CR13846 Dec 05, 2024
ESRD & AKI Dialysis: CY 2025 Updates CR13686 Dec 05, 2024
MLN Connects - December 5, 2024 Dec 05, 2024
Principles of NPIs Webinar - 01/08/2025 Dec 05, 2024
Quarterly Medicare Updates - A/B - After Hours Webinar - 01/09/2025 Dec 05, 2024
Quarterly Medicare Updates - A/B Webinar - 01/07/2025 Dec 05, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing: (A58726) - R22 - Effective September 13, 2024 Dec 05, 2024
Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer (A58724) - R4 - Effective November 28, 2024 Dec 02, 2024
Federally Qualified Health Center Basics - Billing and Coding Requirements, Part Two Webinar - 12/18/2024 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
MLN Connects - November 21, 2024 Nov 21, 2024
Town Hall Meeting - December 10, 2024 Nov 21, 2024
Noridian Medicare Portal: Eligibility & MBI Lookup Tool Webinar - 12/19/2024 Nov 20, 2024
Submitting Documentation for Review Nov 19, 2024
Billing and Coding: Lab: Flow Cytometry (A57690) - R11 - Effective October 1, 2024 Nov 15, 2024
Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence (A53107) - R12 - Effective October 1, 2024 Nov 15, 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 (A58997) - R8 - Effective July 11, 2024 Nov 14, 2024
MLN Connects - November 14, 2024 Nov 14, 2024
Appeals vs. Adjustments Webinar - 12/19/2024 Nov 13, 2024
Evaluation and Management: Prescription Drug Management Nov 08, 2024
Overlapping Claims, the Struggle is Real Webinar - 12/19/2024 Nov 07, 2024
MLN Connects - November 7, 2024 Nov 07, 2024
MolDX: Blood Product Molecular Antigen Typing (L38333) - 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) (A57424) - R4 - Effective November 7, 2024 Nov 07, 2024
New "Browse by Provider Type" Sections: Radiation Oncology and Radiology Nov 05, 2024
Incarcerated Claim Denials - Resolved 11/04/24 Alert Nov 04, 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
Provider Enrollment Basics and Overview Webinar - 12/11/2024 Oct 29, 2024
Outpatient Therapy AB Certification and Recertification Webinar - 12/11/2024 Oct 29, 2024
Provider-Based Billing Webinar - 12/12/2024 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
RHC and FQHC Medicare Benefit Policy Manual Chapter 13 Update CR13493 Oct 24, 2024
Inpatient & Long-Term Care Hospital IPPS: FY 2025 Changes - Revised CR13734 Oct 24, 2024
Separate Payment for Essential Medicines - New Biweekly Interim Payments for the IPPS CR13590 Oct 24, 2024
Correction for Inpatient Medicare Part B Ancillary 12X Claims & Manual Updates CR13810 Oct 24, 2024
MLN Connects - October 24, 2024 Oct 24, 2024
Billing and Coding: Lab: Cystatin C Measurement (A57644) - R5 - Effective January 1, 2023 Oct 24, 2024
Billing and Coding: MolDX: Pharmacogenomics Testing (A57385) - R14 - Effective August 1, 2024 Oct 24, 2024
Skilled Nursing Facilities: Report Expanded Ownership, Management, & Related Party Data Oct 22, 2024
Medicare A News JF October 2024 Bulletin - Now Available Oct 21, 2024
Inpatient Psychiatric Facilities: Guidance on All-Inclusive Cost Reporting Oct 18, 2024
Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP) A58225 - R3 - Effective September 15, 2024 Oct 17, 2024
MLN Connects - October 17, 2024 Oct 17, 2024
Billing and Coding: Peripheral Nerve Stimulation (A55531) - R9 - Effective October 1, 2024 Oct 17, 2024
ACM Questions and Answers - August 28, 2024 Oct 11, 2024
October 2024 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13679 Oct 10, 2024
Billing and Coding: Cervical Fusion (A59645) - R2 - Effective September 29, 2024 Oct 10, 2024
MLN Connects - October 10, 2024 Oct 10, 2024
2024 Q4 MolDX CPT/HCPCS Billing and Coding Article Updates - Effective October 1, 2024 Oct 10, 2024
Billing and Coding: Respiratory Care (A57225) - R15 - Effective October 1, 2024 Oct 10, 2024
Clinical Trials and Claim Submission Oct 08, 2024
Disable Beneficiary Eligibility Information from MAC IVR Systems CR13754 Oct 03, 2024
Technical Revision Only to the MBP Manual, Pub 100-02, Chapter 15, section 50.4.2 CR13829 Oct 03, 2024
RARC, CARC, MREP and PC Print Update CR13633 Oct 03, 2024
2024 Q4 MolDX CPT/HCPCS Billing and Coding Article Updates - Effective October 1, 2024 Oct 03, 2024
Billing and Coding: MolDX: ApoE Genotype (A55095) Retirement - Effective September 27, 2024 Oct 03, 2024
MLN Connects - October 3, 2024 Oct 03, 2024
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55323) - R18 - Effective October 1, 2024 Oct 03, 2024
2024 CPT/HCPCS Local Coverage Article (LCA) Updates Oct 03, 2024
2024 ICD-10 Billing and Coding Article Updates - Effective October 1, 2024 Oct 03, 2024
CMS to Update the Shortage Status of Essential Medicines List Quarterly Beginning October 1, 2024 Sep 30, 2024
Cost Report Referral Process Changes Beginning October 1, 2024 Sep 30, 2024
Proper Billing of Tuberculosis Test, CPT code 86481 Sep 27, 2024
Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers (A58997) - R7 - Effective October 1, 2024 Sep 26, 2024
IPPS & LTCH PPS: FY 2025 Changes - Revised CR13734 Sep 26, 2024
DMEPOS Fee Schedule: October 2024 Quarterly Update CR13774 Sep 26, 2024
MolDX: Percepta® Bronchial Genomic Classifier (L36891) Retirement - September 22, 2024 Sep 26, 2024
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58456)- R8 - Effective September 26, 2024 Sep 26, 2024
Micro-Invasive Glaucoma Surgery (MIGS) Final LCD - Effective November 17, 2024 Sep 26, 2024
MLN Connects - September 26, 2024 Sep 26, 2024
Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs) (A57162) - R4 - Effective October 1, 2015 Sep 26, 2024
Self-Administered Drug Exclusion List (A53033) - R40 - Effective September 11, 2024 Sep 26, 2024
Multijurisdictional Contractor Advisory Committee (CAC) Superficial Radiation Therapy (SRT) For The Treatment Of Nonmelanoma Skin Cancers (NMSC) - Bibliography Sep 24, 2024
Claims Denied in Error with Revenue Code 048X - Resolved 09/17/24 Alert Sep 23, 2024
Billing and Coding: MolDX: BCR-ABL (A55600)- R5 - Effective September 19, 2024 Sep 19, 2024
MLN Connects - September 19, 2024 Sep 19, 2024
Urine Drug Testing - Published for Review and Comments Sep 19, 2024
Noridian Molecular Diagnostic (MolDX) Updates from Provider Suggestion Sep 17, 2024
Multi-Jurisdictional CAC Meeting Announcement - Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) - October 17, 2024, 2 - 4 p.m. CT Sep 13, 2024
Multijurisdictional Contractor Advisory Committee (CAC) Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) - Agenda Sep 13, 2024
Multijurisdictional Contractor Advisory Committee (CAC) Superficial Radiation Therapy (SRT) For The Treatment Of Nonmelanoma Skin Cancers (NMSC) - Key Questions Sep 13, 2024
CSC and CSCC Update CR13206 Sep 12, 2024
October 2024 I/OCE Specifications Version 25.3 CR13752 Sep 12, 2024
Hospital Outpatient Prospective Payment System: October 2024 Update CR13784 Sep 12, 2024
Changes to the Laboratory NCD Edit Software: January 2025 Update CR13785 Sep 12, 2024
Billing and Coding: MolDX: Blood Product Molecular Antigen Typing (A57376) - R5 - Effective October 1, 2024 Sep 12, 2024
Billing and Coding: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (A57422) - R11 - Effective October 1, 2024 Sep 12, 2024
Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (A58681) - R7 - Effective October 1, 2024 Sep 12, 2024
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