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
Skilled Nursing Facility (SNF) Fundamentals of Billing 101 Webinar - 05/30/2024 Apr 16, 2024
Noridian Medicare Portal: Remits & Financials Webinar - May 29, 2024 Apr 12, 2024
Noridian Medicare Portal: Appeals Webinar - April 30, 2024 Apr 12, 2024
April 2024 Quarterly ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files CR13492 Apr 11, 2024
MLN Connects - April 11, 2024 Apr 11, 2024
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58726) - R17 - Effective February 29, 2024 Apr 11, 2024
Billing and Coding: MolDX: ApoE Genotype (A55095 ) - R4 - Effective April 3, 2024 Apr 11, 2024
Trigger Point Injections (TPI) (L36859) - R5 and Billing and Coding: Trigger Point Injections (TPI) (A57702) - R4 - Effective April 1, 2024 Apr 11, 2024
Billing and Coding: MolDX: Proteomics Testing (A59642) - R3 - Effective April 1, 2024 Apr 11, 2024
Billing and Coding: MolDX: Repeat Germline Testing (A57332) - R11 - Effective April 1, 2024 Apr 11, 2024
Hydration Services Billing Webinar - May 21, 2024 Apr 10, 2024
Preventive Services Codes on Eligibility Inquiry Apr 09, 2024
Temporary Disruption to External Print and Mail Services Alert Apr 09, 2024
Change Healthcare Security Incident Alert Apr 08, 2024
Update of Internet Only Manual (IOM), Pub. 100-04, Chapter 8 - Outpatient ESRD Hospital, Independent Facility, and Physician/Supplier Claims CR13525 Apr 04, 2024
Hospital Outpatient Prospective Payment System: April 2024 Update CR13568 Apr 04, 2024
Outlier Reconciliation and CCR Updates for the IPPS and LTCH PPS CR13566 Apr 04, 2024
MLN Connects - April 4, 2024 Apr 04, 2024
Additional 2024 CPT/HCPCS Local Coverage Article (LCA) Update Apr 04, 2024
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55323) - R17 - Effective April 1, 2024 Apr 04, 2024
Self-Administered Drug Exclusion List (A53033) - R36 - Effective April 1, 2024 Apr 04, 2024
Billing and Coding: MolDX: Short Tandem Repeat (STR) Markers and Chimerism (CPT® codes 81265-81268) (A57843) - R3 - Effective April 4, 2024 Apr 04, 2024
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57527) - R18 - Effective April 01, 2024 Apr 04, 2024
Ambulance Duplicate Denials - Appeals Newsletter Part 7 Apr 03, 2024
Prior Authorization Facet Joint Intervention for Pain Management - On-Demand Tutorials Available Apr 03, 2024
Compliance Training - Using Third Party Billing Companies Webinar - April 23, 2024 Apr 02, 2024
Physician and Non-physician Enrolling in Medicare Mar 29, 2024
eMDR via the Electronic Submission of Medical Documentation System - Revised CR11003 Mar 28, 2024
DMEPOS Fee Schedule: April 2024 Quarterly Update CR13574 Mar 28, 2024
MolDX: Biomarkers in Cardiovascular Risk Assessment (L36362) - R9 - Effective March 21, 2024 Mar 28, 2024
MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies (L38125) - R2 - Effective March 28, 2024 Mar 28, 2024
Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) - Published for Review and Comments Mar 28, 2024
Open Meeting Announcement Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) - April 18, 2024 Mar 28, 2024
MLN Connects - March 28, 2024 Mar 28, 2024
2024 CPT/HCPCS Local Coverage Article (LCA) Updates Mar 28, 2024
Enrollment Letters and Requests for Information Webinar - 05/22/2024 Mar 27, 2024
What is a CHOW? Webinar - 05/15/2024 Mar 27, 2024
Electronic Funds Transfer Authorization Agreement Webinar - 05/08/2024 Mar 27, 2024
Enrollment Ownership Managerial Reporting Webinar - 05/01/2024 Mar 27, 2024
Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer (A58724 ) - R3 - Effective March 12, 2024 Mar 21, 2024
Medicare Claims Processing Manual Updates - HCPCS Billing Codes & ABN of Non-coverage Requirements CR13548 Mar 21, 2024
Changes to the Laboratory NCD Edit Software: July 2024 Update CR13554 Mar 21, 2024
National Correct Coding Initiatives Webinar - 04/30/2024 Mar 21, 2024
Critical Access Hospital (CAH) Billing Webinar - 05/02/2024 Mar 21, 2024
Billing and Coding: MolDX: Targeted and Comprehensive Genomic Profile Next-Generation Sequencing Testing in Cancer (A56518) - R8 - Effective March 21, 2024 Mar 21, 2024
MLN Connects - March 21, 2024 Mar 21, 2024
Holding Claims for Pricing Based on the April 2024 FISS Release Mar 19, 2024
Cost Report Submission Basics Webinar - 04/30/2024 Mar 19, 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 (A59642) - R2 - Effective January 31, 2024 Mar 14, 2024
MolDX: NRAS Genetic Testing (L36339) - R7 - Effective July 27, 2023 Mar 14, 2024
Federally Qualified Health Center (FQHC) Prospective Payment System (PPS): Final Rule Updates Mar 13, 2024
Multi-Jurisdictional CAC Meeting Announcement - MolDX: Biomarker Risk Stratification Testing in DCIS - April 22, 2024, 2 p.m. to 4 p.m. ET Mar 11, 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 (A58726) - R16 - Effective April 17, 2022 Mar 07, 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 (A59687) - 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 (A58170) - R6 - Effective February 29, 2024 Feb 29, 2024
MolDX: Prometheus® IBD sgi Diagnostic® Policy (L37313) - R7 - Effective February 29, 2024 Feb 29, 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 (A59642) - 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
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 (A56013) Retirement - Effective March 30, 2023 Feb 08, 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 (A57422) - 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 (A56104) - R5 - 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 (A58997) - R5 - Effective January 1, 2024 Feb 01, 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 (A57418) Retirement - Effective August 8, 2022 Jan 25, 2024
MLN Connects - January 25, 2024 Jan 25, 2024
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