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
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
The Language and Navigation of PECOS Webinar - 02/05/2025 Jan 10, 2025
New PECOS Enrollment Application Webinar - 02/12/2025 Jan 10, 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
Noridian Medicare Portal: Eligibility & MBI Lookup Tool Webinar - 02/13/2025 Jan 07, 2025
Noridian Medicare Portal: Eligibility & MBI Lookup Tool Webinar - 02/06/2025 Jan 07, 2025
Noridian Medicare Portal: Eligibility & MBI Lookup Tool Webinar - 01/30/2025 Jan 07, 2025
Noridian Medicare Portal: Eligibility & MBI Lookup Tool Webinar - 01/23/2025 Jan 07, 2025
Noridian Medicare Portal: Eligibility & MBI Lookup Tool Webinar - 01/16/2025 Jan 07, 2025
Outpatient Therapy AB Certification and Recertification Webinar - 01/15/2025 Jan 06, 2025
PECOS Introduction and Overview Webinar - 01/29/2025 Jan 06, 2025
Patient Eligibility Unavailable on Interactive Voice Response (IVR) Jan 03, 2025
Billing and Coding: Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea (A57949) - 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 (A55531) - R10 - Effective August 27, 2018 Jan 02, 2025
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55323) - R19 - Effective January 1, 2025 Jan 02, 2025
Billing and Coding: Intraocular Bevacizumab (A53009) - R17 - Effective January 1, 2025 Jan 02, 2025
Self-Administered Drug Exclusion List (A53033) - R40 - 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 (A58405) - 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
Screenings-Mammography, Pap Test, Pelvic Exam and Cervical Cancer Screening with Human Papilloma Virus Testing Webinar - 01/23/2025 Dec 23, 2024
Annual Wellness Visit (AWV) and Initial Preventive Physical Exam (IPPE) Webinar - 01/16/2025 Dec 23, 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
Identity and Access Personal Profile Webinar - 01/15/2025 Dec 11, 2024
Identity and Access Connections Webinar - 01/22/2025 Dec 11, 2024
Additional Documentation Requests - Medical Review Webinar - 01/22/2025 Dec 11, 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: (A58726) - 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 (A58724) - 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
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 (A57690) - 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 (A58997) - 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 (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
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 (A57644) - R5 - Effective January 1, 2023 Oct 24, 2024
Billing and Coding: MolDX: Pharmacogenomics Testing (A57385) - R14 - Effective August 1, 2024 Oct 24, 2024
Medicare B News JF 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) A58225 - 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 (A55531) - R9 - Effective October 1, 2024 Oct 17, 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
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