Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
The code list for drugs has been updated.
Articles
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Preventive services: Coverage determination
Find information on local and national coverage determinations specific to preventive services.
Cardiac and pulmonary rehabilitation programs
Medicare pays for cardiac rehabilitation (CR), intensive cardiac rehabilitation (ICR), and pulmonary rehabilitation (PR)...
Update history: LCD and article updates
View the most recent updates for our LCDs and articles. The comment period for a proposed LCD is currently open and will close...
Prompt payment interest rate revision
The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 4.625% is in effect...
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...
Limited systems availability Friday, April 3 through Sunday, April 5
There will be Common Working File (CWF) "dark days" Friday, April 3, through Sunday, April 5, affecting the IVR.
Appeal status requests must be obtained through SPOT
To enhance efficiency and ensure the secure handling of appeal information, effective May 1, 2026, all providers will be...
Reciprocal billing and fee-for-time compensation arrangements (formerly locum tenens arrangements)
The requirements for the submission of claims under reciprocal billing and fee-for-time compensation arrangements are the same...
Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease
Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease...