MLN Connects Newsletter for July 2, 2026
This edition includes information on hospital OPPS & home health proposed payment rules, GLP-1 bridge, and more.
Articles
Laboratory Date of Service
Clarification regarding clinical laboratory date of service (DOS) billing. The DOS for clinical laboratory tests and the...
ACCESS model HCPCS G-code allowed amounts
Pricing information is now available for new HCPCS codes payable under Medicare when furnished for the Advancing Chronic Care...
MLN Connects for June 25, 2026
This edition includes information on the PEPPER relaunch, understanding the telehealth enrollment guide, preventing claim...
End stage renal disease (ESRD) billing reminders and quarterly updates
Review this article to view common billing errors and how to review quarterly ESRD updates.
Understanding radiopharmaceutical fee schedule amounts and billing expectations
Read this clarification regarding how radiopharmaceutical payment limits should be interpreted and how providers are expected to...
MLN Connects for June 18, 2026
This edition includes information on the 2026 National Provider Compliance Conference, services for patients with opioid use...
Screening for hepatitis C virus National Coverage Determination
CMS clarified billing requirements for the screening for hepatitis C virus in adults.
Crossover claims: Supplemental insurance and Medigap plans
Read this article for more information on claims being crossed over to supplemental insurance and Medigap plans.
Patients purchasing their own drugs or biologicals (brown bagging)
Medicare provides limited benefits for outpatient drugs. Drugs and/or biologicals purchased by the patient and taken to their...