Appropriate use criteria (AUC) program for advanced diagnostic imaging services
As announced in the CY 2024 Physician Fee Schedule (PPS), effective January 1, 2024, CMS is pausing efforts to implement the AUC...
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Independent diagnostic testing facility
Information for independent diagnostic testing facilities, including links to LCDs/NCDs, education, FAQs, provider enrollment...
Proposed 2026 Medicare allowances for portable x-ray transportation codes
Reminder: The preliminary 2026 portable x-ray transportation payment rates have been posted for notice. Comments will be...
Activation of systematic validation edits for OPPS providers with multiple service locations
This article is for the activation of systemic edits for outpatient prospective payment system (OPPS) providers that have...
Ambulance
Information for ambulance providers, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs, and other...
Clinical laboratory
Information for clinical laboratory providers and suppliers, including links to LCDs/NCDs, education, FAQs, provider enrollment...
Public health emergency billing guidance for skilled nursing facilities (SNFs)
CMS allows programmatic waivers for impacted states under Section 1135 of the Social Security Act (SSA) for declared emergencies...
2025 payment rates for home infusion therapy (HIT)
Download this zipped filecompressed file for the locality adjusted rates for home infusion therapy for 2025.