Laboratory Date of Service
Clarification regarding clinical laboratory date of service (DOS) billing. The DOS for clinical laboratory tests and the...
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MLN Connects Newsletter for July 2, 2026
This edition includes information on hospital OPPS & home health proposed payment rules, GLP-1 bridge, and more.
First Coast supports compliance awareness during the month of July
Join us for our Medicare Navigator Foundations of Compliance Workshop series. Celebrate the entire month of July by taking...
Hospital outpatient department (OPD) prior authorization exemption process
On August 1, exempt OPDs will receive an additional documentation request (ADR) for a 10-claim post-pay sample on finalized...
Provider contact center (PCC) closures
The PCC is closed certain days for training. View the upcoming closure days and times.
ADRs in SPOT
Use SPOT to receive and reply to medical review Additional Documentation Requests (ADRs).
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...
Process for CPT category III T codes
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.
Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
The drug codes list and radiopharmaceutical codes lists have been updated.