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MLN Matters articles: Second quarter 2023

MLN (Medicare Learning Network) Matters articles are a series of national articles designed to inform physicians, providers, and suppliers about the latest changes to the Medicare program. Please use the links below to review the articles released by CMS between April 1 and June 30. Visit the CMS MLN Matters page for a complete listing of all MLNs issued nationwide.

Line of business Release date Subject MLN#
AB 6-29-23 ICD-10 and other coding revisions to laboratory national coverage determinations: October 2023 update MM13269
AB 6-29-23 Calendar year 2024 modifications / improvements to value-based insurance design (VBID) model - implementation  MM13236
B 6-15-23 New waived tests  MM13253
AB 6-13-23 July 2023 update of the hospital outpatient prospective payment system (OPPS) (revised 6/13/23) MM13210
A 6-7-23 Skilled nursing facility probe and educate review  MM13164
AB 6-5-23 DMEPOS fee schedule: July 2023 quarterly update  MM13235
AB 6-2-23 New JZ claims modifier for certain Medicare Part B drugs  MM13056
AB 6-1-23 Allowing audiologists to provide certain diagnostic tests without a physician order  MM13055
AB 5-19-23 July 2023 quarterly update to HCPCS codes used for skilled nursing facility (SNF) consolidated billing (CB) enforcement  MM13192
AB 5-18-23 Internet-only manual (IOM) updates to pub. 100-04, chapter 12 for the new hospital inpatient or observation care code family, nursing facility visits code family, billing the substantive portion of a split (or shared) visit, changes for prolonged services, and updates to the IOM with policies finalized for office / outpatient E/M visits in the CY2020 and CY2021 final rules  MM13064
AB 5-4-23 Quarterly update for clinical laboratory fee schedule (CLFS) and laboratory services subject to reasonable charge payment  MM13195
AB 5-4-23 Update the process for home dialysis payment adjustment (HDPA) and performance payment adjustment (PPA) for end-stage renal disease (ESRD) treatment choices (ETC) model Part A claims MM13180
A 4-21-23 Skilled nursing facility (SNF) prospective payment system (PPS) patient-driven payment model (PDPM) claims processing updates to current editing  MM13149
B 4-5-23 New waived tests  MM13162