Latest Updates
Hospice / Home Health
This page is a central location for home health and hospice information, including CMS resources. Take time to review updated information relating to the January 2027 annual update for Home Health…
Proposed Local Coverage Determination: Contractor Advisory Committee Meetings
We are seeking subject matter experts for an upcoming CAC meeting on molecular infectious disease testing. Read the full article to learn about the meeting and how qualified subject matter experts…
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 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
Please review the revised drug codes list; Q5155 has been updated.
Proposed Local Coverage Determination: Contractor Advisory Committee Meetings
We are seeking subject matter experts for an upcoming CAC meeting on molecular infectious disease testing. Read the full article to learn about the meeting and how qualified subject matter experts…
Revised Reimbursement Rate CPT Code 78434 and 78434-TC Effective for Claims Processed on or After November 6
Effective November 6, 2026, the revised reimbursement rate will apply to all claims submitted with CPT 78434 and 78434-TC, regardless of the date of service.
MLN Connects for November 5, 2026
This edition includes information on final rules, preventing claim denials for breast prostheses, a CCSQ quarterly stakeholder webinar, and more.
MLN Connects for November 5, 2026
This edition includes information on final rules, preventing claim denials for breast prostheses, a CCSQ quarterly stakeholder webinar, and more.
Ambulatory Surgical Center Terminated Procedures
Review this guidance for ASC procedures terminated due to medical complications.