Latest updates

There are a few scenarios that exist for denial reason code CO 97, as outlined below. Please review the associated remittance advice remark code (RARC) noted on the remittance advice for your claim…

This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2026.

This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2026.

This edition includes information on 2026 premiums and deductibles, critical access hospitals, lung cancer, and more.

This edition includes information on 2026 premiums and deductibles, critical access hospitals, lung cancer, and more.

Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center setting, effective for claims with dates of service on or after October 1,…

Reminder: The preliminary 2026 portable x-ray transportation payment rates have been posted for notice. The comment period is now closed.

View this special edition update on processing of telehealth and acute hospital care at home claims.

View this special edition update on processing of telehealth and acute hospital care at home claims.

To enhance efficiency and ensure the secure handling of appeal information, all providers will be required to use SPOT to check appeal status and access duplicate appeal decision letters, effective…