Latest Updates
Roster billing for Part A
Institutional providers can use roster billing when administering the influenza, pneumococcal, or COVID-19 vaccines, or monoclonal antibody infusions to at least five patients on the same date,…
Inpatient psychiatric hospital benefit days
Medicare provides a lifetime limit of 190 days of inpatient psychiatric hospital care for each beneficiary. Once all 190 days have been used, Medicare will not provide additional coverage for…
Introduction to PC Print
An updated version of PC Print V9.3.2 is now available. Download the updated version of PC-Print today.
MLN Connects Newsletter for July 2, 2026
This edition includes information on hospital OPPS & home health proposed payment rules, GLP-1 bridge, and more.
MLN Connects Newsletter for July 2, 2026
This edition includes information on hospital OPPS & home health proposed payment rules, GLP-1 bridge, and more.
Hospital off-campus outpatient department reporting requirements
Effective July 6, 2026, outpatient claims with type of bills (TOB) 13X or 14X will be returned to provider (RTP) for reason code 34554 if modifier ER, PO, or PN is billed on all service lines, and…
MLN Connects for June 25, 2026
This edition includes information on the PEPPER relaunch, understanding the telehealth enrollment guide, preventing claim denials for tracheostomy supplies, and more.
MLN Connects for June 25, 2026
This edition includes information on the PEPPER relaunch, understanding the telehealth enrollment guide, preventing claim denials for tracheostomy supplies, and more.
Understanding radiopharmaceutical fee schedule amounts and billing expectations
Read this clarification regarding how radiopharmaceutical payment limits should be interpreted and how providers are expected to bill for these items.