Latest Updates
Targeted probe and educate (TPE) round results: Wound care (CPT 11042 and 11045)
View targeted probe and educate (TPE) round results for wound care (CPT 11042 and 11045).
Checklist: Remote therapeutic monitoring (RTM)
Documentation checklist for remote therapeutic monitoring.
Quarterly update to the Medicare Physician Fee Schedule Database (MPFSDB) and QPP fee schedule - October 2026 update
Effective October 1, the MPFS will reflect updated pricing for a number of codes. Please review this article to learn about which codes are affected and the new amounts.
Quarterly update to the Medicare Physician Fee Schedule Database (MPFSDB) and QPP fee schedule - October 2026 update
Effective October 1, the MPFS will reflect updated pricing for a number of codes. Please review this article to learn about which codes are affected and the new amounts.
MLN Connects for September 3, 2026
This edition includes information on DMEPOS benefit category determinations, the MPFS database October update, the NCCI October update, and more.
MLN Connects for September 3, 2026
This edition includes information on DMEPOS benefit category determinations, the MPFS database October update, the NCCI October update, and more.
Part B billing, payment methodology and documentation requirements for non-sheet skin substitute products
This article outlines billing, payment methodology, and documentation requirements for non-sheet skin substitute products. It clarifies that the appropriate application codes must be submitted on the…
Targeted probe and educate (TPE) round results: Psychotherapy services (CPT 90832, 90834, 90837)
View TPE round results for psychotherapy services.
Mandatory self-service clerical error reopening requests
Effective October 1 for all JN providers, Part B clerical error reopening (CERs) requests must be submitted using the SPOT Portal, the Reopening Gateway or the Interactive Voice Response (IVR) system…
MLN Connects for August 27, 2026
This edition includes information on dermatologists billing for E/M services and minor surgical procedures, 2027 hospice payments update, October updates, and more.