MLN Connects for April 2, 2026
This edition includes information on the new ASPIRE model to deliver support to children and youth with complex medical needs...
Fast facts: CERT vaccine and roster billed claims
Read this article to learn more about CERT reviews for vaccine and roster billed claims.
Yes, the Z diagnosis code may be used as the first-listed principal diagnosis code or secondary code, depending on the circumstances of the encounter. For additional information, refer to Chapter 12 of the ICD-10-CM Official Guidelines for Coding and Reporting manual.
MLN Connects for March 26, 2026
This edition includes information on the CMS rule of phasing out fax machines and snail mail, the April update to the Medicare...
Quarterly update to the Medicare Physician Fee Schedule Database (MPFSD) - April 2026 update
Effective April 1, the MPFS will reflect updated pricing for a number of codes. Please review this article to learn about which...
Limited systems availability October 2-4
There will be Common Working File (CWF) "dark days" Friday, October 2, through Sunday, October 4, affecting the IVR.
Appeal status requests must be obtained through SPOT
To enhance efficiency and ensure the secure handling of appeal information, effective May 1, 2026, all providers will be...
Revision to social determinants of health risk assessment (HCPCS code G0136)
CMS recently revised the code descriptor for HCPCS code G0136 to remove the social determinants of health risk (SDOH) assessment...
Medicare Diabetes Prevention Program (MDPP) changes for calendar year 2026
Read this article for important changes and revisions to the MDPP program for calendar year 2026.
MLN Connects for March 19, 2026
This edition includes information on manufacturer participation in Medicare drug price negotiation, the Medicare Shared Savings...