Cognitive assessment and care plan services
If your patient shows signs of cognitive impairment during a routine visit, Medicare covers a separate visit to more thoroughly...
New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center...
MLN Connects Special Edition for November 7, 2025
View this special edition update on processing of telehealth and acute hospital care at home claims.
Appeal status requests must be obtained through SPOT
To enhance efficiency and ensure the secure handling of appeal information, all providers will be required to use SPOT to check...
MLN Connects Special Edition for November 3, 2025
View this special edition on recent CMS actions.
Hepatitis C virus (HCV)
Read this article for more information on the hepatitis C virus and treatments covered by Medicare.
Independent diagnostic testing facility (IDTF) quick reference
IDTFs are required to report the exact CPT/HCPCS codes and procedures they intend to perform when enrolling with the CMS-855B...
New prior authorization code lookup tool now available
Use the new prior authorization code lookup tool to verify if the code is under a prior authorization program sponsored by CMS.
Prior Authorization Code Lookup
Use this tool to search by HCPCS/CPT code to determine if the code is subject to prior authorization.