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New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting

March 17, 2026
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, 2025. This article details how to bill for…

Cognitive assessment and care plan services

March 18, 2026
If your patient shows signs of cognitive impairment during a routine visit, Medicare covers a separate visit to more thoroughly assess your patient’s cognitive function and develop a care plan. Use CPT code 99483 to bill for this service.

Claim Denial / Rejection Tool

November 13, 2025

Florida and U.S. Virgin Islands Part B POE-AG minutes - November 13, 2025

March 13, 2026
Review these meeting minutes from the Part B POE AG meeting.

Treatment of abnormal uterine bleeding with intrauterine device (hormone-eluting)

December 23, 2025
Chronic abnormal uterine bleeding (AUB) describes irregularities in the menstrual cycle involving frequency, regularity, duration, and volume of flow outside of pregnancy for at least six months. First Coast has determined that the use of a…

Medicare Participation Announcement for CY 2026: Decide by December 31

December 23, 2025
Please see this important announcement for CY 2026 regarding Medicare participation.

Fast facts: Valid CERT/CMS communications

May 4, 2026
Read this article for information about communication impacts from the CERT contractor.

Puerto Rico POE-AG minutes - November 12, 2025

December 23, 2025
Review minutes from the Part AB Provider Outreach and Education Advisory Group (POE-AG) meeting for Puerto Rico. Minutes are in Spanish only.

MLN Connects for September 18, 2025

December 23, 2025
View this edition for information regarding critical access hospitals, prostate cancer screenings, and the October update of the DMEPOS fee schedule.

Clerical reopening requests

May 1, 2026
Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.
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