Visit our Journey to LCD coverage page to find more information related to LCDs, including the LCD development process and how to become involved, as well as how local and national coverage guidelines relate to claims processing.
Effective April 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.
This edition includes information on the CMS rule of phasing out fax machines and snail mail, the April update to the Medicare Part B drug pricing files and revisions, the April update to the hospital outpatient prospective payment system,…
Our Medicare Navigator Program is back with webinars focused on supporting providers to successfully navigate Medicare program requirements and submit complete, accurate transactions. April’s Medicare Navigator Program spotlights Part A bil…
This edition includes information on the new ASPIRE model to deliver support to children and youth with complex medical needs, preventing claim denials for therapeutic footwear, the reprocessing of certain claims from method II critical acc…
This edition includes information on proposed payment rules for fiscal year 2027, events, guidance on new requirements for hospital price transparency, and more.