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This edition includes information on hospital price transparency requirements starting April 1, emergency preparedness, Medicare payment systems, and more.
View these minutes from our March 12, 2026, Part B meeting.
This edition includes information on manufacturer participation in Medicare drug price negotiation, the Medicare Shared Savings Program application deadline, the ESRD prospective payment system, and more.
Read this article for important changes and revisions to the MDPP program for calendar year 2026.
CMS recently revised the code descriptor for HCPCS code G0136 to remove the social determinants of health risk (SDOH) assessment. The code remains on the Medicare telehealth services list. View this article for details on the new assessment…
To enhance efficiency and ensure the secure handling of appeal information, effective May 1, 2026, all providers will be required to use SPOT to check appeal status and access duplicate appeal decision letters.
We'd like to remind providers of medical documentation you'll need to submit when filing a redetermination or clerical error reopening for a claim (or line item) denied due to an MUE.
The appeals department is receiving appeals regarding the incorrect usage of modifiers associated with PET scans. Read this article to learn more about billing these services correctly.
View pricing for two new codes for administration of nirsevimab for RSV infection.
Here are payment allowances for ambulance services for services provided January 1-December 31, 2023 (revised July 2023).