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This edition includes information on a new model to target wasteful, inappropriate services in Original Medicare, CY 2026 proposed rules for ESRD and home health, revalidation deadline for skilled nursing facilities, and more.
This edition includes information on dementia care, the skilled nursing facility value-based purchasing program, FY 2025 ICD-10-CM diagnosis codes, and more.
This table of MLN Matters articles includes articles released by CMS from July to September.
View targeted probe and educate (TPE) round results drugs and biologicals (HCPCS J1569).
This edition includes information for critical access hospitals, skilled nursing facilities, inpatient psychiatric facilities, and more.
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for chemotherapy, drugs, biologicals, and injection services.
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests pertaining to clinical laboratory services. Health care providers retain responsibility to submit complet…
Pass-through status is determined for newly FDA-approved drug and device products on an individual basis. Review this article for more details on pass-through devices in an ambulatory surgical center (ASC).
Use this decision flowchart to assist in correctly applying the 58 modifier.
Use this decision flowchart to assist in correctly applying the 78 modifier.