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Determining your Medicare effective date

February 18, 2026
Use this guide to help determine your Medicare effective date based on your applicable scenario(s).

Targeted probe and educate (TPE) round results: Clinical laboratory services (CPT 87150)

February 18, 2026
View targeted probe and educate (TPE) round results for clinical laboratory services: culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed CPT 87150.

Targeted probe and educate (TPE) round results: Diagnostic-related group (DRG) 885 - psychosis

February 18, 2026
Review the top denial / partial denial reasons and high-level results listed for DRG 885.

Checklist: Cardiac rehabilitation services

February 18, 2026
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac rehabilitation services.

Checklist: Pulmonary rehabilitation services

February 18, 2026
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for pulmonary rehabilitation services.

Requesting a comparative billing report -- Part A providers

February 18, 2026
Comparative billing report (CBR) information is available to providers and suppliers by request.

Ambulance trip / run sheet record documentation

February 18, 2026
Read this article to learn more about ambulance trip / run sheets documentation.

Billing Mpox vaccine and laboratory codes

February 18, 2026
This article will assist providers with proper billing relating to the Mpox vaccine and laboratory codes. This article was updated September 6 to advise providers to include the product code on claims.

Claims with CPT codes 90653, 90656, 90657, 90660, 90661, 90662, 90658, and 90673 priced incorrectly

February 18, 2026
2024-2025 flu season codes priced incorrectly.

Prior authorization of ambulance claims requires UTN in proper field

February 18, 2026
Repetitive, scheduled non-emergent ambulance transport (RSNAT) has been effective as of April 1, 2022. Through this program, a unique tracking number (UTN) is issued for each medical decision provided – whether affirmed or non-affirmed. Whe…
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