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MLN Connects for November 26, 2025

April 13, 2026
This edition includes information on crushing fraud, opioid use disorder, the Medicare participating physician agreement form expiration, and more.

MLN Connects for May 13, 2025

April 13, 2026
This edition encourages public input on improving technology to empower beneficiaries.

MLN Connects for May 29, 2025

April 13, 2026
This edition includes information on the Medicare Shared Savings Program, providers accepting CHAMPVA, national coverage determination 20.36, and more.

Facet joint interventions for pain management

April 13, 2026
Facet joint interventions may be used in pain management for chronic cervical/thoracic and lumbar/sacral pain arising from the paravertebral facet joints. Imaging guidance (fluoroscopy or CT per code descriptor) is used to assure accurate p…

Update of the 2025 dollar amount in controversy required to sustain appeal rights for an Administrative Law Judge (ALJ) Hearing or Federal District Court Review

April 13, 2026
Section 1869(b)(1)(E) of the Social Security Act (the Act), as amended by Section 940 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), requires an annual reevaluation of the dollar amount in controvers

Resolving claims overlapping a skilled nursing facility (SNF) stay

April 13, 2026
Is your facility receiving denials for a claim overlapping a skilled nursing facility (SNF) stay? Claims overlapping with a skilled nursing facility (SNF) stay can occur for several reasons. This article is intended to assist providers with…
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