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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.
View revised ASC disclosures for dates of service January 1-March 8 and March 9-December 31, 2024.
Learn about the provider enrollment process as well as the tools and resources available to assist you.
View this article for information regarding local contractor pricing.
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2023 (revised July 2023).
Approvers may follow these instructions for the required IDM annual certification needed for all SPOT end user access.