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MLN Connects for May 13, 2025

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

MLN Connects for August 21, 2025

April 14, 2026
This edition includes information on critical access hospitals, seasonal flu vaccine pricing for 2025-2026, nursing home care compare updates, and more.

MLN Connects Special Edition for April 13, 2026

April 14, 2026
This special edition includes information on 2027 proposed rules as well as CMS' proposed reforms to speed up patient access to drugs, increase transparency, and reduce administrative burden.

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

The SPOT User Guide: Section 6 - Appeals

April 14, 2026
View this complete review of the appeal features in SPOT.

Prolonged physician services: Home or residence visits

April 14, 2026
Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15 minutes on the date of service.

Breakdown of common Minimum Data Set (MDS) errors: Section A - C

April 14, 2026
The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes and non-critical access hospital swing beds.

Targeted probe and educate (TPE) round results: Psychotherapy services (CPT 90832, 90834, 90837)

April 14, 2026
View TPE round results for psychotherapy services.

EDI system status and scheduled maintenance

April 14, 2026
Review this page for First Coast Medicare EDI system status information.

PC-ACE and SPOT

April 2, 2026
Learn how using these two products together can make electronic claim submission free and easy.
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