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Targeted probe and educate (TPE) round results: Endovascular cardiac valve replacement and supplement procedure (DRG 266 & 267)

December 23, 2025
Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.

ADR (Additional documentation requests)

December 23, 2025
Find information and resources that will help you properly respond to additional documentation requests within required timeframes.

Understanding the credit balance report

December 23, 2025
Review the following questions and answers to gain an understanding of credit balance reporting.

Targeted probe and educate (TPE) round results: Major hip and knee replacement (DRG 470)

December 23, 2025
Review the top denial / partial denial reasons and high-level results from each round of DRG 470 TPE.

Targeted probe and educate (TPE) round results: Evaluation and management services – emergency department visits

December 23, 2025
Review the top denial / partial denial reasons and high-level results of evaluation and management services – emergency department visits TPE round results.

MLN Connects for October 31, 2024

December 23, 2025
This edition includes information on preventing claim denials for hip and knee replacements; PrEP for HIV billing, revised information on Medicare diabetes self-management training, and more.

MLN Connects for November 7, 2024

December 23, 2025
This edition includes information on final rules, expanded diabetes screening, discarded drugs and biologicals HCPCS codes, and more.

MLN Connects for November 21, 2024

December 23, 2025
This edition includes information on physician residency position, National Rural Health Day, Medicare preventive services, and more.

MLN Connects for November 27, 2024

December 23, 2025
This edition includes information on opioid treatment programs, HIV screening and prevention, Medicare deductible, coinsurance, and premium rates, and more.

MLN Connects for December 5, 2024

December 23, 2025
This edition includes information on preventing claim denials for diabetic accessories and supplies, claim status category and claim status codes updates, the MPFS final rule summary for 2025, and more.
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