Part B

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CERT Task Force: Overview presentation

The Comprehensive Error Rate Testing (CERT) A/B MAC Outreach & Education Task Force, a collaboration of all Part A and Part B MACs, has published a presentation providing you with an overview of…

Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease

Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease. Please review this article and pay close attention to the billing…

Botulinum toxin injections

Botulinum toxins are potent neuromuscular blocking agents that are useful in treating various focal muscle spastic disorders and excessive muscle contractions, such as dystonia, spasms, and twitches.

Revision to social determinants of health risk assessment (HCPCS code G0136)

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…

Medicare Diabetes Prevention Program (MDPP) changes for calendar year 2026

Read this article for important changes and revisions to the MDPP program for calendar year 2026.

Prior authorization program for certain hospital outpatient department services

CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or after July 1, 2020.

Prior authorization program for certain hospital outpatient department services

CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or after July 1, 2020.

Quarterly update to the Medicare Physician Fee Schedule Database (MPFSD) - April 2026 update

Effective April 1, the MPFS will reflect updated pricing for a number of codes. Please review this article to learn about which codes are affected and the new amounts.

Vein ablation and related services

Vein ablation and related services; some patients may want varicose vein treatment for cosmetic reasons. Medicare does not cover cosmetic surgery or expenses incurred in connection with such surgery.

Botulinum toxin injections

Botulinum toxins are potent neuromuscular blocking agents that are useful in treating various focal muscle spastic disorders and excessive muscle contractions, such as dystonia, spasms, and twitches.