Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review
Inflation Reduction Act Section 11407: Limitations on Monthly Coinsurance and Adjustments to Supplier Payment Under Medicare Part B for Insulin Furnished Through Durable Medical Equipment (DME) – IMPLEMENTATION
Update to the Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2023
Medicare Policy Updates for Dental Services as Finalized in the Calendar Year (CY) 2023 Physician Fee Schedule (MPFS) Final Rule
Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Patient-Driven Payment Model (PDPM) Claims Processing Updates to Current Editing
Adding Claim Through Date to Home Health Grouper interface
Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99) - Phase 1
Updates of Chapters 4 and 8 in Publication (Pub.) 100-08, Including Point of Contact Clarification and Update to Statistical Sampling Terminology
Addition of New Data Elements to the National Claims History (NCH) Claims Data Output
Telehealth Code Reporting and Date Matching Edit for Home Health Claims
Updates to Pub. 100-09, Chapter 6 Beneficiary and Provider Communications Manual, Chapter 6, Provider Customer Service Program
Religious Nonmedical Health Care Institution Provisions of the Consolidated Appropriations Act (CAA) of 2023
ViPS Medicare System (VMS) - Increase Edit Code Maximum
Implementation of a National Fee Schedule for Medicare Part B Vaccine Administration CMS
Updates of Publication (Pub.) 100-15, Including Revisions to Chapters 1 and 2, and the Addition of Chapters 3, 4, 5, and Appendices
User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Update Beneficiary Information Tracking System (BITS) Edit BT06 to allow the Response Date to be equal to the Receipt Date
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--July 2023 Update
Notice of New Interest Rate for Medicare Overpayments and Underpayments -3rd Qtr Notification for FY 2023
New Waived Tests
April 2023 Update of the Hospital Outpatient Prospective Payment System (OPPS)