Latest updates
Cognitive assessment and care plan services
If your patient shows signs of cognitive impairment during a routine visit, Medicare covers a separate visit to more thoroughly assess your patient’s cognitive function and develop a care plan. Use…
New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center setting, effective for claims with dates of service on or after October 1,…
MLN Connects Special Edition for November 7, 2025
View this special edition update on processing of telehealth and acute hospital care at home claims.
MLN Connects Special Edition for November 7, 2025
View this special edition update on processing of telehealth and acute hospital care at home claims.
Proposed 2026 Medicare allowances for portable x-ray transportation codes
Reminder: The preliminary 2026 portable x-ray transportation payment rates have been posted for notice. The comment period is now closed.
Appeal status requests must be obtained through SPOT
To enhance efficiency and ensure the secure handling of appeal information, all providers will be required to use SPOT to check appeal status and access duplicate appeal decision letters, effective…
Independent diagnostic testing facility (IDTF) quick reference
IDTFs are required to report the exact CPT/HCPCS codes and procedures they intend to perform when enrolling with the CMS-855B form.
MLN Connects Special Edition for October 21, 2025
This special edition includes information on lifting the current claims hold.