Appropriate Use Criteria Program

Capable Recipients for the Advance Beneficiary Notice of Noncoverage

Capable Recipients for the Advance Beneficiary Notice of Noncoverage The purpose of the ABN is to inform a Medicare beneficiary before he or she receives specified items or services that, in this circumstance, Medicare certainly or probably [...]

Medicare Advance Written Notices of Noncoverage Booklet

Provider Compliance Tips for Polysomnography (Sleep Studies)

August and September 2022 LCD, Billing and Coding Article Updates

August and September 2022 LCD, Billing and Coding Article Updates Routine Foot Care and Debridement of Nails – L33636 Under the Limitations section, the active care requirement for systemic conditions has been revised to remove “qualified [...]

Prepare and Submit a Cost Report

MLN Connects® Newsletter for Thursday, June 30, 2022

MLN Connects® Newsletter for Thursday, June 30, 2022 No Surprises Act: Fact Sheets for Your Patients News CMS Issues Significant Updates to Improve the Safety and Quality Care for Long-Term Care Residents & Calls for Reducing Room [...]

MLN Connects® Special Edition for Wednesday, July 27, 2022

MLN Connects® Special Edition for Wednesday, July 27, 2022 3 Final FY 2023 Payment Rules: Hospices, Inpatient Psychiatric Facilities, & Inpatient Rehabilitation Hospices: Learn What’s New for Fiscal Year 2023 Inpatient Psychiatric [...]

MLN Connects® Special Edition for Friday, July 29, 2022

MLN Connects® Special Edition for Friday, July 29, 2022 Skilled Nursing Facilities: Final FY 2023 Payment Rule Skilled Nursing Facilities: Learn What’s New for Fiscal Year 2023 CMS Seeks Public Feedback to Improve Medicare Advantage [...]

MLN Connects® Newsletter for Thursday, September 1, 2022

MLN Connects® Newsletter for Thursday, September 1, 2022 Payment Allowances for Influenza Vaccine News CORRECTION: Monkeypox & Smallpox Vaccines: Include Product Code on Claims COVID-19: Novavax Vaccine Authorized for Patients [...]