News
Laboratories: Paper Fee Coupons & CLIA Certificates Ending March 1
Providers & Suppliers: CMS Has Authority to Conduct Enrollment Site Visits
Compliance
Remote Patient Monitoring: Use & Bill Correctly
Claims, Pricers & Codes
Integrated Outpatient Code Editor Version 27.0
MLN Matters® Articles
Travel Allowance Fees for Specimen Collection: CY 2026 Updates
Publications & Multimedia
Information for Critical Access Hospitals – Revised
Rural Emergency Hospitals – Revised
Read this article for the CY 2026 update for Travel Allowance for Collection of Specimens.
Our event calendar has been updated and new events are open for registration.
New:
This article is for laboratories, laboratory physicians, and other providers billing MACs for specimen collection services
Review the common questions and answers posed during our webinars on the WISeR model prior authorization program.
News
CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States
CMS Announces Establishment of the Office of Rural Health Transformation
New CMS LEAD Model Aims to Expand Access to Accountable Care, Improve Health Outcomes
CMS Proposed Model Test Would Lower Certain Medicare Part B Prescription Drugs
CMS Proposed Model Test Would Lower Drugs Costs for Medicare Part D
CMS BALANCE Model Aims to Expand Access to GLP-1 Medications for People with Medicare Part D & Medicaid
Transparency in Coverage Proposed Rule
Final Local Coverage Determinations for Certain Skin Substitutes Withdrawn
Physicians & Non-Physicians: Comment on Medicare Enrollment Application by February 17
Hospitals: Submit Data for OPPS Drug Acquisition Cost Survey by March 31
Hospitals: Apply for Additional Residency Positions by March 31
Medicare-Funded Physician Residency Positions Awarded
Health Professional Shortage Area: CY 2026 Bonus Payments
Ambulance Fee Schedule: CY 2026 Inflation Factor
Doctors & Clinicians: CY 2023 Performance Information
Information for Critical Access Hospitals
Claims, Pricers & Codes
ICD-10-PCS: CMS Announces 80 New Codes, Effective April 1
Medicare Part B Drug Pricing Files & Revisions: January Update
National Correct Coding Initiative: January Update
Updated ICD-10 Medicare Severity Diagnosis-Related Group Version 43.1
Events
2026 CMS Burden Reduction Conference – February 25
MLN Matters® Articles
Cardiac Contractility Modulation for Heart Failure
Chimeric Antigen Receptor T-Cell Therapy Billing Instructions: Medicare Claims Processing Manual Update
DMEPOS Fee Schedule: CY 2026 Update
ESRD & Acute Kidney Injury Dialysis: CY 2026 Update
National Coverage Determination 20.40: Renal Denervation for Uncontrolled Hypertension
Laboratory National Coverage Determination Edit Software: January 2026 Update
Payment for Medicare Part B Preventive Vaccines & Their Administration for Rural Health Clinics & Federally Qualified Health Centers – Revised
Publications & Multimedia
Medicare Provider Enrollment – Revised
Please review the revised drug codes list.
A new article was created to outline the vaccine reimbursement for 2026.
Add more Novitasphere users with these steps.
View the most recent updates for our LCDs and articles.