Notice of New Interest Rate for Medicare Overpayments and Underpayments - 4th Quarter…

Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 7

Revisions to State Operations Manual (SOM) Chapter 6 - Special Procedures for Laboratories.

Transforming Episode Accountability Model (TEAM) 3-Day Skilled Nursing Facility (SNF) Waiver –…

Revisions to State Operations Manual (SOM), Appendix PP

October 2025 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and…

Updates to Chapter 1 of the Medicare Claims Processing Manual (Publication (Pub.) 100-04) to…

July 2025 Integrated Outpatient Code Editor (I/OCE) Specifications Version 26.2

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to…

National Coverage Determination (NCD) 20.36 Implantable Pulmonary Artery Pressure Sensors for…

July 2025 Update of the Hospital Outpatient Prospective Payment System (OPPS)

April Quarterly Update for 2025 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (…

This transmittal updates Chapter 42, Independent Renal Dialysis Facility Cost Report, Form CMS-…

Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update…

Changing the Frequency of No-Pay Medicare Summary Notice (MSN) Mailings from Every 90 Days to…

National Coverage Determination (NCD) 20.36 Implantable Pulmonary Artery Pressure Sensors for…

Updates to No Legal Obligation to Pay for or Provide Services and Examples of Application of…

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP)…

Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer…

Fiscal Year (FY) 2026 Annual Update to the Medicare Code Editor (MCE) and International…

July Quarterly Update for 2025 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (…

Updates to No Legal Obligation to Pay for or Provide Services and Examples of Application of…

Instructions for Downloading the Medicare ZIP Code File for October 2025 Files

Quarterly Update to the End Stage Renal Disease Prospective Payment System (ESRD PPS)

Updates to Medicare Claims Processing Manual for Rural Health Clinics (RHC) and Federally…

July 2025 Update of the Ambulatory Surgical Center [ASC] Payment System

Screening for Hepatitis C Virus (HCV) Health Insurance Portability and Accountability Act (HIPAA…

Updates to the Medicare Carrier System (MCS), the Viable Information Processing Systems Medicare…

Omnibus Change Request (CR) Covering Updates for the Medicare Physician Fee Schedule (MPFS) Rule…

Modifying Editing for Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC)…

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to…

Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds…

Combined Common Edits/Enhancements Modules (CCEM) Code Set Update

Internet-Only Manual (IOM) Update: Addition of Section 70.2 to Publication 100-04, Chapter 17 –…

July Quarterly Update for 2025 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (…

October 2025 (2026 File) Update of the International Classification of Diseases, Tenth Revision…

National Coverage Determination (NCD) 20.36 Implantable Pulmonary Artery Pressure Sensors for…

Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS…

October 2025 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder

Omnibus Change Request (CR) Covering Updates for the Medicare Physician Fee Schedule (MPFS) Rule…

Updates to the Internet Only Manual, Publication 100-06, Chapter 3, Overpayments, Sections 120…

National Coverage Determination (NCD) 20.36 Implantable Pulmonary Artery Pressure Sensors for…

Implementation of the Award for the Jurisdiction A Durable Medical Equipment Medicare…

Technical Revisions Only to the Claims Processing Manual (CPM), Publication (Pub) 100-04,…

This transmittal updates Chapter 42, Independent Renal Dialysis Facility Cost Report, Form CMS-…

Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for…

Quarterly Update to Home Health (HH) Grouper

Accountable Care Organization (ACO) Primary Care Flex Model (ACO PC Flex Model)

Update to Publication 100-04 Medicare Claims Processing Manual Chapter 21 Medicare Summary…

Update to Several Sections of the Internet-Only Manual (IOM) Publication (Pub.) 100-04, Medicare…

New Waived Tests

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2025 Update

File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding…

Changes to The Electronic Correspondence Referral System (ECRS) Web to Remove the…

Extensions of Certain Temporary Changes to the Low-Volume Hospital Payment Adjustment and the…

National Coverage Determination (NCD) 210.15 - Pre-Exposure Prophylaxis (PrEP) for
Human…

The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and…

Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Allow Override…

National Coverage Determination (NCD) 210.15 - Pre-Exposure Prophylaxis (PrEP) for
Human…

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Update No Related Logic to…

The Medicare Secondary Payer (MSP) Systems Contractor (MSPSC) and Common Working File (CWF) to…

Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Modify the…

User Enhancement Change Request (UECR): Update Multi-Carrier System (MCS) Correspondence Entry (…

Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Allow Override…

Updates to Medicare Claims Processing Manual for Rural Health Clinics (RHC) and Federally…

Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid…

This transmittal updates Chapter 49, Skilled Nursing Facility and Skilled Nursing Facility
…

Allow Payment for Healthcare Common Procedure Coding System (HCPCS) Code G2211 when Certain Part…

Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid…

Rejections in the Medicare Adjudication Portal (MAP)

January 2025 Integrated Outpatient Code Editor (I/OCE) Specifications Version 26.0

This transmittal updates Chapter 41, Skilled Nursing Facility and Skilled Nursing Facility…

April 2025 Integrated Outpatient Code Editor (I/OCE) Specifications Version 26.1

Instructions for Downloading the Medicare ZIP Code File for July 2025 Files

April 2025 Update of the Ambulatory Surgical Center (ASC) Payment System

July 2025 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for…

Update End Stage Renal Disease (ESRD) Treatment Choices (ETC) Model Change Requests (CRs) to…

Create a New Adjustment Reason Code for Adjustments Created When the Provider Didn't Respond to…

End Stage Renal Disease (ESRD) Treatment Choices (ETC) Model Demo Priorities - Additional…

Hospice Claims Billed by Terminated Hospices

100-06 Internet Only Manual (IOM) Updates - Chapter 3 - Beneficiary Liability

Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services
Subject…

Update to the List of Advanced Life Support, Level 2 (ALS2) Procedures in Chapter 10, Ambulance…

 Update to the All-Inclusive Rate (AIR) Add-On Payment for High-Cost Drugs Provided by…

Revisions to State Operations Manual (SOM), Appendix PP

Modifying Editing for Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC)…

Internet Only Manual (IOM) Update, Publication (Pub.) 100-01, Chapter…

New Edit Implementation for Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS…

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April
2025 Update…

April Quarterly Update for 2025 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (…

The Recovery and Adjustment of Medicare Claims where the Department of
Veteran Affairs (VA)…

Updates to the Medicare Carrier System (MCS), the Viable Information Processing Systems Medicare…

Instructions for Downloading the Medicare ZIP Code File for April 2025 Files

Instructions for Retrieving the January 2025 Opioid Treatment Program (OTP) Payment Rates…

April Quarterly Update for 2025 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (…

Removal of Gender References from CMS Publication (Pub.) 100-08, Chapter 10

Utilization of KX Modifier Medicare Physician Fee Schedule Payment for Dental Services…

April 2025 Integrated Outpatient Code Editor (I/OCE) Specifications Version 26.1

Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS…

Calendar Year (CY) 2025 Home Infusion Therapy (HIT) Payment Rates and Instructions for…