Spotlights
Physician Fee Schedule: CY 2025 Final Rule – Learn What's New
CMS issued the CY 2025 Physician Fee Schedule (PFS) final rule to update Medicare PFS.
See a summary of provisions effective January 1, 2025.
PrEP for HIV
Starting September 30, 2024, CMS covers Pre-exposure Prophylaxis (PrEP) using antiretroviral drugs and other related services to prevent HIV. Visit PrEP for HIV & Related Preventive Services.
Flu Shots
Get payment, coverage, billing, & coding information for the 2024–2025 season.
Average Sales Price Files: October 2024
CMS posted the October Average Sales Price (ASP) and Not Otherwise Classified (NOC) pricing files and crosswalks on the 2024 ASP Drug Pricing Files webpage.
Appropriate use of place-of-service codes
Review the revised Skilled Nursing Facility 3-Day Rule Billing (PDF) fact sheet and the SNF PPS section of Medicare Payment Systems to learn more about place-of-service codes.
