- Appropriate Use Criteria for Advanced Diagnostic Imaging: CY 2024 Update
- Clinical Laboratory Fee Schedule & Laboratory Services Reasonable Charge Payment: Quarterly Update
- Medicare Coverage of Diabetes Supplies
- Medicare Ground Ambulance Data Collection System: Tip Sheet for Rural & Super Rural Organizations
Events
ICD-10 Coordination & Maintenance Committee Meeting — March 19–20
Tuesday, March 19 – Wednesday, March 20 from 9 am – 5 pm ET
You must register for this virtual meeting if you want to attend.
More Information (check back for additional meeting materials posted closer to the meeting date):
MLN Matters® Articles
Appropriate Use Criteria for Advanced Diagnostic Imaging: CY 2024 Update
Learn about a pause in the Appropriate Use Criteria (AUC) Program for advanced diagnostic imaging (PDF), including:
- Reevaluating the program
- Rescinding regulations
- Eliminating consultation information on claims
- Removing systems edits
- Providing instructions for claims that erroneously include AUC program G codes and modifiers in CY 2024
Clinical Laboratory Fee Schedule & Laboratory Services Reasonable Charge Payment: Quarterly Update
Learn about updates for laboratory billing (PDF) effective April 1, 2024, including:
- Next private payor data reporting period: January – March 2025
- New and deleted HCPCS codes
Publications
Medicare Coverage of Diabetes Supplies
Medicare covers diabetes supplies (PDF) under Medicare Part B and Medicare drug plans (Part D). Learn about:
- Part B coverage:
- Blood glucose self-testing equipment and supplies
- Durable insulin pumps and the insulin used in those pumps
- Therapeutic shoes and inserts
- Part D coverage:
- Diabetic supplies
- Insulin
- Anti-diabetic drugs
- Supplies and services not covered by Medicare
Medicare Ground Ambulance Data Collection System: Tip Sheet for Rural & Super Rural Organizations
Read the Rural and Super Rural Organizations Tip Sheet (PDF) for 6 tips and common scenarios for reporting to the Medicare Ground Ambulance Data Collection System (GADCS).
Visit Medicare GADCS for resources, including:
- Printable version of the GADCS instrument in English and Spanish
- Updated GADCS User Guide
- Tip sheets on reporting and getting access to the GADCS, FAQs, and prior educational sessions
- Lists of ground ambulance organizations required to participate in Years 1–4
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