When did this go into effect?

Does anti-inflammatory steroid as named in the diagnostic injection mean an injected NSAID or corticosteroid?

If a SIJI is performed and a biological agent is added to the injected will the injection still be covered?

Can SIJIs be performed under sedation? How about monitored anesthesia care (MAC)? Is “twilight” allowed?

Are the radiofrequency ablations allowed now until 3/20/2023, or are already noncovered?

Can chemotherapy be split into two doses on two different dates of service if the patient was unable to complete a full dose in one day? For example, the patient's port was not functioning properly.

Are unclassified drug codes included in average sales price (ASP) files?

Can Medicare Part B providers who bill on the professional CMS-1500 claim form, and electronic equivalent, bill unclassified drug code C9399?

Principal Care Management

Principal Care Management PCM is a model of care focused on patients with a single, high-risk chronic condition expected to last 6 months to 1 year or until the patient’s death and designed to improve health outcomes and reduce complications. [...]

IMPORTANT: Action Required for SNF Due Date of 8/1/2025

IMPORTANT: Action Required for SNF Due Date of 8/1/2025 For those SNFs that have not yet submitted their Form CMS-855A revalidation application or, as applicable, SNF Attachment, this is an important reminder that you must do so by [...]