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Weekly Edition
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Thursday, September 28, 2023


Claims, Pricers, & Codes

MLN Matters® Articles



CMS Statement on Current Status of Blood Tests for Organ Transplant Rejection

CMS confirms that neither CMS nor the Medicare Administrative Contractors have made changes that affect patients’ ability to have blood tests used to monitor for organ transplantation rejection covered when ordered by their physicians in medically appropriate circumstances. Patients with transplanted hearts, lungs, or kidneys who meet the coverage criteria for these tests, as laid out in the Local Coverage Determination, can continue to access these tests in place of a more invasive biopsy.
More Information:


CMS Roundup (Sept 22, 2023)

You may be interested in these topics from the CMS Roundup:

  • Study on the Prevalence of Oral Health Problems Among Nursing Home Residents
  • Updated Nursing Home Staffing Measures Used for Nursing Home Compare
  • Innovation Center Explains “How an Idea Becomes a Model”


Cardiovascular Disease: Talk with Your Patients about Screening

Almost 40% of adults in the U.S. have high cholesterol, putting them at risk for heart disease and stroke (see CDC). World Heart Day is the perfect time to talk with your patients about cardiovascular disease screening and managing their cholesterol levels.

Medicare pays for cardiovascular disease screening tests, and your patients pay nothing if you accept assignment. Find out when your patient is eligible for a screening. If you need help, contact your eligibility service provider.

More Information:


Claims, Pricers, & Codes

ICD-10 Coordination & Maintenance Committee: Meeting Materials & Deadlines

Get materials from the September ICD-10 Coordination & Maintenance Committee meeting:

Submit comments on proposed new codes, addenda, and revisions by these dates:

  • October 13 to implement on April 1, 2024
  • November 15 to implement on October 1, 2024

Send comments to:


MLN Matters® Articles

ICD-10 & Other Coding Revisions to National Coverage Determinations: October 2023 Update

Learn about the October update:

  • New codes
  • Recent changes
  • How to find coding information



Expanded Home Health Value-Based Purchasing Model: September Newsletter

Read the September Home Health Value-Based Purchasing (HHVBP) Newsletter for the latest information, tools, and insights about the Expanded HHVBP Model

Checking Medicare Eligibility — Revised

Learn about new eligibility responses:

  • Audiology services
  • Prior authorization

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