2025-07-31-MLNC

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Date
2025-07-31
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Weekly Edition
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Thursday July 31, 2025

News

Compliance

MLN Matters® Articles

 

 

News

White House, Tech Leaders Commit to Create Patient-Centric Healthcare Ecosystem

The Trump Administration announced progress toward building a smarter, more secure, and more personalized healthcare experience in partnership with innovative private sector companies. During a White House “Make Health Tech Great Again” event hosted with CMS, the Administration secured commitments from major healthcare and information technology firms – including Amazon, Anthropic, Apple, Google, and OpenAI – to begin laying the foundation for a next-generation digital health ecosystem that will improve patient outcomes, reduce provider burden, and drive value.

The Administration’s efforts focus on two broad areas: promoting a CMS Interoperability Framework to easily and seamlessly share information between patients and providers, and increasing the availability of personalized tools so that patients have the information and resources they need to make better health decisions.

Read the full press release.

 

Medicare & Medicaid at 60: Strengthening Health Care for the Future

This summer marks 60 years since the creation of Medicare and Medicaid, 2 programs that have shaped the modern foundation of American health care. Today, they provide coverage for more than 160 million people and continue to be vital lifelines for older adults, people with disabilities, and low-income families.

Their impact goes beyond access. Medicare played a key role in the desegregation of American hospitals. Within months of the law being signed, 90% of hospitals accepted Black patients, changing our healthcare landscape forever. And Medicaid helped launch coordinated care models that continue to improve patient outcomes today. As technology has evolved, these programs have evolved as well, supporting everything from telehealth to remote monitoring to better reach the people they serve.

In recent months, CMS has cracked down on the largest health care fraud schemes in U.S. history, launched reforms to overhaul prior authorization, and invested in modern tools like real-time data to better protect patients and preserve trust in these programs.

At CMS, we’re honoring this legacy by taking decisive action to reform, strengthen, and safeguard these programs for the next generation. We’re driving innovation, improving outcomes, and protecting the integrity of Medicare and Medicaid so they remain strong for decades to come.

We invite our partners to mark this milestone not just with celebration, but with action—to work with us to drive innovation, eliminate waste, and ensure these programs continue to work better for everyone.

Read more on the history of Medicare and Medicaid, including a timeline of program milestones.

 

Skilled Nursing Facilities: Revalidation Deadline Extended to January 1

Enrolled skilled nursing facilities should collect data on ownership, managerial, and related party information and submit their revalidation. CMS extended the deadline to January 1, 2026. 

More Information:

 

Compliance

Opioid Use Disorder: Learn about Services to Help Your Patients Continue Treatment

In a report, the Office of the Inspector General determined that buprenorphine—the most common medication used to treat opioid use disorder (OUD) in Medicare—can decrease both opioid use and overdose deaths, leading to improved outcomes.

Medicare Part B covers many services that help your patients continue treatment for OUD for as long as reasonable and necessary. Visit the Opioid Treatment Programs webpage for more information.

 

MLN Matters® Articles

Acute Kidney Injury Renal Dialysis Billing: Additional Revenue Codes

Learn about changes to home dialysis billing (PDF) for patients with acute kidney injury (AKI) starting January 1, 2025:

  • We allow you to bill revenue codes 084X or 85X for AKI patients
  • Use condition code 84 for AKI and a secondary condition code to indicate the site of care

 

Laboratory National Coverage Determination Edit Software Updates: October 2025

Learn about added and deleted ICD-10-CM codes (PDF).

 


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