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Medical Review News and Publications

Topic Publication Date Revision/Review Date
Date of Service Policy 06.30.2026  
Provider Alert: Update to CGS TPE Claim Selection for SNF Providers 01.29.2026  
TPE: Inpatient Hospital Services 12.23.2025  
Provider Alert: Part A Medical Review Additional Documentation Request (MR ADR) Update 10.04.2024  
MM13164 – Skilled Nursing Facility Probe and Educate ReviewExternal PDF 10.23.2023  
When You Don't Respond to Additional Documentation Requests (ADRs) – Quick Reference GuidePDF 07.10.2023  
Billing and Coding: JW and JZ Modifier Guidelines 06.29.2023  
Importance of Using Severe Malnutrition Codes Correctly 06.22.2023  
SPRAVATO™ (esketamine) nasal spray, CIII 05.01.2023 12.21.2023
NCD 110.24: Chimeric Antigen Receptor (CAR) T-Cell Therapy Billing Instructions 03.10.2023  
MolDX: Pharmacogenomics Testing Policy Article Update 03.14.2022  
Billing and Coding Instructions: Cryoneurolysis 01.28.2022  
Triamcinolone Acetonide Injectable Suspension, for Suprachoroidal Use (Xipere™) Billing and Coding Instructions 01.25.2022  
Sinus Implant Billing and Coding Instructions 01.21.2022  
Billing VEKLURY™ (Remdesivir) Antiviral Medication in Outpatient Settings 01.18.2022  
Documentation Reminder for TAVR 12.13.2019  
Cardiac Rehabilitation: Coverage and Documentation Requirements 04.18.2018 08.14.2018
How to Avoid Lab Errors 02.27.2018 08.14.2018
Single Chamber and Dual Chamber Permanent Cardiac Pacemakers – Coding amd Billing (A54961) 01.31.2018 08.14.2018
LCDs and Claims Submission Reminders 07.29.2016 08.14.2018
Solesta™ Treatment for Fecal Incontinence 07.27.2016 08.14.2018
Hemorrhoid Artery Ligation Coverage Guidelines 07.27.2016 08.14.2018

Updated: 06.30.2026
Reviewed: 06.30.2026

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