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Centers for Medicare & Medicaid Services

*Dear Medicare provider and partner, please, review this Weekly Bulletin for important information.*

*November 14, 2024* [ https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMDcsInVyaSI6ImJwMjpjbGljayIsInVybCI6Imh0dHBzOi8vd3d3LmNtcy5nb3YvdHJhaW5pbmctZWR1Y2F0aW9uL21lZGljYXJlLWxlYXJuaW5nLW5ldHdvcmsvbmV3c2xldHRlci8yMDI0LTA0LTE4LW1sbmMjX1RvYzE2NDIzNjY5MyIsImJ1bGxldGluX2lkIjoiMjAyNDA0MTguOTM1Mzk4ODEifQ.OhNKMPC5NbVIo1-l6XqvBVEIyeMArwJqw-4i4HiY8OI/s/1097956135/br/240968560367-l ]


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News

* 2025 Medicare Parts A & B Premiums and Deductibles [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-11-14-mlnc%23_Toc182393960/1/010101932ba812e7-20f180e9-2f7e-4a16-9e36-92577e2d3f3f-000000/2K_mnQufJNZUoley7X7RXSgK0iWjc9ZVpkyX1A0gkao=379 ]
* Medicare Participation for CY 2025 [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-11-14-mlnc%23_Toc182393961/1/010101932ba812e7-20f180e9-2f7e-4a16-9e36-92577e2d3f3f-000000/PMoG1DASF9P_u_xRNHWEJH6AWbft7aokTvxO8d2BiBA=379 ]
* Ambulance Fee Schedule: CY 2025 Final Policies [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-11-14-mlnc%23_Toc182393962/1/010101932ba812e7-20f180e9-2f7e-4a16-9e36-92577e2d3f3f-000000/gCnkb6TdVdIqdReEdM-YBBubN_-4Km1Qhn6o_u2Hi0Y=379 ]
* Prior Authorization Review Timeframe Change [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-11-14-mlnc%23_Toc182393963/1/010101932ba812e7-20f180e9-2f7e-4a16-9e36-92577e2d3f3f-000000/aoCxF5NT-KvRoPRUu_40k1QwstxkTvsINmH5R6kpObM=379 ]
* Skilled Nursing Facilities: Revalidation Due Date Extension [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-11-14-mlnc%23_Toc182393964/1/010101932ba812e7-20f180e9-2f7e-4a16-9e36-92577e2d3f3f-000000/IGJP16evqbffzPOc1xWCyViKp9kVZT1q449tgu5l5VY=379 ]
* Home Health & Hospice Resources [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-11-14-mlnc%23_Toc182393965/1/010101932ba812e7-20f180e9-2f7e-4a16-9e36-92577e2d3f3f-000000/ohvGlzO4EJuy3tFqZKXfMe_EQqMi_AIMCKpiXytXSuM=379 ]
* Help Your American Indian & Alaska Native Patients Achieve Optimal Health [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-11-14-mlnc%23_Toc182393966/1/010101932ba812e7-20f180e9-2f7e-4a16-9e36-92577e2d3f3f-000000/lqGfwiFby9I00tSVI4cnnuR7GHnU1cU-pTV7HiyxzI0=379 ]

Claims, Pricers, & Codes

* PrEP for HIV Pharmacy Claims: New HCPCS Code & FAQ Update [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-11-14-mlnc%23_Toc182393968/1/010101932ba812e7-20f180e9-2f7e-4a16-9e36-92577e2d3f3f-000000/tKvHlnsEomtHHxuSUNZzIN_sZgUSp6PLXbxwcSLhYAA=379 ]

MLN Matters® Articles

* ICD-10 & Other Coding Revisions to National Coverage Determinations: April 2025 Update [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-11-14-mlnc%23_Toc182393970/1/010101932ba812e7-20f180e9-2f7e-4a16-9e36-92577e2d3f3f-000000/1RhD2pYZYXTexeoF8iSt8qkHWu9uo_G9h4ak_c83Zjk=379 ]
* New Waived Tests [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-11-14-mlnc%23_Toc182393971/1/010101932ba812e7-20f180e9-2f7e-4a16-9e36-92577e2d3f3f-000000/KruQMEuyhFxa9oHfzTIEjYDu8aSWLgpqYAnxe0IjRn8=379 ]

Publications

* Checking Medicare Claim Status — Revised [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-11-14-mlnc%23_Toc182393973/1/010101932ba812e7-20f180e9-2f7e-4a16-9e36-92577e2d3f3f-000000/RU1EF9ZWkFoCPezjwOXlILk-iC5b04delrXecYvZnJE=379 ]
* Checking Medicare Eligibility — Revised [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-11-14-mlnc%23_Toc182393974/1/010101932ba812e7-20f180e9-2f7e-4a16-9e36-92577e2d3f3f-000000/FDDdMAUE1KbUVoJceO7objTWdTUiojNdOUkRdsxlPW8=379 ]

View the full edition [ https://links-2.govdelivery.com/CL0/https:%2F%2Fwww.cms.gov%2Ftraining-education%2Fmedicare-learning-network%2Fnewsletter%2F2024-11-14-mlnc/3/010101932ba812e7-20f180e9-2f7e-4a16-9e36-92577e2d3f3f-000000/dv2xpGyrfcXBnIf_RrFJDHocPsHV-JDQOv-1Hw59pK4=379 ]

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Report a problem viewing this newsletter. [ https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMTksInVyaSI6ImJwMjpjbGljayIsInVybCI6Imh0dHBzOi8vY21zbWFjZmVkcmFtcC5nb3YxLnF1YWx0cmljcy5jb20vamZlL2Zvcm0vU1ZfOVF3OE5SaUVIdjhESDlrIiwiYnVsbGV0aW5faWQiOiIyMDI0MDcyNS45ODEwOTA3MSJ9.KNDuQS145OP1kDB-_5n_Ti4d44yqZQPRIKZcQehGV28/s/1097956135/br/246332779644-l ]


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Centers for Medicare & Medicaid Services, Office of Puerto Rico and US Virgin Islands has sent this Weekly Bulletin. To contact CMS, send an e-mail to cmsprvi@cms.hhs.gov.

 

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