CMS Medicare Learning Network

Rural Health FQHC Requirements, Certification, Services

CMS Medicare Learning Network published MLN006397, a booklet covering Federally Qualified Health Center (FQHC) requirements, certification standards, covered services, payment methodologies, and cost reporting obligations. The publication serves as an educational resource for current and prospective FQHCs.

Medicare Mental Health Coverage Provider Guidelines Booklet

CMS Medicare Learning Network published a booklet (MLN1986542) providing guidelines on Medicare coverage for mental health services. The publication explains which providers are eligible to furnish treatment and outlines Medicare coverage policies for mental health care.

Medicare E/M Services Booklet

CMS published a Medicare Learning Network booklet (MLN006764) providing guidance on managing documentation and payment for evaluation and management (E/M) visits under the Medicare Physician Fee Schedule. The booklet includes FAQs and links to related CMS resources for healthcare providers.

CLIA Program Medicare Lab Services Fact Sheet

CMS Medicare Learning Network published an updated fact sheet (MLN006270) explaining the CLIA Program requirements for Medicare-participating laboratories. The document covers enrollment procedures, types of laboratory certificates, and test method categorization.

Advance Care Planning Fact Sheet

CMS published a fact sheet (MLN909289) explaining the voluntary Advance Care Planning service available under Medicare. The service is a face-to-face encounter where Medicare beneficiaries can discuss their healthcare wishes with providers if they become unable to make medical decisions. The fact sheet serves as educational material for healthcare providers and patients.

Medicare Coverage of Diabetes Supplies

CMS has released a fact sheet detailing Medicare coverage for diabetes supplies under Part B and Part D. The guidance clarifies which supplies and services are covered and which are not, aiming to inform beneficiaries and providers.

Hospital Price Transparency Requirements and Resources Fact Sheet

The Centers for Medicare & Medicaid Services (CMS) has released a fact sheet detailing hospital price transparency requirements. This document outlines the pricing information hospitals must provide and offers resources to assist them in meeting accessibility and file requirements.

Medicare Diabetes Prevention Program Expanded Model Booklet

CMS has released a booklet detailing the Medicare Diabetes Prevention Program Expanded Model. This guidance explains how healthcare providers can enroll as Medicare-enrolled MDPP suppliers to help patients with prediabetes reduce their risk of developing diabetes.

Intravenous Immune Globulin Items, Services, Billing, and Coding

The Centers for Medicare & Medicaid Services (CMS) has released a fact sheet detailing coverage, supplier eligibility, billing, and coding requirements for Intravenous Immune Globulin (IVIG) items and services. This guidance aims to clarify program integrity and claims processing for providers.

CMS IDTF Booklet: Program, Enrollment, and Billing

The Centers for Medicare & Medicaid Services (CMS) has released a new booklet providing an overview of the Independent Diagnostic Testing Facility (IDTF) program. The publication covers program details, enrollment requirements, and billing issues for IDTFs.