Thursday, May 8, 2025
News
Compliance
Events
- HCPCS Public Meeting — June 2–3
- Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests — July 23–24
Publications & Multimedia
News
Direct Graduate Medical Education: Get Annual Update Factors
CMS published the annual graduate medical education (GME) update factors (ZIP) on the Direct GME webpage. This Excel file replaces the PDF version we previously posted.
Use these inflation factors to estimate the increase in direct GME per resident amounts between consecutive 12-month cost reporting periods. We’ll update the file quarterly.
Compliance
Walkers: Prevent Claim Denials
In 2023, the improper payment rate for walkers was 24.8%, with a projected improper payment amount of $8.7 million (see 2023 Medicare Fee-for-Service Supplemental Improper Payment Data (PDF)). Learn how to bill correctly for these services. Review the Walkers provider compliance tip for more information, including:
- Billing Codes
- Denial reasons and how to prevent them
- Documentation Requirements
- Resource
Events
HCPCS Public Meeting — June 2–3
Monday, June 2 and Tuesday, June 3 from 9 am – 5 pm ET
Baltimore, MD or virtual
Attend a hybrid public meeting for the first biannual 2025 HCPCS coding cycle. Visit the HCPCS Level II Public Meetings webpage for more information, including:
- Meeting materials
Guidelines
Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests — July 23–24
Wednesday, July 23 and Thursday, July 24 from 10 am – 4 pm ET
Baltimore, MD or virtual
Register by May 30 as a stand-by speaker or to attend in person.
More information:
- Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests notice
- Clinical Laboratory Fee Schedule Advisory Panel webpage
Publications & Multimedia
Medicare Preventive Services — Revised
Learn what’s changed:
- Colorectal cancer screening:
- Added CPT code 0464U effective October 3, 2024
- Added CPT code 0537U effective April 1, 2025
- Updated the coding file to replace inadvertently deleted ICD-10 codes
- Ultrasound abdominal aortic aneurysm screening:
- Added ICD-10 codes
- Clarified coverage requirements
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