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HHS Guidance Documents
Title OpDiv/StaffDiv Guidance Status Issue Date
Updates of Chapter 4 and Exhibits in Publication (Pub.) 100-08, Including the Unified Program Integrity Contractor (UPIC) and Medical Review Accuracy Contractor (MRAC) Coordination Process   Centers for Medicare & Medicaid Services (CMS) Final
Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2025  Centers for Medicare & Medicaid Services (CMS) Final
April 2025 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files  Centers for Medicare & Medicaid Services (CMS) Final
April 2025 Update to the Medicare Severity – Diagnosis Related Group (MS-DRG) Grouper and Medicare Code Editor (MCE) Version 42.1  Centers for Medicare & Medicaid Services (CMS) Final
Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) – April 2025  Centers for Medicare & Medicaid Services (CMS) Final
Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 31.1, Effective April 1, 2025  Centers for Medicare & Medicaid Services (CMS) Final
Calendar Year 2025 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule  Centers for Medicare & Medicaid Services (CMS) Final
January 2025 Updates to the Drug Data Processing G  Centers for Medicare & Medicaid Services (CMS) Final
Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32 Sections 90, 190.2 and 300.2 for Coding Revisions to the National Coverage Determinations (NCDs) - April 2025 (1 of 2) Change Request (CR) 13818  Centers for Medicare & Medicaid Services (CMS) Final
Internet Only Manual (IOM) Update to 100-04 Chapter 12, Section 30.5 - Payment for Codes for Chemotherapy Administration and Nonchemotherapy Injections and Infusions  Centers for Medicare & Medicaid Services (CMS) Final
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