Spotlights
Average Sales Price Files: April 2025
CMS posted the April Average Sales Price (ASP) and Not Otherwise Classified (NOC) pricing files and crosswalks on the 2025 ASP Drug Pricing Files webpage.
Physician Fee Schedule: CY 2025 Final Rule – Learn What's New
CMS issued the CY 2025 Physician Fee Schedule (PFS) final rule to update Medicare PFS.
See a summary of provisions effective January 1, 2025.
PrEP for HIV
Starting September 30, 2024, CMS covers Pre-exposure Prophylaxis (PrEP) using antiretroviral drugs and other related services to prevent HIV. Visit PrEP for HIV & Related Preventive Services.
Flu Shots
Get payment, coverage, billing, & coding information for the 2024–2025 season.
Appropriate use of place-of-service codes
Review the revised Skilled Nursing Facility 3-Day Rule Billing (PDF) fact sheet and the SNF PPS section of Medicare Payment Systems to learn more about place-of-service codes.
