Specialty Intelligence

Reimbursement Alerts by Specialty

CMS transmittals, MAC Local Coverage Determinations, and Federal Register notices organized by medical specialty. 1,600+ alerts signal-scored daily from 9 authoritative sources.

Specialties monitored

Total alerts

1,600+

MAC contractors

Updated

Daily

Featured specialties

Cardiology

70 alerts

Cardiac device, echocardiography, EP, and catheterization LCD updates across all active MAC jurisdictions.

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Oncology

127 alerts

Chemotherapy administration, immunotherapy, and biosimilar coverage policy updates.

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Orthopedics

34 alerts

Arthroplasty, spine surgery, and musculoskeletal procedure LCD revisions.

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Neurology

44 alerts

EEG, DBS, neurology E&M, and dementia care policy updates.

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Radiology

29 alerts

Imaging coverage criteria, radiology LCD updates, and prior auth requirements.

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Pain Management

78 alerts

Facet injection, spinal cord stimulation, and pain clinic LCD monitoring.

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Outpatient

17 alerts

Hospital outpatient prospective payment system (OPPS) and APC updates.

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Inpatient (IPPS)

27 alerts

Inpatient prospective payment system MS-DRG and diagnosis code weight changes.

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Skilled Nursing Facility

10 alerts

SNF PPS, consolidated billing, and therapy documentation requirement updates.

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Ambulance

1 alerts

Ground and air ambulance billing, medical necessity, and coverage updates.

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ESRD

15 alerts

End-stage renal disease bundled payment, dialysis, and transplant coverage.

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Physician Fee Schedule

12 alerts

Annual PFS RVU changes, G-code updates, and conversion factor notices.

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Medicare Advantage

18 alerts

MA plan policy, risk adjustment, and Part C coverage update notices.

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Hospital Outpatient (OPPS)

13 alerts

OPPS payment rate changes, status indicator updates, and packaging rules.

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OIG Compliance

0 this period

OIG Special Fraud Alerts and advisory guidance on arrangements under enforcement scrutiny.

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Multi-specialty

237 alerts

Cross-specialty CMS transmittals, national coverage decisions, and broad policy updates.

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All 7 MAC contractors

CLV Intelligence monitors Noridian, CGS Administrators, First Coast, National Government Services, Novitas Solutions, Palmetto GBA, and WPS Government Health Administrators daily. Specialty pages surface LCD updates, billing guidance, and coverage criteria changes by contractor jurisdiction so coding teams can filter to their region.

Cardiology × Novitas →Oncology × Novitas →Orthopedics × Novitas →Pain-management × Novitas →Neurology × Novitas →Radiology × Novitas →View all specialty × MAC pages →

From the CLV research desk

Public, source-linked records built from the same pipeline that powers these alerts. Free to read and free to cite.

The CLV Reimbursement Policy IndexMedicare reimbursement policy change measured across all 16 MAC jurisdictions, with the coverage window and its limits stated in full.The Weekly Medicare Policy BriefEvery week’s CMS, MAC, and Federal Register policy changes, each one linked to the government document it came from.