FDA Approval: ZEVTERA (CEFTOBIPROLE MEDOCARIL SODIUM) — Type 1 - New Molecular Entity
Infectious Disease · Effective 2024-04-03
Specialty intelligence
Infectious Disease Reimbursement Alerts
9 active CMS and MAC reimbursement alerts affect Infectious Disease billing teams (High-priority changes active) — most recent: FDA Approval: ZEVTERA (CEFTOBIPROLE MEDOCARIL SODIUM) — Type 1 - New Molecular Entity, effective 2024-04-03. Monitored daily across CMS, all seven MACs, and the Federal Register.
Daily CMS policy updates, MAC LCD revisions, and coding guidance for Infectious Disease billing teams. All alerts sourced directly from CMS, MAC contractor sites, and the Federal Register.
Total alerts
9
Average signal
45/100
Sources monitored
15+
Latest Infectious Disease alerts
9FDA Approval: ZYVOX (LINEZOLID) — Type 3 - New Dosage Form
Infectious Disease · Effective 2000-04-18
FDA Approval: VANCOMYCIN HYDROCHLORIDE (VANCOMYCIN HYDROCHLORIDE) — Type 3 - New Dosage Form
Infectious Disease · Effective 1993-04-29
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MAC contractor coverage
Infectious Disease billing is subject to both national CMS policy and regional MAC contractor Local Coverage Determinations (LCDs). CLV Intelligence monitors all MAC contractor sites — Noridian, CGS, First Coast, NGS, Novitas, Palmetto GBA, and WPS — for LCD updates affecting Infectious Disease codes. Coverage criteria vary by contractor jurisdiction.
NoridianCGS AdministratorsFirst CoastNational Government ServicesNovitas SolutionsPalmetto GBAWPS
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Weekly digest of CMS and MAC policy changes for Infectious Disease billing teams.
Frequently asked questions
What MAC contractors issue LCDs for Infectious Disease billing?
Infectious Disease billing is subject to regional Local Coverage Determinations (LCDs) from all seven Medicare Administrative Contractors: Noridian, CGS Administrators, First Coast Service Options, National Government Services, Novitas Solutions, Palmetto GBA, and WPS Government Health Administrators. Coverage criteria and medical necessity requirements vary by contractor jurisdiction. CLV Intelligence monitors all MAC contractor sites daily for LCD updates affecting Infectious Disease codes.
How often does CMS update Infectious Disease reimbursement policy?
CMS updates the Physician Fee Schedule annually, effective January 1, with proposed rules published in the summer and final rules in November. MAC contractors issue LCD updates on a rolling basis throughout the year with no fixed schedule. The Federal Register publishes proposed and final rules affecting Infectious Disease reimbursement on a continuous basis. CLV Intelligence monitors all three sources daily and surfaces updates by signal strength.
What is a Local Coverage Determination (LCD) and how does it affect Infectious Disease billing?
A Local Coverage Determination (LCD) is a decision by a Medicare Administrative Contractor specifying under what clinical circumstances a particular service is covered within its geographic jurisdiction. For Infectious Disease billing teams, LCDs define medical necessity criteria, covered diagnoses, and documentation requirements for specific procedures. Failure to comply with LCD requirements is among the most common causes of Medicare claim denial in Infectious Disease practices.
Reimbursement guides & resources
Plain-language guides to the policy cycles that drive Infectious Disease reimbursement — the fee schedule, ICD-10, HCPCS, and Local Coverage Determinations.
2027 Fee Schedule Guide
How the CY2027 Medicare Physician Fee Schedule works and what to track.
ICD-10 Change Center
The FY2027 ICD-10-CM update cycle and the October 1 effective date.
HCPCS Quarterly Update
How HCPCS Level II changes every quarter — Jan, Apr, Jul, Oct.
Tracking LCD Changes
How LCDs change across all seven MACs and how to track them.
2027 Prep Checklist
A free, printable checklist for the CY2027 fee schedule cycle.
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