Medicare/CMSMedium ImpactAdministrative

2026-02-12 - Short-Term Acute Care Hospitals: Staff End Users Can Now Access PEPPERs

Published February 12, 2026Effective March 1, 2026

AI Summary

CMS has made several updates including allowing hospital staff to access PEPPER reports, transitioning CLIA certificates to electronic-only format after March 1, 2026, and clarifying billing requirements for global surgery reporting and optometry services at nursing facilities.

Action Required

By March 1, 2026: Laboratories must switch to electronic CLIA fee coupons and certificates by emailing their state agency or contacting their Accreditation Organization. Stop accepting paper versions and transition to online fee payments only. For practices with 10+ practitioners in FL, KY, LA, NV, NJ, ND, OH, OR, or RI: ensure accurate reporting of postoperative visits for global surgery codes. Review optometry billing at nursing facilities to ensure E/M services meet Medicare complexity requirements.

Affected Billing Codes

E0465

Plan Types

Traditional Medicare

States

FL, KY, LA, NV, NJ, ND, OH, OR, RI

Specialties

laboratory, ophthalmology, optometry, all-specialties