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2026-04-16 - CMS Launches First Wave of HealthTech Ecosystem Tools, Fast-Tracking a Fully Digital, Patient-Centered Health System
Act
by May 11, 2026
Effective date
May 11, 2026
Identified
Apr 16, 2026
Summary
CMS launched new digital health tools and requires providers to enroll third-party vendors for Medicare eligibility checking by May 11. Multiple billing updates include new ASC payment codes, hospital billing processes, and therapeutic shoe documentation requirements.
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What to do
by May 11, 2026 · 4 steps
01If using third-party vendors for Medicare eligibility checking, billing team must enroll each vendor with CMS HETS system by obtaining vendor's unique ID and linking it to your NPI.
02Visit HETS EDI enrollment page to complete process.
03Failure to enroll will disrupt eligibility verification services.
04Alternative: Use Medicare Administrative Contractor's secure portal for direct eligibility checks.
Codes mentioned
G0136C1824C1898K1030
Original notice
2026-04-16 - CMS Launches First Wave of HealthTech Ecosystem Tools, Fast-Tracking a Fully Digital, Patient-Centered Health System
cms.gov · Always check the source before changing claims.
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