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Changelog

Stay up-to-date with the latest platform enhancements, new Prospective Payment System (PPS) modules, API capabilities, and data viewer features released in Bedrock Billing.

June 26, 2026 — Q3 2026 I/OCE Updates Released 🏥

  • [UPDATE] Q3 2026 I/OCE Release: The Bedrock Billing API and Web UI have been updated with the latest release of the CMS IOCE editor for Q3 2026 (v27.2) and are live in production to support July 1st, 2026 effective dates. This update notably integrates CMS's new Java modules for the IOCE and OPPS Pricer, ensuring robust and highly accurate claim calculations. For a comprehensive overview of the significant billing impacts, new edits, and logic refinements contained in this release, check out our newly added Q3 2026 I/OCE Update Documentation.

June 1, 2026 — Q3 2026 NCCI Updates (PTP & MUE Edits) 📋

  • [UPDATE] Q3 2026 NCCI Edits: The Bedrock Billing platform has been updated with the latest Q3 2026 CMS National Correct Coding Initiative (NCCI) reference datasets, effective July 1, 2026. The new data files have been loaded and are live in the claims validation backend.
  • Medicare PTP (Procedure-to-Procedure) Edits: Updated to Version 32.2 r0 for both Practitioner and Facility databases, incorporating the latest CMS code-pair validation logic.
  • Medicaid PTP Edits: Updated with the Q3 2026 releases covering Practitioner, Facility, and DME services to prevent improper Medicaid billing.
  • Medicare MUE (Medically Unlikely Edits): Loaded with the latest units-of-service limits for Practitioner, Facility, and DME supplier services. All updated NCCI records are accessible via the reference data viewers in the Web UI and through the MUE Data API and PTP Data API endpoints.

March 30, 2026 — Q2 2026 I/OCE Updates Released 🏥

March 24, 2026 — Hospice & I/OCE Fee Schedule Pricing 🏥

  • [NEW] Hospice Fee Schedule Pricing: The Myelin processing engine now supports simultaneous processing of Hospice claims alongside the Integrated Outpatient Code Editor (I/OCE) with native fee schedule pricing.
  • Specifically, this addresses CMS logic where the I/OCE remaps Status Indicator M to A for services billed with Revenue Code 0657, making them eligible for fee schedule pricing rather than bundling or rejection.
  • You can enable this new pricing logic automatically by requesting both ["HOSPICE", "IOCE"] in your /myelin/process/pps modules array, and setting the price_fee_beta: true flag in the claim's additional_data object.

March 20, 2026 — PFS Single-Call Calculator & QP Differential Pricing 🧮

  • [NEW] Localized PFS Rate Calculator Endpoint: We've introduced a powerful new API endpoint (GET /fee-schedules/pfs/calculate) that resolves a provider's NPI to their geographic practice location and outputs their fully localized facility and non-facility Physician Fee Schedule rates in a single call. No more chaining NPI lookups, ZIP code mappings, and GPCI manual math!
  • [ENHANCEMENT] QP vs. Non-QP Differential Pricing: The Fee Schedule API and Data Viewers have been upgraded to support the new CMS differential conversion factors for Qualifying APM Participants (QP).
  • The API search endpoint now includes a price_indicator parameter (1 for QP, 9 for Standard). By default, all backend calculations (e.g., claims processing) and API searches will fallback to standard/non-QP pricing, ensuring 100% backward compatibility.
  • The Fee Schedule Data Viewer now features a "Pricing" column visually distinguishing QP rates from Standard rates.

March 12, 2026 — Provider Alerts 🔔

  • [NEW] Provider Alerts: Track material changes to specific CMS Provider facilities and receive automated alerts when important data shifts (e.g., Wage Index, Capital Cost-to-Charge Ratios). Check out the new guide on Provider Alerts.

March 4, 2026 — V1.0.0 Release 🚀

🎉 Bedrock Billing is officially live!

We are thrilled to announce the public launch of the Bedrock Billing platform! This foundational V1.0.0 release delivers a modern, high-performance Medicare claims processing and payment calculation engine built for the next generation of healthcare operations.

Release Highlights:

  • [NEW] Developer API: A robust, RESTful Medicare PPS API designed for seamless integration into existing EHR and billing platforms, supporting real-time calculations and zero-friction batch claim operations.
  • [NEW] Web Application: An intuitive interface for revenue cycle teams to manually process claims, test scenarios, and directly query CMS reference datasets (Fee Schedules, MUEs, DRG Tables, Localities).
  • [NEW] Extensive PPS Support: Out-of-the-box calculation support for Acute Inpatient (IPPS), Outpatient (OPPS), ASC, IRF, LTCH, SNF, ESRD, Hospice, IPF, and Home Health.
  • [NEW] Custom Contract Engine: Tools to build custom DRG tables, define custom fee schedules, set up IOCE bypass rules, and manage provider-specific overrides to match your exact proprietary payer contracts.

Looking for our detailed technical roadmap? Contact us at [email protected]. Last updated: June 2026