More than half of all seniors in Medicare obtain health insurance from a private Medicare Advantage plan. Yet many on the ...

UCHealth has settled a federal fraud case with the U.S. Department of Justice for $23 million after being accused of ...

Harel Deutsch, MD. Co-Director of the Rush Spine Center (Chicago): The drastic increase in patients with Medicare Advantage plans has been a nightmare. Getting authorization with Medicare is simple, ...

GOP lawmakers have likened the new drug negotiation law to "government price controls" reducing drug companies' research into ...

Lincare, the nation’s largest distributor of home oxygen equipment, has repeatedly violated Medicare rules and probation ...

Australians who have had surgery in private hospitals are being urged to check their bills after a whistleblower alleged ...

The University of Colorado Health agreed to pay $23 million to resolve allegations of violating the False Claims Act by ...

FFS is built on billing codes to identify diagnoses, procedures, services, and equipment. Medicare determines how much is paid for each code. In BCPI models, one group or organization is ...

CNSs bill Medicare under Part B. Part B payments are administered by Medicare Carriers, which are local companies under contract with CMS. How does a psychiatric CNS determine whether he or she ...

Q: My biller is requesting a HIPPS code for a Medicare resident who was admitted to our SNF, then transferred to assisted living on the same day. I didn’t think we could bill for the day of ...

On October 31, the CFPB and Centers for Medicare & Medicaid Services issued a joint statement reminding Medicare providers, Medicare Advantage ...

I’ve been hearing a lot about Medicare Advantage. What is it? Medicare Advantage plans, managed by private insurance ...