The appeals process may seem daunting but can be highly effective.

Usually, a person or their healthcare professional must file a claim within a year of the person receiving care, but certain situations may extend timely filing. If Medicare rejects the claim, a ...

A bipartisan group of lawmakers, led by U.S. Sens. Catherine Cortez Masto,D-Nev., and Marsha Blackburn, R-Tenn., has introduced a new bill that would require Medicare Advantage plans to more quickly ...

A long-term care therapy provider has agreed to pay $315,000 to resolve allegations of causing the submission of false claims to Medicare at nursing facilities in Massachusetts.

This story was updated on July 30, 2024, to reflect a filing in the case by Atrium. Atrium Health is being sued by an insurance provider over claims of not supporting a Medicare program for patients, ...

Thomas Greene with his wife, Bluizer, at their home in Oxford, Pennsylvania. After Thomas had a procedure on his leg, the anesthesia providers billed Medicare late, and he was sent to collections for ...

The Centers for Medicare and Medicaid Services (CMS) has set an aggressive goal that by the year 2030 all Medicare beneficiaries with Parts A and B will be in a care relationship with accountability ...

CMS has finalized rules permitting designated organizations to share or sell claims data and analyses to providers, employers and other parties to use the information to improve care. The rule affects ...

The Centers for Medicare & Medicaid Services (CMS) recently announced they are phasing out fax machines and snail mail for ...

The AHA March 24 commented to the Centers for Medicare & Medicaid Services on upcoming requirements from the Consolidated ...