Durable medical equipment (DME) such as CPAP machines and hospital beds helps keep many patients out of expensive nursing home care and in their own homes. Unfortunately, creating the right payment ...
Medicare is a tempting prize for scammers. Because it's a public program funded by taxpayers, it has a huge budget to distribute and that's what attracts scammers. In 2024, improper payments added up ...
The Centers for Medicare & Medicaid Services on Monday updated its nursing home staffing campaign website for the first time since January, revealing that the program’s major incentives won’t be ready ...
The Centers for Medicare & Medicaid Services (CMS) uses coverage determinations to decide how Medicare should cover treatments, services, and items. These rules usually apply nationwide. The CMS ...
The program, called WISeR, aims to reduce wasteful spending and fraud in the Medicare system. Doctors and Democrats have raised concerns that the pre-approval process could delay or deny necessary ...
Healthcare groups are reacting to CMS’ proposed 2026 Physician Fee Schedule mainly with concern, arguing that it needs significant revisions in order to avoid destabilizing providers and undermining ...
The CMS will soon make it more difficult for providers in six states to get reimbursed in Medicare for certain medical procedures it has deemed “low value,” but some stakeholders worry it could lead ...
During a regular office visit, one of Dr. Nancy Keating’s patients mentioned that a UnitedHealth Group representative had recently dropped by her home. The sixty-something patient belonged to a ...
To review your Medicare lien — including the payments Medicare covered for your medical care related to an injury caused by a third party — log in online or call the Benefits Coordination & Recovery ...
CMS on Sept. 15 released new details on how states can apply for the $50 billion Rural Health Transformation Program. 1. Applications are due Nov. 5. States have until Nov. 5, 2025, to apply. There ...
Doctors — especially specialists — are pushing back against proposed changes to Medicare payment that would tamp down on reimbursement next year. Medicare’s proposed physician fee schedule for 2026 ...
CMS proposed in July to expedite its payment reduction for some 340B items and services until it recoups $7.8 billion. Hospital systems are pushing back. To compensate for underpayments in the 340B ...
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