Outpatient orthopedics is projected to save billions for the overall healthcare system, and total knee replacement could play an important role, according to an updated analysis of the Ambulatory ...

CMS may have improperly paid $2.26M for virtual services, per HHS OIG audit recommending system edits and clearer billing guidance.

Medicare payment suspensions result in a cessation of payments for Medicare services until the suspension is resolved, typically several months after the initial action to suspend. Payments withheld ...

FTC settlement frameworks for major PBMs mandate transparency to plan sponsors, fee-based remuneration, limits on spread ...

Hospitals $1.6 trillion cost crisis stems from government policies driving consolidation and soaring prices, says Paragon Health Institute report.

The U.S. Attorney’s Office has filed a False Claims Act lawsuit against an Illinois physician for allegedly signing orders for medically unnecessary orthotic braces for Medicare beneficiaries she ...

Brentwood, Tenn.-based Surgery Partners’ acquisition of Preferred Vascular Group reflects larger trends across the ASC landscape as companies race toward scale and specialization. The ASC industry is ...

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As allegations of widespread hospice fraud in Los Angeles County continue to intensify, one physician has faced scrutiny after being tied to Medicare claims for thousands of patients across dozens of ...

Add Yahoo as a preferred source to see more of our stories on Google. As allegations of widespread hospice fraud in Los Angeles County continue to intensify, one physician has faced scrutiny after ...

See more of our trusted coverage when you search. Prefer Newsweek on Google to see more of our trusted coverage when you search. The Centers for Medicare & Medicaid Services (CMS) has finalized ...