Filling out the CMS-1500 form accurately is key to faster reimbursements and fewer denials for outpatient medical providers. From patient intake to coding and submission, every detail matters in ...

The UB-04 claim form is the backbone of institutional medical billing, but even small mistakes can stall payments and hurt cash flow. From incorrect codes to missing patient details, errors increase ...

Key Takeaways - The Eleventh Circuit recently upheld a surgeon’s conviction, prison sentence and forfeiture for false ownership disclosures on ...

The U.S. Centers for Medicare & Medicaid Services said on Wednesday it has extended key application deadlines for ​drugmakers ...

The Centers for Medicare & Medicaid Services (CMS) has announced that its temporary program to cover GLP-1 drugs for obesity in Medicare.

AND ARE THEY LEGIT? CONSUMER INVESTIGATOR BRIAN ROCHE HAS THE ANSWER, SO IT’S NOT UNUSUAL FOR CMS, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES TO SEND PEOPLE NEW CARDS WITHOUT TELLING THEM WHY. BUT ...

In an effort to remove what it considers burdensome and unnecessary rules, the Centers for Medicare & Medicaid Services (CMS) finalized a package of polices for Medicare Advantage (MA) plans for 2027 ...

Following significant industry outcry over a proposal to keep Medicare Advantage rates largely flat in 2027, the Trump administration has bumped payments up slightly in the final policy. The Centers ...

Most people, with any luck, will never need to concern themselves with a Medicare Set-Aside (MSA), also called a Workers' Compensation Medicare Set-Aside Arrangement (WCMSA). But if you ever ...

CMS is raising Medicare Advantage payments by 2.48%, or more than $13 billion, according to its finalized 2027 rate announcement. The agency said April 6 that when estimated risk score trends in MA ...

Journal Editorial Report: The week's best and worst from Kim Strassel, Kyle Peterson, Allysia Finley and Dan Henninger. Photo: Damian Dovarganes/Associated Press The Trump Administration is ...

For the last decade, nephrology practices have navigated kidney care focused Center for Medicare and Medicaid Innovation (“Innovation ...