Michigan's insurance regulator has issued new guidance for no-fault auto insurers handling home health care claims. On April ...

Objective: To examine the association between a health insurance plan offering a grocery assistance benefit to members with ...

This guide breaks down what separates enterprise-grade HME/DME billing platforms from glorified spreadsheets, which features actually move the needle on reimbursement rates, and how to evaluate ...

The OBBBA’s community engagement requirements will have a significant impact on the eligibility determination process. So will Constitutional due process safeguards. For over a half century, the US ...

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 ...

Donald Trump doesn’t think the federal government should fund childcare, Medicare, or Medicaid. At an Easter lunch reception at the White House Wednesday, the president told guests exactly what he ...

No matter which type of Medicare you carry — Original or Medicare Advantage — you may find yourself dealing with a preapproval or service denial. Claims can be denied for a variety of reasons, ...

One of the first things you want to do is get your doctor involved in the appeals process. Even if your first appeal fails, don't give up. There are places you can turn to for help with your appeal.

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 a ...

Overall, the data show a significant uptick in the volume of IDR cases and corresponding administrative costs. The Volume Of IDR Disputes (And Costs) Continues To Rise As reported by the Centers for ...