The probe began after STAT and others reported on UnitedHealth's strategies to boost profits in Medicare Advantage.

The Medicare Inpatient Only (IPO) list details the procedures that Medicare will cover in an inpatient setting. The Centers for Medicare & Medicaid Services (CMS) releases the IPO list each year. The ...

Split (or shared) visits—the current term used by the Center for Medicare & Medicaid Services (CMS)—allow non-physician practitioners (NPPs) and physicians who work for the same employer/entity to ...

Auditors are paying special attention to isolation and quarantine coding amid already heightened Medicare nursing home audits that are expected to increase in coming months, experts warn. The ongoing ...

CMS will make significant changes to ASC and outpatient surgery reimbursement next year. In the 2026 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Final Rule, published ...

Please provide your email address to receive an email when new articles are posted on . If approved, the add-on code would be implemented in 2025. The add-on code could be applied to hospital ...

GOLDEN VALLEY, Minn.--(BUSINESS WIRE)--Preceptis Medical, Inc. announced today that the Centers for Medicare & Medicaid Services (CMS) has finalized the creation of a new add-on G code to identify and ...

Medicare reimburses doctors for the services they provide. The reimbursement rates may differ based on whether the services take place in a setting designated as a facility or a non-facility. The ...