Major physician groups and specialists commented in droves that regulators missed the mark on the Medicare physician fee ...

The Centers for Medicare and Medicaid Services (CMS) has set an aggressive goal that by the year 2030 all Medicare beneficiaries with Parts A and B will be in a care relationship with accountability ...

Some physician groups are unhappy with the proposed changes to the Medicare Physician Fee Schedule for 2026 that the Centers for Medicare & Medicaid Services (CMS) announced Monday. The fee schedule ...

The Centers for Medicare & Medicaid Services (CMS) have released significant updates affecting Medicare payments for 2025. The changes, outlined in two final rules, will impact both physicians and ...

Physicians are asking for greater certainty around Medicare reimbursement, arguing that compounding payment decreases over ...

Medicare Original's historic freedom is set to change. Starting January 1, 2026, prior authorization will be required for ...

A HHS study found physicians are still improperly billing Medicare enrollees for services of which they should be exempt, according to The New York Times. 1. Despite official warnings about fines or ...

Ohio is one of six states what will be testing a program using artificial intelligence to weed out inappropriate Medicare ...

The Centers for Medicare & Medicaid Services (CMS) have unveiled a series of significant updates for Medicare Advantage, ...

The additional red tape could save money, but may harm patient access and quality of care. Stakeholders are urging the CMS to ...

With skilled nursing improper payment rates more than double the overall rate for Medicare, nursing homes must remain ...

A Medicare nonparticipating provider is a healthcare professional, facility, or supplier that doesn’t accept Medicare assignment in all cases and may charge more than the Medicare-approved amount for ...