The Centers for Medicare and Medicaid Services plans to modernize the claims system that contractors use to process and perform payment for hospitals that provide inpatient and outpatient services to ...

Dear Toni: I have a $2,000 doctor bill with a new cardiologist, and Medicare says it will not pay. I recently retired and enrolled in Medicare and a Medicare supplement for the freedom to pick my own ...

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If you see something, say something, e.g. doctors’ or companies’ names you’ve never heard of, equipment you didn’t order, ...

WASHINGTON — Health care costs are getting so high that prices are literally running off of the page. Medicare on a couple of occasions recently has had to deal with billing forms that don’t provide ...

The Centers for Medicare and Medicaid Services plans to issue a request for proposals in early November to update and maintain its medical claims processing system for Medicare Part B, which covers ...

Following reports that some CMS carriers were not recognizing the -PT modifier for ASC claims, the Ambulatory Surgery Center Association is reporting the carriers are now beginning to process these ...

Healthcare CFOs making underpayment analysis a top priority use AI tools to recover millions amid rising Medicare and commercial claim denials.

CMS issued a notice to providers and suppliers stating that it will include Qualified Medicare Beneficiary information in the Medicare Remittance Advice and Medicare Summary Notice. Here are five ...