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 ...

The main difference between MedPAC and CMS estimates of uncorrected coding intensity is that MedPAC’s estimate accounts for the upward trend in coding intensity.

The proposed new Medicare billing codes in the proposed Physician Fee Schedule (PFS) for 2025 include three specific codes for digital mental health treatment (DMHT) relating to professional services ...

Responding to criticisms lodged against an otherwise popular program among seniors, Senators Bill Cassidy, M.D. (R-LA) and Jeff Merkley (D-OR) introduced a bill to improve the way Medicare Advantage ...

The Biden administration has finalized a rule targeting fraudulent billing in Medicare’s largest value-based care program, after concerning reports of spiking spending on urinary catheters. The ...

Is Medicare indirect billing outdated? Experts discuss the often hidden phenomenon of indirect billing of NPs and PAs and whether the 85% reimbursement rate for APPs is equitable. Indirect billing for ...

medicare card money Respondents overwhelmingly said Medicare indirect billing is antiquated, but considerable debate exists over the 85% reimbursement rate for NPs and PAs. The results are in. We ...

AUSTIN (KXAN) – Following a KXAN investigation into improper Medicare billing allegations leveled against a San Antonio medical supply company, numerous other viewers emailed tips alleging identical ...

CMS isn’t just tweaking ASC policies in 2026; it’s remolding the financial and regulatory foundation of outpatient surgery. From a major expansion of procedures allowed in the setting to the phaseout ...

Prolia (denosumab) is a medication for osteoporosis. A healthcare professional administers Prolia via injection under the skin every 6 months. Medicare covers Prolia for beneficiaries. Since a ...