Sen. Bill Cassidy (R-LA), chairman of the Senate health committee, sent the American Medical Association a list of questions ...

In the Deficit Reduction Act of 2005, Congress gave the Centers for Medicare and Medicaid Services (CMS) the statutory authority and obligation to implement a “coding intensity adjustment” for ...

Most Medicare beneficiaries in Parts A and B are expected to be enrolled in Medicare Advantage plans by next year, but spending on the plans is going to continue to outpace traditional fee-for-service ...

1. Does Medicare Already Cover Remote Patient Monitoring? Yes. Even before the new codes, Medicare already offered separate reimbursement for RPM services billed under CPT code 99091. That service is ...

The legislation aims to reduce overpayments to Medicare Advantage (MA) plans. A pair of U.S. Senators have put forth a bill to oppose upcoding in MA by eliminating incentives for plans to overcharge.

Medicare overpaid just 15 optometrists serving nursing home residents an estimated $3 million over three years for low-level ...

The Department of Health and Human Services (HHS) is examining risk adjustment tactics that have led to overpayments to some Medicare Advantage plans, Secretary Xavier Becerra told reporters Friday.

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 ...

Parts of the Medicare Advantage program — essentially, private Medicare plan options — are ripe for reform, former and current top Medicare officials said Wednesday. One of the most abused areas is ...

WASHINGTON – Complex rehab technology (CRT) stakeholders were pleasantly surprised when CMS recently removed the ICD-10 ...