However, the government decided to leave all those doctors and clinics that continued to treat their Medicare patients unpaid ...

An overwhelming number of Medicare providers and beneficiaries questioning their Medicare claims are waiting -- and waiting -- for a decision. The U.S. Government Accountability Office released a ...

If you disagree with a coverage or payment decision made by Medicare, you can appeal, and you’ll be happy to know that many ...

A CMS pilot program will require providers in six states to submit select Medicare services for AI-enabled prior authorization or post-service medical review.

Usually, a person or their healthcare professional must file a claim within a year of the person receiving care, but certain situations may extend timely filing. If Medicare rejects the claim, a ...

Medicare reimburses health providers for the services and equipment supplied to Medicare beneficiaries. The supplier is responsible for submitting the bill, also known as a claim, to Medicare for the ...

Medicare and Medicare Advantage coverage policies resulted in more than 5.6 million claim denials between 2014 and 2019, according to a new study published in the January issue of Health Affairs. For ...

Social Security and Medicare together provide a huge portion of the financial support that people need during retirement. Yet the rules for claiming benefits from the two programs are different, and ...

The former CEO of a healthcare software company was sentenced to 15 years in prison for conspiring to defraud Medicare of $1 billion.