The agency quietly released a memo updating MA plans on how it’s approaching risk adjustment data validation audits after a ...

On January 26, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year 2027 Advance Notice of Methodological Changes ...

The Centers for Medicare & Medicaid Services (CMS) has been using prior authorization for selected Hospital Outpatient Department (OPD) services ...

The judge ruled with DTE and other energy companies in lawsuits with St. Clair County over its use of public health rules to ...

You either laugh at this one, or you cry,” Rep. Kyle Brown said. ” … So maybe it’s $20 million in a given year, and it’s been ...

Medicaid home visits before heat events are not associated with changes in emergency department visits among older adults during extreme heat, a study shows.

CMS, a Meriton operating company and HVAC manufacturer representative serving the Pacific Northwest, announced the ...

Medicare Agents Helpline the #1 Medicare Insurance Agents Directory is disrupting the online Insurance Medicare Marketplace by allowing seniors to use their free Medicare Agents Helpline Directory to ...

CMS released its 2027 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies, proposing a net average year-over-year payment ...

CMS says Medicare Advantage overpayment recoveries will begin soon, prioritizing audits from 2018 to 2024 and expanding medical coder support.

REMSleep Holdings, Inc. (OTCQB: RMSL), a developer of the FDA-cleared DeltaWave(TM) nasal pillow system, today announced that it has received Healthcare Common Procedure Coding System (HCPCS) ...

For five years, the Joint Budget Committee said transportation companies using vans for extra large wheelchairs were billing the state for a specialty ambulance.