Kentucky-based Addiction Recovery Care is under fire in a civil lawsuit for allegedly fraudulently billing Medicaid for a service. A federal database shows ARC made up 20% of all payments for that ...

CMS is pursuing empiric fee-schedule accuracy in original Medicare (eg, validating procedure time assumptions) while rapidly expanding MSSP and CMMI pathways to move beyond unmanaged fee-for-service.

Commission's March report recommends 0.75% pay increase in 2027 for most docs who take Med ...

A new bill introduced in Congress this week could help doctors who provide care in office-based facilities stay open for business by bringing Medicare and Medicaid reimbursement rates more in line ...

Medicare Advantage—a popular system of competitive private health plans—can be greatly improved. Congress can do so by expanding benefit options for patients and enhancing the quality of patient care.

The physicians, nurse practitioners and physician associates who provide medical care in nursing homes do not work for the ...

Recent changes to Medicare physician payment will lead to near-term payment increases for ‘cognitive services’ such as those delivered by primary care providers and relative decreases for ‘procedural ...

A complete breakdown of APCM billing codes G0556, G0557, and G0558 - eligibility requirements, reimbursement rates, and ...

APCM vs. CCM: what every primary care practice needs to know before switching; rates, rules, revenue impact, and who ...

Some social media users misinterpreted the announcement and believed the moratorium was on patients receiving supplies, not the suppliers themselves.

This moment in Medicare’s evolution calls for a different kind of leadership. Mindful, disciplined leadership that will truly serve patients and providers.