Regulatory false starts” occur when investments in compliance infrastructure, operational workflow redesign, technology ...

Anesthesia reimbursement has been eroding for years, but the pace of payer-driven policy changes has accelerated sharply since 2023. “Continued decrease in reimbursement certainly puts a strain on ...

On June 23, 2026, the Department of Justice announced the 2026 National Health Care Fraud Takedown, which it described as the ...

Every July, the Centers for Medicare & Medicaid Services (CMS) publishes two proposed rules, the Physician Fee Schedule (PFS) proposed rule and ...

The Trump administration is closing a loophole that drugmakers could use to avoid negotiations when they add active ...

A rule currently under review promises to “enhance direct patient care by modernizing the Conditions of Participation ...

CMS has spent the past three years systematically expanding colorectal cancer screening coverage — adding new modalities, eliminating patient cost-sharing and lowering the eligible age. For ...

Medicaid payment error rates under H.R. 1 could rise due to work requirements and other changes that make eligibility ...

Modifiers make life in Mina the Hollower much easier — or much harder, if that's what you prefer. You can use modifiers to jump higher, lose fewer bones, burrow infinitely, deal more damage, deal less ...

You’re eligible for Medicare when you turn 65 or potentially earlier if you’re receiving Social Security Disability Insurance. Your costs will depend on your income and work history. You can qualify ...

CMS proposes paying 340B-acquired drugs at ASP minus 33.4% starting CY 2027, replacing ASP plus 6%, based on survey findings that acquisition costs are well below ASP. Projected 2027 impact includes ...

Medicare tax is taken out of your paycheck to pay for Medicare Part A, which covers hospital stays for seniors and people with disabilities. The total Medicare tax amount is split between employers ...