The Centers for Medicare & Medicaid Services will retroactively pay claims for telehealth services provided during the government shutdown through Jan. 30, the agency said in an updated FAQ Nov.

Medicare payments for continuous glucose monitors (CGMs) and supplies exceeded supplier acquisition costs by $377 million (or 69%) and their total estimated costs by $70 million (or 8%) ...

The Trump administration has finalized the rule that sets government payments to hospital outpatient facilities and ambulatory surgical centers, including a 2.6% rate bump for each. | The Trump ...

Medicare physician payment data reveals more than 1,000 hospitalists — primary care physicians providing hospital-based services — billed Medicare more than five times the average amount in 2012, ...

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 ...

Waltham, Mass.-based Alere, a medical diagnostics products company, is defending allegations from CMS that its subsidiary, which specializes in providing diabetic testing supplies to customers by mail ...

On Sept. 24, CMS issued a final ruling to address “significant, anomalous and highly suspect” billing activity on the Medicare Shared Savings program to mitigate financial impacts for Accountable Care ...

Summary: On September 24, 2024, the Biden administration issued a final rule designed to address suspicious billing for durable medical equipment that may have cost the Medicare program more than $2 ...

The U.S. Centers for Medicare and Medicaid Services (CMS) has added several new oral health billing codes for Medicare, and one U.S. legislator wants states notified so they consider making similar ...

The Centers for Medicare and Medicaid Services changes how it pays medical providers after a billing scheme for catheters tried to scam Medicare out of more than $3 billion. >> IT WAS A MASSIVE ...

Ohio Attorney General Dave Yost says the suspects used inflated hours, bogus visits and other schemes to defraud the state.