The U.S. Centers for Medicare and Medicaid Services (CMS) is updating its claims processing system to align with dental standards following its 2022 rule that expanded access to dental care by ...

The Medicare Advantage Prompt Pay Act, introduced in both chambers of Congress, is intended to offer more certainty to ...

A controversial new Medicare pilot program will introduce AI-driven prior authorization, with contractors paid to deny claims. Starting January 2026, the Wasteful and Inappropriate Services Reduction ...

Following reports that some CMS carriers were not recognizing the -PT modifier for ASC claims, the Ambulatory Surgery Center Association is reporting the carriers are now beginning to process these ...

MADISON, WI, July 10, 2023 (GLOBE NEWSWIRE) -- Flexion, a technology solutions provider, has won the Modern Claim Adjudication Development Services (MCADS) contract from the Centers for Medicare & ...

During Medicare’s “dark days,” medical providers can’t access Medicare for billing, eligibility verification, or questions about coverage. This may result in claim processing delays, which could ...

On July 13, 2021, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2022 proposed changes to the physician fee schedule. CMS devoted 25 pages of the proposed rule to ...

President Lyndon Johnson's 1965 passage of Medicare/Medicaid federal health care legislation set the stage for what has become one of Fargo's largest employers. Last year, Fargo-based Noridian ...

During Medicare’s “dark days,” medical providers cannot access Medicare systems for billing tasks, eligibility verification, or coverage-related inquiries, which may delay healthcare operations.

A person unsatisfied with Medicare’s decision on a coverage claim may fill out the Medicare redetermination form to request a review of the original claim decision. A person enrolled in Original ...