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 ...

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 ...

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 ...

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 & ...

Medicare paid providers for medical services that were authorized and also covered by the Veterans Affairs’ community care programs between January 2017 and December 2021. This led to duplicate ...

Dear Toni: I have a $2,000 doctor bill with a new cardiologist, and Medicare says it will not pay. I recently retired and enrolled in Medicare and a Medicare supplement for the freedom to pick my own ...

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 ...

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 ...