The Medicare Payment Advisory Commission, an independent federal agency that advises Congress on Medicare, is considering a recommendation to establish national guidelines for hospital emergency ...

Stephanie Wasek: From your perspective, what’s the immediate impact of the new Medicare payment system on ASCs? Caryl Serbin: For the most part, I think everybody is just really trying to get their ...

This article has been updated. Upcoding — when payers and providers assign inaccurate billing codes to increase reimbursement — cost an estimated $2 billion in 2014 in excess public payments to ...

A new inspector general report finds that Medicare Part C reimbursement to private insurers increased by $4.2 billion in 2023 for diagnoses from home visits despite leading to no additional treatment.

While enrollment in Medicare Advantage has increased over time and allows payers to offer extra benefits to beneficiaries, the program may be contributing to barriers and disruptions to care according ...

WASHINGTON, April 8 (Reuters) - The U.S. Medicare program's decision to put off altering payment rates for plans based on billing codes came as welcome news to insurers such as Humana Inc and ...

Auditors are paying special attention to isolation and quarantine coding amid already heightened Medicare nursing home audits that are expected to increase in coming months, experts warn. The ongoing ...