Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior ...

The federal government revealed new details Monday about how they recently took down a massive Medicare fraud operation that ...

The Centers for Medicare & Medicaid Services June 30 issued its calendar year 2026 proposed rule for the home health prospective payment system. This rule would reduce HH payments by an estimated 6.4% ...

The U.S. Centers for Medicare & Medicaid Services (CMS) released its CY 2026 home health final payment rule on Monday. The rule projects a 6.4% ...

Some spine procedures that are traditionally fee-for-service Medicare cases will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is ...

“It’s the exact opposite of how we should be helping people,” said Lister. “We should aspire to provide health care services ...

Opinion: Johns Hopkins' Stacey Lee says hospital boards can navigate Congress' reconciliation bill's legal quandaries by ...

Rather than waiting for stalled Congressional efforts to enact so-far elusive Medicare policy changes, states could pursue ...

RVUs were developed by the Center for Medicaid and Medicare Services (CMS) ... 99214-Moderate: 1.00: 1.07: 0.04: 2.21: Tables. Critical Questions to Ask Who are our customers?

The go-broke dates for Medicare and Social Security’s trust funds have moved up as rising health care costs and new ...

The purpose of this notice is to clarify the MaineCare Benefits Manual (MBM), Chapter I, Section 1, Rounding Rule. MBM Chapter I, Section 1.03-8 (J) advises how to apply the Rounding Rule when partial ...

The Centers for Medicare & Medicaid Services (CMS) is the federal agency that oversees health coverage programs like Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).