CMS system edits helped reduce Medicare overpayments to acute care hospitals for outpatient services provided to beneficiaries who were inpatients of other facilities, a report from the Office of ...
Today’s Medicare physician payment system is growing more and more unsustainable — putting both physicians and their patients at risk. Despite over a decade of fighting to reform the system, ...
Yet another glitch in Medicare system computers is starting to grab the attention of lawmakers. The latest problem involves Medicare taking extra money, sometimes for months in a row, from ...
Representatives from the newly-created department have been working at the Centers for Medicare and Medicaid Services (CMS), getting into the agencies’ payment and contracting systems, the Wall Street ...
On November 21, 2025, CMS made available the Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system final rule for calendar year 2026 ...
Medicare is a mess. Our federal politicians need to take a hard look at the big three entitlement programs, Medicare, Medicaid and Social Security, to find reforms to those programs so our nation does ...
In any career, 25 years of dedicated work is a lot to let go of. In medicine, it amounts to hundreds of patient relationships, and the blood, sweat, and tears that go into starting and maintaining a ...
Since the mid-2000s, the Medicare system has dramatically transformed. Enrollment in Medicare Advantage – the private alternative to the traditional Medicare program administered by the government – ...
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