Anesthesia leaders say a convergence of workforce instability, reimbursement pressure and cultural strain is pushing the specialty toward an inflection point. From staffing models and pay inequities ...

The medical billing process can be complicated. Follow this step-by-step process to ensure you do it correctly.

The House Energy and Commerce Subcommittee on Health held a hearing ( Jan. 8 to discuss legislation on Medicare payment policies for seniors, including the AHA-supported Reforming and Enhancing ...

In recent days, Inspire Medical Systems has been hit by Medicare contractors Noridian and CGS unexpectedly removing CPT code 64568 for hypoglossal nerve stimulation, forcing providers toward an ...

The Centers for Medicare and Medicaid Services has formally resolved uncertainty surrounding Medicare telehealth claims that were disrupted during the recent federal government shutdown. In updated ...

The Centers for Medicare & Medicaid Services has implemented an online form for providers to submit complaints regarding Medicare Advantage plans.

CMS has proposed two mandatory Medicare drug pricing models: the GLOBE Model (for Part B drugs) and the GUARD Model (for Part D drugs). Both models would link Medicare drug rebate calculations to ...

Julia Kagan is a financial/consumer journalist and former senior editor, personal finance, of Investopedia. Medicare and Medicaid fraud costs taxpayers over $146.5 billion annually. Fraud includes ...

With federal enforcement intensifying and new compliance expectations on the horizon, physicians may face higher legal and financial exposure in 2026, according to a report from The post highlighted ...

Lorraine Roberte is an insurance writer for Investopedia. As a personal finance writer, her expertise includes money management and insurance-related topics. She has written hundreds of reviews of ...

The additional Medicare tax is a 0.9% tax on taxpayers who make over $200,000 as individuals or $250,000 as married couples. Started in 2013 as part of the Affordable Care Act, it helps fund care for ...

Claim scrubbing is the process of verifying that a medical claim's codes are accurate. Learn how code scrubbing works and ...