On November 25, 2025, the Centers for Medicare & Medicaid Services (CMS or the “Agency”) released the 2027 Medicare Advantage ...
The Centers for Medicare & Medicaid Services Dec. 15 published the Measures Under Consideration List for 2025. These are ...
A New York physician was sentenced to seven years in prison for his role in a scheme that resulted in more than $24 million in fraudulent claims to Medicare, according to an Oct. 23 Justice Department ...
Providers of healthcare in the US have increasingly been pushed aside and commoditized by hospitals and insurers. As such our healthcare payment system is deeply flawed, with high costs, unequal ...
The Growing Trend of OBGYN Clinics Partnering With Specialized Billing Services There is much that is involved in running an ...
CMS AI Playbook v4 mandates prompt safeguards and auditable data lineage for generative AI in hospitals. Non-compliance risks ...
A new KFF analysis reveals that retrospective chart reviews are a primary driver of risk-adjusted payments for Medicare ...
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