Physician Sentenced for $24M Medicare Fraud in Cancer Testing Scheme
Physician sentenced to seven years for $24M Medicare fraud involving unnecessary cancer genetic tests and durable medical equipment kickbacks.
CMS 2026 Updates Expand Community Health Integration Provider Eligibility and Initiating Visits
CMS's 2026 Physician Fee Schedule rule expands eligible providers and initiating visits for Community Health Integration services, enhancing behavioral health integration and reimbursement pathways.
Sheer Health Launches App to Simplify Health Insurance Navigation and Claims
Sheer Health introduces an app that helps patients and providers manage health insurance accounts, upload medical claims, and handle deductible and copay inquiries efficiently.
Illinois Physician Charged with Over $1M Medicaid and Medicare Fraud
Illinois physician faces multiple felony charges for stealing over $1 million in Medicaid and Medicare payments through fraudulent billing practices involving unlicensed medical services.
U.S. Files False Claims Act Complaint Over Medicare Genetic Test Billing
U.S. government files False Claims Act complaint against medical billing company for submitting false Medicare claims related to unnecessary genetic tests.
Ohio Health Providers Implement Fees for MyChart Messaging Amid Rising Costs
Ohio health providers like Central Ohio Primary Care begin charging fees for certain MyChart messages requiring medical expertise, reflecting broader trends in rising U.S. healthcare spending and telehealth service billing.
ACA Preventive Care Coverage Challenges Expose Patients to Unexpected Medical Bills
Explore challenges patients face with ACA preventive care coverage where diagnostic lab tests during annual checkups lead to unexpected bills. Understand insurer policies, site-neutral payment reform, and regulatory risks affecting U.S. health insurance and preventive services.
Medicare Pay Cuts Threaten Primary Care Access Amid Doctor Shortages
Medicare's ongoing pay cuts strain primary care physicians, intensifying doctor shortages and risking access to care for the growing senior population. Increased audits and complex billing compound challenges, pushing some doctors out of Medicare.