Tag: Medicare

Medicare Genetic Testing Fraud Nets Prison Time and $7.2M Restitution

Patrick Moore Jr. sentenced to 46 months for Medicare genetic testing fraud, highlighting ongoing challenges in healthcare compliance and anti-kickback enforcement.

Medicare Part D Enrollment, Costs, and Coverage Details for U.S. Seniors

Understand Medicare Part D enrollment deadlines, costs, coverage tiers, and out-of-pocket caps for seniors. Learn how to avoid penalties and manage prescription drug expenses effectively.

TRICARE For Life Claims Filing Process Explained for Healthcare Providers and Beneficiaries

A clear guide for TRICARE For Life beneficiaries on when and how to file healthcare claims with Medicare and WPS, including overseas claim procedures and documentation requirements.

Medicare Payment Reform Bill Aims to Index Physician Fees to Economic Conditions

The Strengthening Medicare for Patients and Providers Act proposes indexing Medicare physician payments to the Medicare Economic Index to reflect economic realities and stabilize reimbursement.

CMS Permanently Updates "Incident To" Physician Supervision Rule for Medicare Billing

CMS has permanently updated the Medicare "incident to" supervision rule, allowing virtual physician supervision for billing, changing longstanding Medicare billing compliance requirements.

Medicare 2026 Enrollment Deadline Approaches: Key Insights for Insurance Stakeholders

Medicare open enrollment for 2026 ends Dec 7. Learn how Medicare Advantage plans benefit seniors and impact insurance providers and payers.

NYU Langone Health Joins Lawsuit Challenging Medicare DSH Funding Cuts

NYU Langone Health and other hospitals sue HHS over Medicare DSH funding changes that reduce federal support for low-income patient care, challenging retroactive rule application and regulatory process.

HHS-OIG Recommends CMS Recover Overpayments and Improve Billing Controls

HHS Office of Inspector General urges CMS to recover $3 million in overpayments and enhance billing accuracy through improved claim reviews and system edits to ensure regulatory compliance.

Medicare Dental Coverage Options and Limitations Explained for 2026

Explore Medicare dental coverage in 2026, including limitations of Parts A and B, options through Medicare Advantage, and types of dental plans compatible with provider networks.

Review Medicare Plans Annually to Align Coverage with Changing Needs

Annual Medicare plan reviews are essential to adapt to changes in benefits, costs, and provider networks for optimal coverage.