Tag: Medicare

Concerns Over Medicare Claims Review Practices by Noridian

ACR and RBMA address concerns over Noridian's Medicare claims review practices, urging exemptions for hospital-based radiology services to protect timely patient care.

Improve Healthcare Launches Comprehensive Health Insurance Resource

Discover Improve Healthcare's extensive online resource for Medicare and health insurance, offering tools and support for informed decision-making.

GAO Report on CMMI Performance: Challenges and Recommendations

Discover the GAO's latest findings on CMMI's performance, highlighting challenges in healthcare cost reduction, success rates, and recommendations for improvement.

Insurance Coverage Termination: A Cautionary Tale

Explore the cautionary tale of an insurance coverage error highlighting the importance of vigilance in premium payments and compliance with regulations.

Legislative Initiative to Revise Medicare Fee Schedule in N.C.

Explore the proposed Provider Reimbursement Stability Act aiming to revise Medicare fees & improve access to healthcare for underserved communities.

Federal Lawsuit Impacts Medicare Reimbursement for CBD Products

Explore the implications of the SAM lawsuit against Medicare's CBD pilot program and MMJ's commitment to FDA compliance for patient care.

New Compliance Guidance for Medicare Advantage Organizations

Discover the new voluntary compliance guidance from OIG for Medicare Advantage Organizations, focusing on compliance risks and adherence to federal regulations.

Decreasing Medicare Spending on Primary Care Physicians: Trends and Implications

Explore the decrease in Medicare spending on primary care physicians, implications for reimbursement, and strategies for improving compensation in the current system.

Toolkit for State Medicaid Agency Contracts Enhances Consumer Protections

Discover a new toolkit aiding policymakers in State Medicaid Agency Contracts, focusing on consumer protections and network adequacy for dual eligible populations.

Understanding Medicare Coverage Changes in 2026: Gaps & Planning for Beneficiaries

Discover key changes to Medicare coverage in 2026. Learn about gaps and financial planning for beneficiaries to manage out-of-pocket expenses effectively.