2024 report shows skilled nursing improper payments at 17.2%, double Medicare average. Strong compliance and thorough documentation crucial to avoid audits and fraud allegations.
The Protecting Free Vaccines Act mandates free vaccine coverage across private insurance, Medicaid, and Medicare to ensure no-cost vaccines recommended by ACIP remain accessible to insured Americans.
Senate Democrats propose restoring Medicaid funding and extending ACA subsidies to prevent a government shutdown as Congress faces a critical October 1 funding deadline. Explore implications for U.S. health insurance and federal budget policy.
Congressional hearing explores policies to enhance Medicare coverage and transparency for breakthrough medical technologies, aiming to improve senior access and healthcare outcomes.
OIG finds nursing homes underreporting major injury falls affecting accuracy of CMS Care Compare data; CMS to enhance compliance and reporting measures.
Explore financial assistance programs like Medicare Savings Program and Extra Help that help Medicare beneficiaries manage out-of-pocket healthcare costs and prescription drug expenses.
Medicare audits are becoming more frequent and aggressive, leading to inflated repayment demands. Learn how statistical challenges, independent coding reviews, and specialty expertise can protect healthcare providers from exaggerated audit outcomes.
The U.S. House advances legislation ensuring Medicare coverage for FDA-authorized breakthrough medical technologies, boosting patient access and streamlining approval processes.
Medicare covers short-term skilled nursing care but excludes long-term custodial care in nursing homes. Insurance professionals must understand coverage nuances, eligibility, and alternative financing options including Medicaid and long-term care insurance.
The AHA backs legislation to extend Medicare waivers for hospital-at-home programs, aiming to improve care quality and cost efficiency under new healthcare bills reviewed by Congress.
