The Medicare program continues to face long term financial pressures associated with inflationary effects on health care ...

Healthcare Associates of Texas LLC owes the government $16.5 million for improper Medicare billing in violation of the False Claims Act, but a statutory $300 million minimum penalty for the violation ...

To ensure physicians and healthcare facilities are paid correctly and consistently, payment guidelines are in place. RVUs ...

Recent data from Oregon’s public plan price cap suggest state and federal policy makers can control health care costs—if they ...

Prior authorization reforms, increased biosimilar access and the future of the Medicare drug price negotiation program are ...

Jennifer Lagemann is a former family caregiver, as well as a professional caregiver and administrator at home care agencies. She works as a writer and researcher, helping care providers create ...

After wheeling and dealing through tens of millions of dollars in alleged fraudulent medical billing during their ... took part in Gehrke and King’s Medicare fraud scheme, ordering grafts ...

Commissions do not affect our editors' opinions or evaluations. If you’re considering enrolling in a Medicare Advantage plan (also known as Medicare Part C) in California to meet your health ...

There are millions of older Americans who rely on Medicare for health coverage. And if you're retiring this year, you may be gearing up to enroll as well. But it's important to know the ins and ...

A B.C. Supreme Court judge has barred WestJet from telling travellers their reimbursement for meals and accommodations is capped. The ruling states that “passengers would suffer harm” if ...

But after repeated visits to a skin cancer centre she realised her clinic was using a questionable billing practice to charge her, and Medicare, more. "I felt really betrayed, and I felt like they ...

In such cases, a doctor may refer them to a skilled nursing facility (SNF). Medicare will cover temporary care in an SNF if a person meets certain criteria. To qualify for Medicare Part A coverage ...