A HHS study found physicians are still improperly billing Medicare enrollees for services of which they should be exempt, according to The New York Times. 1. Despite official warnings about fines or ...

One of the most challenging billing compliance issues ophthalmology practices encounter in coding and reimbursement is understanding when services provided on the same day as a surgical procedure are ...

medicare card money Respondents overwhelmingly said Medicare indirect billing is antiquated, but considerable debate exists over the 85% reimbursement rate for NPs and PAs. The results are in. We ...

Participating in clinical trials can leave health care providers vulnerable to false claims liability if Medicare rules are not closely followed. This publication reviews settlements involving ...

The Centers for Medicare and Medicaid Services changes how it pays medical providers after a billing scheme for catheters tried to scam Medicare out of more than $3 billion. >> IT WAS A MASSIVE ...

There's no stopping Mary Higgins. The 95-year-old Wilmington, Delaware, resident lived in her own apartment and, with the help of her dear friend of 50 years, Regina Titus, mostly took care of herself ...

The proposed new Medicare billing codes in the proposed Physician Fee Schedule (PFS) for 2025 include three specific codes for digital mental health treatment (DMHT) relating to professional services ...

AUSTIN (KXAN) – Following a KXAN investigation into improper Medicare billing allegations leveled against a San Antonio medical supply company, numerous other viewers emailed tips alleging identical ...

When billing Medicare for ophthalmology providers, it’s crucial to be aware of what intraocular lenses items and services Medicare covers, according to Four Seasons Healthcare Consultants CEO Betty ...

Billing for nurse practitioner (NP) services is a complex jumble of rules, policies, laws, and exceptions. Those who employ NPs have billing options, but it can be hard to determine what is best for ...

Top federal officials are stepping up scrutiny for doctors and hospitals that may be cheating Medicare by using electronic health records to improperly bill the health plan for more complex and costly ...

Most often, Dr. Dennis Cantu’s patients have serious illnesses or other complex medical conditions that require lengthy office visits. At least that’s what Cantu reported to Medicare two years ago ...