As health economists who have studied Medicare and the use of AI in prior authorization, we believe this pilot could save Medicare money, but it should be closely monitored to ensure that it does not ...

Usually, a person or their healthcare professional must file a claim within a year of the person receiving care, but certain situations may extend timely filing. If Medicare rejects the claim, a ...

Most U.S. health systems saw a reduction in elective procedures in the spring of 2020, which resulted in significant reductions in Medicare claims, according to a study from healthcare business ...

Dear Toni: I went to see my primary care doctor, and his office manager informed me that they are no longer accepting Medicare. I recently enrolled in Medicare and will have to pay the complete bill ...

Dear Savvy Senior: What steps do I need to take to appeal a denied Medicare claim? — Frustrated Retiree Dear Frustrated Retiree: If you disagree with a coverage or payment decision made by Medicare, ...

The Medicare telehealth flexibilities are set to expire on . Without Congressional action, Medicare coverage for telehealth ...

When Congress failed to pass a Continuing Resolution (CR) by September 30, 2025, a number of legislative payment provisions that have allowed broader Medicare coverage of telehealth services and ...

Medical offices bill insurance providers for clients' services. Learn what's involved, including HIPAA regulations, what to ...

I recently enrolled in Medicare. This week, I went to see my primary care doctor and his office manager informed me that they are no longer accepting Medicare. Instead, I will have to pay the complete ...

Due to changes that have gone into effect, including the Affordable Care Act revisions to the 2010 Medicare physician fee schedule and corrections to the MPFS, a large number of Medicare ...

This week, I went to see my primary care doctor, and his office manager informed me that they are no longer accepting Medicare. I recently enrolled in Medicare and will have to pay the complete bill ...