June 21, 2019
After two years of negotiations, CMS on Monday announced new voluntary options for Inpatient Rehabilitation Facilities to settle disputes over denied Medicare Part A claims.
June 20, 2019
CMS on Monday proposed a rule intended to streamline Medicare Part D's electronic prior authorization process by circumventing certain HIPAA requirements.
June 19, 2019
Lawmakers and stakeholders during a Senate Health, Education, Labor, and Pensions Committee hearing Tuesday agreed steps must be taken to address so-called "surprise" medical bills, but they were divided over the best way to do so.
Despite some experts' calls to divert patients away from costly academic medical centers (AMCs), research demonstrates that AMCs might produce better patients outcomes—and might not cost as much as some policymakers fear, a trio of prominent health care experts argue.
June 17, 2019
HHS' Office of Inspector General earlier this month issued a fraud alert warning Medicare beneficiaries about an alleged ongoing scam involving genetic testing.
June 14, 2019
Nursing facilities often fail to report serious cases of potential abuse and neglect of Medicare beneficiaries, according to two new reports from HHS' Office of Inspector General.
American Health Line rounds up the latest health care news in the states.
June 11, 2019
CMS on Thursday issued a request for information seeking new recommendations on how the agency can continue to help reduce administrative burdens on providers and lower health care costs.
June 10, 2019
An estimated 250,000 Medicare beneficiaries can expect to get bills for up to five months of premiums they likely thought already had been paid, but had not because of a "processing error" that occurred in January, according to the Social Security Administration.
June 4, 2019
The Supreme Court in a 7-1 decision has upheld a lower court ruling that CMS improperly changed Medicare's disproportionate-share hospital payment formula.
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