On October 1, 2025, CMS provided guidance about claims processing and telehealth for Medicare fee-for-service but did not state how or if that guidance applied to MA. On October 10, 2025, CMS told MA ...

Around two in three physicians see Medicare reimbursement time as a “‘moderate’ issue or worse”, according to Medscape’s “Doctors Evaluate Medicare and Medicaid Report 2024,” published July 12. Some ...

CMS has released a request for information seeking input on replacing its Medicare claims processing system with a real-time, cloud-based platform. Under the program, called ClaimsCore, CMS is seeking ...

WASHINGTON — Health care costs are getting so high that prices are literally running off of the page. Medicare on a couple of occasions recently has had to deal with billing forms that don’t provide ...

Following reports that some CMS carriers were not recognizing the -PT modifier for ASC claims, the Ambulatory Surgery Center Association is reporting the carriers are now beginning to process these ...

McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. November 13, 2025 – The end of the longest government shutdown in US history is finally here, with ...

The Centers for Medicare & Medicaid Services (CMS) has issued new guidance for telehealth providers impacted by the government shutdown. While Congress stood at an impasse over the Affordable Care Act ...

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, ...

Oct. 09--Madison-based WPS Health Insurance is losing a federal contract it had since 1966, handling Part B Medicare claims in Wisconsin, Illinois and Minnesota, threatening jobs again at the company.