Medicare

Bipartisan legislation targeting Medicare Advantage prior authorization has rare supermajority support.

From missed submission windows to overlooked bonuses, here is what MIPS participants need to review now to protect their Medicare payments.

Medicare could run out of money by 2033 and physicians could end up paying the price.

95% of practices say regulatory burden has grown over the past three years, according to MGMA's 2026 Regulatory Burden Report.

Prosecutors tackle fraud in health care, highlighting the importance of compliance programs and anti-retaliation measures to protect whistleblowers.

The 2026 Physician Fee Schedule enhances remote care with new billing codes and permanent virtual supervision.

Reimbursement inches up, but new efficiency rules and telehealth changes may leave independent practices feeling squeezed.

A recent court ruling affirms CMS's authority in Medicare Advantage ratings, highlighting compliance challenges for providers and the importance of interpreter availability.

On Medicare's 60th anniversary, President Harry Truman's eldest grandson joins the director of the Truman Library in Independence, Missouri, to reflect on Truman's vision, LBJ's 1965 signing and the program's lasting impact on U.S. health policy.

Susan Dentzer, president and CEO of America's Physician Groups, joins the show to talk Medicare reform and the specific proposals included in APG's latest report.

Ericka Adler, JD, of Roetzel & Andress, joins the show to discuss factors you should consider before selling your practice.

Norman K. "Kip" Beals III, MD, joins the show to discuss the evolving landscape of health care reimbursement — and how physicians can weather the storm.

While the public rages at payers, it's important not to forget Congress' role in the current state of health care.

A look at the effects on patient services if reduction happens in 2025.

With the right strategies, independent practices can ensure they are financially sustainable while continuing to provide high-quality care to their patients.

Recounting the steps that have brought healthcare to this state.

MGMA Senior Vice President for Government Affairs, Anders Gilberg, discusses some of what’s the organization is anticipated in the 2024 Physician Fee Schedule.

Higher administrative costs hurt providers, but technology can help.

If you’re feeling burned out, don’t let third-party payer demands drive you out of medicine.

Lawmakers tout spending plan, but medical groups respond with ‘dismay,’ say seniors’ health will be at risk.

The Medicare cuts are deeper than advertised.

Some telehealth provisions introduced to combat the COVID-19 pandemic have been continued until at least the end of 2023.

On December 2, 2020, CMS published new provisions and exemptions related to the Stark Law (85 Fed. Reg. 77492) and HHS-OIG published new provisions and safe harbors related to the Anti-Kickback Statute (AKS) (85 Fed. Reg. 77684.

Code accurately with the appropriate documentation to substantiate medical necessity.

Only a quarter of Medicare and Medicare Advantage recipients receive an annual wellness visit.