Both the use of next-generation sequencing (NGS) testing for cancer and the rate of claim denials for such testing increased between 2016 and 2021, despite implementation of a recent Medicare national ...

Medicare Advantage is the dominant Medicare delivery system, now covering 54% of all Medicare enrollees. With the increase in enrollment and ...

Activists affiliated with Robert F. Kennedy Jr. are selling a “measles treatment and prevention protocol” for hundreds of ...

The Trump administration and 119th Congress are preparing to reduce federal expenditures by targeting Medicare and Medicaid fraud, waste, and ...

MSP Recovery, Inc. (NASDAQ: MSPR) (“MSP,” or the “Company”), a Medicare, Medicaid, commercial, and secondary payer reimbursement recovery and technology leader, announced financial results for the ...

Health insurance companies are under increasing scrutiny for allegedly using artificial intelligence bots and algorithms to swiftly deny patients routine or lifesaving care— without a human actually ...

IRS Form 941, also known as the Employer's Quarterly Federal Tax Return, is used when businesses report the income taxes, payroll taxes, Social Security, and Medicare taxes withheld from their ...

Medicare considers ostomy bags and related supplies as prosthetic devices. This means Medicare should cover them as long as they’re ordered by a doctor or other healthcare professional who works ...

After your doctor or healthcare team submits the claim to Medicare, along with supporting medical reports, a medical administrative contractor for durable medical equipment will review the claim ...

So far this year, lawmakers in more than a dozen states are considering measures that would, for example ... Medicare and Medicaid plans create a streamlined electronic process for reviewing ...

As part of its AI pivot, UnitedHealthcare runs a profitable side business subcontracting NaviHealth to other Medicare Advantage providers, which have seen similar spikes in denial rates. Denial rates ...