Victoria Advocate

Medicare Moments: Doctor no longer accepts Medicare…how do I file a medical claim?

I recently enrolled in Medicare. This week, I went to see my primary care doctor and his office manager informed me that they ...
Health Affairs

Medicare Advantage Denies 17 Percent Of Initial Claims; Most Denials Are Reversed, But Provider Payouts Dip 7 Percent

Boris Vabson ([email protected]), Harvard University, Boston, Massachusetts. Andrew L. Hicks, Harvard University. Michael E. Chernew, Harvard University. Policy makers have been paying increasing ...
Becker's Hospital Review

Medicare to Start Denying Certain Claims Without Provider Identifier

CMS will deny certain Medicare claims that don’t contain a valid national provider identifier for the ordering or certifying healthcare professional starting Jan. 6. The new practice will affect ...
American Hospital Association

CMS issues RFI on effort to revamp Medicare claims system

The Centers for Medicare & Medicaid Services has released a request for information seeking input on replacing its Medicare ...
Healthcare Finance News

Bipartisan bill would accelerate Medicare Advantage payments to providers

A bipartisan group of lawmakers, led by U.S. Sens. Catherine Cortez Masto,D-Nev., and Marsha Blackburn, R-Tenn., has introduced a new bill that would require Medicare Advantage plans to more quickly ...

AI will help process Medicare claims. Oklahomans worry they'll be denied care

A new AI tool is being tested in Oklahoma to process prior authorizations in Medicare. These Oklahomans say they're worried.
Becker's Hospital Review

5 Points on Claims Submissions and Medicare Secondary Payors

All Medicare hospitals, physicians and other providers are responsible for correctly identifying the primary payor of every patient, and there are certain steps every provider should take when a ...