Today the U.S. House of Representatives passed the Senate’s version of the budget reconciliation legislation, which includes a one-year 2.5% increase for the proposed 2026 Medicare Physician Fee ...

The so-called "One, Big Beautiful Bill," spanning over 900 pages, includes the largest cuts to Medicaid in the program's 50-plus years. What to know.

CMS is adding prior authorization requirements for certain fee-for-service procedures under traditional Medicare as part of its new Wasteful and Inappropriate Service Reduction model. A total of 17 ...

Patient advocates say they frequently hear from people who thought they didn’t need to sign up for Medicare when they turned ...

The popular program helps seniors make informed choices when deciding which Medicare plans are right for them.

The proposed spending plan from the NC Senate would cut the entire funding allotment to the program for the next two fiscal years.

Original Medicare primarily operates on a fee-for-service (FFS) system, billing for each service provided. Some Medicare Advantage (Part C) plans also use this payment model via private FFS plans.

Medicare typically runs a fee-for-service (FFS) billing system, which means that healthcare facilities, clinics, doctors, and other healthcare professionals bill for each service or item they provide.

The Medicare physician fee schedule (PFS) lookup tool allows healthcare professionals and community-based organizations to see up-to-date payment amounts for various Original Medicare services.

Medicare confirms medical professional and supplier details by asking them to have valid Fee-For-Service (FFS) and Medicare National Provider Identifier (NPI) numbers when using the system.

In fiscal year 2024, 7.66% of the payments Medicare's Fee-for-Service program made to providers were "improper," meaning they failed to comply with legal requirements.