The necessary software updates for Medicare claims processing did not take effect until July 1, 2025, meaning implanting centers could not bill for procedures, stalling early adoption. Delayed Inspire ...
Medicaid, the federal program for low-income Americans, provides health care coverage for over 70 million people, while Medicare, the federal program for those older than 65 or potentially those ...
Medicare provider enrollment and the infamous CMS 855 Form rarely make for headline-grabbing topics. Nevertheless, the consequences of mismanaging your Medicare provider enrollment record can be ...
The securities class action complaint details how Inspire Medical allegedly assured investors of its "operational readiness" for the Inspire V launch, claiming it was ready "to throw the switch" for ...
Senate Health, Education, Labor and Pensions (HELP) Committee Chair Bill Cassidy, M.D., is doubling down on his scrutiny of the American Medical Association's (AMA's) handling of billing and claims ...
San Antonio’s Gonzaba Medical Group is named in a federal lawsuit brought by an Iowa nurse who alleges it falsified the severity of patients’ medical conditions to boost the amount of Medicare ...
PRINCETON, N.J., Oct. 27, 2025 (GLOBE NEWSWIRE) -- UroGen Pharma Ltd. (Nasdaq: URGN), a biotech company dedicated to developing and commercializing innovative solutions that treat urothelial and ...
How a strong collaboration between clinical and billing teams can simplify J-code decoding, paving the way for improved patient access to innovative treatments. It’s an all-too-common story. A patient ...
Medical professionals and healthcare facilities must complete different forms when billing for the services they provide. These are not forms you need to complete yourself. Claim form CMS-1500 is for ...
Senate health committee Chairman Bill Cassidy, MD (R-La.), blasted the American Medical Association (AMA) for continuing what he called a "government-backed monopoly" over Current Procedural ...
Loyola University Medical Center knowingly performed organ transplants on unsuitable patients to boost Medicare billing, leading to harm and death, according to a former hospital official whose ...