For beneficiaries in six states, AI could decide on some Medicare claims for non-emergency health care services.

Opinion: Medicare's fraud crackdown on those affiliated with hospices is a having a ripple affect on health care providers including doctors and nursing facilities.

Medicare has launched a six-year pilot program that could eventually transform access to health care for some of the millions of people across the U.S. who rely on it for their health insurance ...

Usually, a person or their healthcare professional must file a claim within a year of the person receiving care, but certain situations may extend timely filing. If Medicare rejects the claim, a ...

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 ...

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 ...

Medical offices bill insurance providers for clients' services. Learn what's involved, including HIPAA regulations, what to ...

Starting Jan. 1, traditional Medicare recipients in Washington state will face a new hurdle to get certain procedures covered — private AI companies that get paid based on how many claims they deny.