This decades-old rule could leave you with unexpected bills if you need specialized care after a hospital stay.

The Centers for Medicare and Medicaid Services (CMS) recently announced the launch of a program that will require individuals ...

Democrat lawmakers have raised concerns that prior authorization practices could "limit access to life-saving care." ...

The guidance is meant to give states more time to meet requirements laid out in the One Big Beautiful Bill Act.

Effective website management is crucial for businesses, organizations, and individuals in today's digital age. A Content Management System (CMS) is a software application that enables creating, ...

Medicare is the program that assists millions of individuals with disabilities and older Americans in covering basic health expenses. However, when there are prescription medicatio ...

The Total Payment Obligation to the Claimant (TPOC) represents the total dollar amount owed to a person or on their behalf from a worker’s compensation or liability settlement. Medicare typically ...

The Medicare Shared Savings Program lets healthcare providers form or join Accountable Care Organizations (ACOs) to coordinate higher-quality care to Medicare beneficiaries while helping reduce costs.

Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...