Forbes contributors publish independent expert analyses and insights. Bruce Japsen writes about healthcare business and policy. Less than 5 percent of physician practice have made “significant ...

WASHINGTON, April 2 -- The Health and Human Services Inspector General issued the following audit report (No. A-07-19-01192) on March 2023 entitled "Medicare Advantage Compliance Audit of Specific ...

The health care industry is “not progressing at a suitable pace” to be ready for tens of thousands of new government-mandated “ICD-10” codes used to describe diseases and hospital procedures in the ...

The latest settlement involving Medicare Advantage (MA) organizations highlights not only the government’s continuing enforcement focus on Medicare Part C but also the vulnerabilities inherent in that ...

Medicare Advantage insurers scored a significant legal victory on Friday when a D.C. federal court struck down a 2014 rule requiring payers to report and return overpayments. The judgment could have ...

The Centers for Medicare and Medicaid Services just issued a proposed rule introducing monumental changes to the physician fee schedule, paving the way for asynchronous telemedicine and new ...

Says new Medicare billing guidelines "have nine codes for (injuries by) turkeys." Ted Poe on Thursday, April 25th, 2013 in an interview on Fox Business Network THE RULING: TRUE Doctors' offices, ...

OKLAHOMA CITY, Jan. 27, 2025 /PRNewswire/ -- Progentec, a leader in next-gen diagnostics and digital technologies for the management of autoimmune diseases, today announced that the Centers of ...

The Department of Justice is asking a court to force Anthem to turn over information related to an ongoing fraud investigation involving the insurer's Medicare Advantage plans that brought in nearly ...

In two Forefront articles on September 29 and September 30, 2021, “Medicare Advantage, Direct Contracting, And the Medicare ‘Money Machine’,” Drs. Don Berwick and Rick Gilfillan argue that Medicare ...