The Centers for Medicare & Medicaid Services (CMS) on July 15, 2025, issued the Hospital Outpatient Prospective Payment (OPPS) and Ambulatory ...

U.S. Senior District Judge James K. Bredar took the unusual step of throwing out the jury's verdict in the trial of Dr. Ron ...

Modified adjusted gross income (MAGI) is often used by the IRS and other federal agencies to determine your eligibility for ...

On July 14, 2025, the Centers for Medicare and Medicaid Services (CMS) issued the calendar year (CY) 2026 Medicare Physician Fee Schedule ...

The average Medicare-covered nursing home stay is only 22 days, and Medicare does not pay for non-skilled assistance with ...

The 4th Circuit reinstated the Medicare fraud conviction of a Maryland doctor accused of inflating COVID-19 test billing, ...

CMS Monday proposed a 2026 physician payment rule that proposes a new payment model focused on improving chronic disease management.

CMS’ proposed rule for the 2026 Medicare Physician Fee Schedule comprises key updates to the Medicare Shared Savings Program, according to a July 14 news release from the agency. The proposals aim to ...

The personal information of more than 100,000 Medicare recipients may have been compromised in a recent "data incident," the Centers for Medicare & Medicaid Services said June 30. As a result ...

Medicare Summary Notices (MSNs) are not bills. They are quarterly statements showing the services and items you received that are covered by Original Medicare. Learn more here.

The fraud scheme, one of the largest such busts in U.S. history, involved billions of dollars in false health-care claims and stolen personal information.

Records show Medicare is coughing up tens of thousands of taxpayer dollars for the bogus claims.