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 ...
On October 21, 2025, CMS released a Medicare Learning Network (MLN) Connects Newsletter announcing that the claims hold ...
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Medicare: Prolonged government shutdown jeopardizes claims processing and critical access
Beneficiaries enrolling in Medicare face acute financial and service uncertainties. An extended federal shutdown could ...
The Department of Health and Human Services Office of Inspector General (OIG) recently issued a report focused on what it characterized as ...
Medicare claims use specific codes for billing. Only healthcare professionals and facilities use these codes. Read more.
If a person with Original Medicare disagrees with Medicare’s coverage decision, payment decision, or payment amount, they can complete and submit a Medicare appeal form. When a doctor, healthcare ...
Both the use of next-generation sequencing (NGS) testing for cancer and the rate of claim denials for such testing increased between 2016 and 2021, despite implementation of a recent Medicare national ...
My husband recently retired from his job, and because I am over 65, I need to sign up for Medicare. I went to the local Social Security office with the Medicare documents that Toni discusses in her ...
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