Medicare & Medicaid

These tips can help systems prevent audit denials now, and save dollars later.

New rules released Thursday include a third track for providers to take on higher risk and to share in increased savings.

Ankur Roy designed scheme to pay off debt and student loans.

More than 1.3 million Floridians received an average subsidy of $294 a month in March to reduce their premiums, according to the new data.

Of the 23,138 claims filed, 20,306 were accepted, though most of the rejections were caused by issues not related to ICD-10.

Issues include contractors' desire to protect their competitive advantage by not sharing certain innovations or other operational improvements with other contractors.

The top 100 inpatient stays are associated with approximately $62 billion in Medicare payments and over 7 million hospital discharges, according to data the department just made public as part of its transparency push.

Infections treatments lead to millions in medical charges.

Family caregivers can receive grief and loss counseling for up to a year following the beneficiary's death.

Among the major changes proposed for Medicaid plans are new provider adequacy standards, new mandates for capitated rate setting, beneficiary protections in long-term care, forthcoming quality ratings, and an 85 percent medical cost administrative ratio.