Reimbursement
DOJ says St. Peter fraudulently submitted claims for services performed by an oncology doctor.
The action reverses a July 17 decision that Trinity would no longer accept UHC insurance at any of its practices and facilities.
The settlement claims NIRP illegally paid physicians for referrals to clinics established to surgically treat patients with PAD.
J&J alerted 340B hospitals that it will replace upfront discounts with rebates for Stelara and Xarelto.
The growth poses challenges to providers' credit quality, given growing risks to reimbursement from MA plans.
Higher Medicare and Medicaid reimbursement is one step the federal government can take to preserve rural care access, CEOs say.
Half of adults who challenged coverage denials reported success in getting some or all denied services approved, survey shows.
For 2025, CMS is increasing the long-term care hospital standard payment rate by 3%.
CMS did not finalize the ability for follow-up visits to be conducted by telehealth.