The Centers for Medicare and Medicaid Services plans to modernize the claims system that contractors use to process and perform payment for hospitals that provide inpatient and outpatient services to ...

WASHINGTON — Health care costs are getting so high that prices are literally running off of the page. Medicare on a couple of occasions recently has had to deal with billing forms that don’t provide ...

Dear Toni: I have a $2,000 doctor bill with a new cardiologist, and Medicare says it will not pay. I recently retired and enrolled in Medicare and a Medicare supplement for the freedom to pick my own ...

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 ...

Generally, you or your provider have 12 months to file a claim from the time you receive medical care. However, some circumstances can allow for an extension. If Medicare denies the claim, you can ...

The Centers for Medicare and Medicaid Services plans to issue a request for proposals in early November to update and maintain its medical claims processing system for Medicare Part B, which covers ...

In light of the move by the U.S. Centers for Medicare and Medicaid Services in 2022 to expand access to dental care for some medical conditions, the agency is updating its claims processing system to ...

Dear Savvy Senior: What steps do I need to take to appeal a denied Medicare claim? — Frustrated Retiree Dear Frustrated Retiree: If you disagree with a coverage or payment decision made by Medicare, ...

During Medicare’s “dark days,” medical providers cannot access Medicare systems for billing tasks, eligibility verification, or coverage-related inquiries, which may delay healthcare operations.

Medicare administrative contractors (MACs) are private health insurance companies that work across states to process claims under Original Medicare. They play an important administrative role in the ...

McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. November 13, 2025 – The end of the longest government shutdown in US history is finally here, with ...

You may need documentation when enrolling in Medicare Part B, and Medicare may also need documents, such as medical reports, to assess claims. In each case, having the documents ready can prevent ...