Are You Performing and Documenting Incident-To Services Correctly? In performing hundreds of audits over the years, I’ve found that one...

The U.S. Drug Enforcement Administration is announcing three new rules to make permanent some temporary telemedicine flexibilities...

OIG’s findings demonstrate the need for additional oversight to ensure that remote patient monitoring is being used and billed...

Prior authorization, also known as pre-authorization or pre-certification, is an approval of coverage from your insurance company, not...

If you have a chronic, rare or long-term condition that requires medication, you may be required to have certain prescriptions filled by...

As a plan member, you have the right to the full-length version of the plan’s medical policy or a copy of the information used to make...

Insurance is Unable to Process Your Claim - Errors that may delay the claims process - Sometimes your medical claim is unable to be...

I've been using a Health Savings Account (HSA) to cover costs not covered by the health insurance I've had through work. Can I do the...

Medicare enrollees may pay less out of pocket for 48 prescription drugs whose prices are rising faster than inflation. These drugs were...

On June 12, 2024, Senator Roger Marshall reintroduced his bipartisan, bicameral Improving Seniors’ Timely Access to Care Act. The...

The Consumer Financial Protection Bureau (CFPB) released a proposed rule on June 11 that it says would remove $49 billion in medical debt...

What are Essential Health Benefits? The ACA requires all new insurance plans to offer basic coverage within each care category in order...

Short-term health insurance plans are designed to cover individuals for a limited period. These plans do not have an open enrollment...

Choose the right health insurance policy for you and your family. Understand the basic structure of your insurance policy. Utilize...

Effective January 1, 2024 CMS has revised the QW code information for 80 tests and has added 24 new waived tests with their corresponding...

A former executive of Miami-based HealthSun Health Plans has been charged for allegedly orchestrating a multimillion-dollar Medicare...

📢 🛑 One of the services we offer to consumers of healthcare (you, the patient) is medical record reviews for correct and accurate...

Insurance coverage often fails to help Americans avoid medical debt, a new survey from the Commonwealth Fund revealed. The report showed...

The Consumer Finance Protection Bureau on Sept. 21 outlined proposals aiming to end "coercive debt collection tactics, clean up...

UnitedHealthcare is cutting 20 percent of its prior authorizations in two waves. The first cuts take effect Sept. 1 and the second phase...