CMS says Medicare Advantage overpayment recoveries will begin soon, prioritizing audits from 2018 to 2024 and expanding medical coder support.

Under the Medicaid program, the federal government helps finance state health care spending with a matching rate calculated based on the Federal Medical Assistance Percentage (FMAP). As we’ve shown ...

The CMS has proposed several key changes for 2027, to make sure Medicare "works better for the people it serves." ...

Forbes contributors publish independent expert analyses and insights. Diane Omdahl is a Medicare expert who keeps her readers in the know. Updated October 30, 2024: This post was revised to note that ...

The Centers for Medicare & Medicaid Services has corrected some therapy coding information in the recently released Minimum Data Set 3.0 Resident Assessment Instrument Manual. The updates affect ...

The CMS has released proposed notices showing what information insurers will have to disclose to consumers about excessive premium rate increases. Starting in July, insurers must report and justify ...