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Caring for older Americans’ teeth and gums is essential, but Medicare generally doesn’t cover that cost
19 Apr 2024 12:55 GMT
… dentists out of fear that reimbursement rates would be markedly low … the low reimbursement rates for medical care for patients with Medicare benefits … .
As a result, Medicare has started to reimburse for dental bills tied …
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STAT+: Medicare official says breakthrough device reimbursement rule coming in early summer
19 Apr 2024 11:05 GMT
… federal rule aiming to make reimbursement for breakthrough devices easier is … early summer, a Centers for Medicare and Medicaid Services official said … with the slow pace of Medicare reimbursement decisions. Medical technology lobby AdvaMed …
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Where Does Medicare Go From Here: Profit-Driven Chaos or Patient-Centered Community?
19 Apr 2024 09:13 GMT
… upcode diagnoses to get higher reimbursements. In 2024, overpayments due to … halt the involuntary privatization of Medicare benefits.
“Right now, all investigations … the ‘suggested’ diagnosis codes.”
“While Medicare Advantage insurance companies tout all …
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How Medicare Reimbursement Trends May Affect Breast Surgery
18 Apr 2024 09:34 GMT
… of Breast Surgeons annual meeting.
Medicare reimbursements often set a benchmark that … for inflation, the overall mean Medicare reimbursement for breast cancer surgeries decreased … implications of any changes in Medicare reimbursement will be important given …
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Mississippi man charged in $70 million Medicare fraud scheme
18 Apr 2024 15:35 GMT
… without disclosing his role to Medicare. Prosecutors said he and his … the DME companies to bill Medicare for orthotic braces that were … , and ineligible for Medicare reimbursement.
French also allegedly obtained Medicare beneficiary information and …
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AMA, MedPAC push for Medicare reimbursement reform
16 Apr 2024 18:30 GMT
The American Medical Association backed the Medicare Payment Advisory Commission's recommendations for Congress to reform Medicare payments.
The AMA supported the recommendations made to Congress regarding the Medicare physician fee schedule, which has …
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DOJ sues Regeneron Pharmaceuticals over allegedly inflating Medicare reimbursements
16 Apr 2024 17:30 GMT
… pharmaceutical company, over allegedly inflating Medicare reimbursement rates for Eylea, an … alleges that Regeneron fraudulently inflated Medicare reimbursement rates for Eylea by … government alleges that Regeneron manipulated Medicare's drug pricing …
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Maximizing Medicare reimbursement: Strategies for independent practices post-pandemic
16 Apr 2024 15:54 GMT
… care trends, directly impacting Medicare reimbursement. Telehealth services have surged, … are foundational to maximizing Medicare reimbursements. Practices should:
Conduct … appeals, practices can maximize Medicare reimbursements. These strategies support the …
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ACOs led by independent physicians save Medicare ‘substantially’ more money, CBO says
17 Apr 2024 20:01 GMT
… 34 million beneficiaries in traditional Medicare into value-based arrangements by … largest ACO program in Medicare, the Medicare Shared Savings Program, includes almost … in their facilities without commensurate reimbursement from Medicare, the CBO said.
The …
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Cancer surgery reimbursements experience ‘immense’ decline over last 2 decades
17 Apr 2024 18:20 GMT
… specialties have experienced decreasing Medicare reimbursement rates in recent years, … CF). Researchers calculated yearly Medicare reimbursement by multiplying each operation’s … change being calculated for Medicare reimbursement for each operation.
Study …