If you disagree with a coverage or payment decision made by Medicare, you can appeal, and you’ll be happy to know that many appeals are successful, so it’s definitely worth your time. But before going ...

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For healthcare practitioners – including those making good-faith compliance efforts – avoiding the attention of RACs, MACs, and other Medicare auditors can be difficult. An unfavorable audit can ...

If you disagree with a coverage or payment decision made by Medicare, you can appeal, and you’ll be happy to know that many appeals are successful, so it’s definitely worth your time. But before going ...

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

The Centers for Medicare & Medicaid Services will soon require all Medicare Advantage plans to submit data on initial coverage decisions and appeals they process. The mandatory reporting would begin ...

The Centers for Medicare & Medicaid Services released a memo Dec. 16 announcing the agency’s intent to conduct a voluntary pilot in 2026, called the Service Level Data Collection for Initial ...

'That was an odd year for us' "The impact is relatively small in context but it's still annoying to have it happen." (Photo subjects are models.) Dear Help Me Retire, I just received a Social Security ...

This project uses UV for dependency management. Krippendorff's alpha is more meaningful for larger data samples, however low agreement can still be a sign of labeling issue. The code requires at least ...

Humana Inc. filed to appeal a ruling upholding cuts to its Medicare quality bonus payments, the next chapter in the company’s long-running attempt to restore the lost revenue. On Tuesday, the Medicare ...

A federal judge struck down the rule that would have clawed back billions of dollars in overpayments in September. Now, the HHS wants to take the case to the Fifth Circuit Court of Appeals. The RADV ...