News & Analysis

May 22, 2019
News & Insights

CMS modified its proposal to expand prior authorization and step therapy to protected classes of drugs for Part D and Medicare Advantage beneficiaries, according to a final rule released May 16.

May 22, 2019
Medicare Insider

This week’s Medicare updates include a final rule on Medicare Advantage drug pricing, the quarterly update for HCPCS drug/biological codes, an update to claim status and claim status category codes, and more!  

May 20, 2019
News & Insights

Q: Does this new policy apply to traditional Medicare only or does it also apply to Medicare Advantage?

May 15, 2019
Medicare Insider

This week’s Medicare updates include a new Home Health Change of Care Notice, a final rule regarding drug pricing transparency, new information on patient relationship categories and codes, and more!

May 13, 2019
News & Insights

Q: What is the deadline for refunding Medicare overpayments?

May 8, 2019
News & Insights

A recent MLN Matters article clarifies language in the Medicare Claims Processing Manual to match current documentation policy for evaluation and management (E/M) services billed by teaching physicians.

Pages