Medicaid fee-for-service (FFS) denies claims more often than other payers, according to a new Health Affairs report. The report found that Medicaid FFS has a claim denial rate that was nearly 18 ...

Learn about Medicare and Medicaid fraud, key examples, and how these unethical practices affect taxpayers and healthcare programs, costing billions annually.

With help from a third-party firm, the state has temporarily paused 80,000 Medicaid claims to review billing for any red ...

Spending cuts should be made in an above-board way, however, not by tripping up Americans with bureaucratic landmines.

Joshua D. Gottlieb ( [email protected]) is an associate professor in the Vancouver School of Economics, University of British Columbia, and a faculty research fellow at the National Bureau of Economic ...

The Medicaid Primary Care Improvement Act would allow states to contract directly with direct primary care (DPC) practices, ...

Arkansans who rely on Medicaid are struggling to get mental health care because of changes that state officials made to billing and that have forced some providers to turn away patients and offer ...

medicare card money Respondents overwhelmingly said Medicare indirect billing is antiquated, but considerable debate exists over the 85% reimbursement rate for NPs and PAs. The results are in. We ...