Discover why claims are denied, how to navigate the appeals process and the crucial role of prior authorization in avoiding ...

Older Americans are increasingly challenging Medicare Advantage plan denials, with appeal rates nearly doubling since 2016.

Last week's Medicare Part D question was from Tonya regarding discovering that she and her husband are receiving an "extra" ...

A federal court has rejected a rule allowing survey teams to inspect nursing homes without including a nurse during on-site visits.

Last week’s Medicare Part D question was from Tonya regarding discovering that she and her husband are receiving an “extra” Part D premium, which she never knew about. You advised her to contact her ...

A whistleblower urged the 11th Circuit to revive her False Claims Act suit alleging Medicare fraud because a “wall of ...

The dispute centers on part of the rule preventing states from cutting off coverage for non-payment of premiums after ...

Rapid advances in the use of artificial intelligence (AI) in healthcare and medicines development are at risk of outstripping current regulatory frameworks, according to a new report. The ...