Intensive coding by Medicare Advantage (MA) plans raised enrollees' risk scores and may have allowed companies to pocket tens ...

An analysis of differential coding patterns between Medicare Advantage (MA) and Traditional Medicare (TM) plans estimated how ...

UnitedHealth Group received 42% of the $33 billion in additional Medicare Advantage payments from differential coding.

Original Medicare (parts A and B) covers most hospital and medical needs. Other parts of Medicare are Part C, Part D, and Medigap. These are private insurance plans that offer additional benefits ...

This minimally invasive treatment is designed to help reduce or eliminate pain caused by a fractured vertebra and stabilize the bone. Low viscosity cement is injected directly into the collapsed ...

Sometimes, your Medicare plan may not cover medical items and services. When this happens, you will receive an Advance Beneficiary Notice of Noncoverage (ABN). An ABN is sent by a doctor ...

Billing and coding specialists are essential for health care operations, and positions are in high demand. If you possess excellent customer service skills, are detail oriented and have strong ...

The Feb. 18 memo, sent by Alberta Medical Association head Dr. Shelley Duggan to member physicians, says Alberta's health ministry seeks cuts to more than 800 physician billing codes to save $400 ...

While many of those positions are for doctors, nurses and dental hygienists, they also include medical billing and coding professionals. Jobs for medical records specialists, which includes medical ...

Medicare plans in Georgia follow all federal guidelines for healthcare coverage for people ages 65 years or older or who have qualifying disabilities or medical conditions. However, coverage ...

Journalist with 30 years in news writing for CNN, KLAS-TV, WCMH-TV, Newsweek, Mediaite, and RawStory. Author of the award-nominated non-fiction book, "Stealing Sisi's Star," now a serial podcast ...

LAKE CHARLES, La. (KPLC) - The founders of a Lake Charles medical practice who settled an improper billing claim said a consulting firm was responsible for the Medicare fraud. Henry “Trip” Goolsby, MD ...