The DOJ says that Kaiser systematically altered patients’ medical records to make them appear sicker and boost its revenue.

Now is the time to sign up for Medicare in Texas for 20206. Plans and costs are changing and we help you figure out which is ...

The Providence Journal used that pricing data to analyze 19 billing codes at 10 of the state’s acute-care hospitals.

Mesoblast reports 69% jump in quarterly net revenue and stronger cash reserves, driven by adoption of its flagship cell ...

A recently released report from a federal watchdog agency drew attention to nursing homes’ underreporting of resident falls ...

Medicare beneficiaries with amyotrophic lateral sclerosis (ALS) were found to have more than 3 times the Medicare expenditures and beneficiary liability of the average Medicare beneficiary.

Hospitals infrequently document social risk factors using Z codes, particularly for clinically complex patients, according to research from the ...

Private Medicare Advantage can include more types of coverage than traditional plans, but it doesn't necessarily deliver more ...

The CMS administrator’s comments at an industry event in D.C. on Wednesday reflect the difficult tightrope regulators in the Trump administration walk as they pursue MA reform.

Medicare’s Hospital Readmissions Reduction Program (HRRP) has been credited with lowering risk-adjusted readmission rates for targeted conditions at general acute care hospitals. However, these ...

Opening South County Hospital's spreadsheet, the hernia code is easier to find, as there's only one entry instead of an entry ...