AHA urges Congress to reject reductions to the Medicaid program that would not only strip access to health care from some of ...

Under a managed care arrangement, Medicaid MCOs determine the rates they pay providers for inpatient hospital services.

Colorado’s Department of Health Care Policy & Financing (HCPF) said it has suspected MedRide’s contract after it allegedly ...

The Department of Health Care Policy and Financing, which oversees Health First Colorado, the state’s Medicaid program, ...

You can request an "external review" from the Illinois Department of Insurance if your health insurance claim denial involved ...

The Department of Justice (DOJ) released its annual False Claims Act (FCA) enforcement statistics on January 15, 2025, ...

An analysis from health policy charity Kaiser Family Foundation (KFF) evaluated nearly 400million claims made to insurance ...

■ Visit Medicare.gov and search for “filing a claim.” The information provided will explain how to submit a claim by downloading form CMS-1490S, Patient Request for Medical Payment. The form has ...

I recently enrolled in Medicare and will have to pay the complete bill upfront and be reimbursed by Medicare. His office is a ...

My primary care doctor's office is a small one, and he will be retiring soon, so I need to find a new doctor. I recently ...

The office paperwork, whether it is for Medicare-age patients or under 65 medical claims, is very overwhelming. King is an author and columnist on Medicare and health insurance issues. For a ...