Medicare Administrative Contractors

Coronavirus lab tests for nursing home residents must be covered by Medicare Administrative Contractors and Medicare Advantage plans, the Centers for Medicare & Medicaid Services announced Friday.

A federal court has ruled a healthcare provider can sue to prevent a Medicare contractor from “clawing back” millions of dollars in suspected overpayment, a move that might otherwise send the...

Information security at nine selected Medicare administrative contractors, at least as of two years ago, was improving, according to a recent report by the Department of Health & Human Services Office...

Medicare auditors would boost outreach and education efforts to long-term care and other providers under the provisions of a draft bill introduced Thursday by Rep. Kevin Brady (R-TX), chairman of the Ways...

A new transmittal from the Centers for Medicare & Medicaid Services provides details about its four-part approach to implementing ICD-10 codes for Medicare fee-for-service claims. Medicare providers will...

Too many Medicare providers are receiving improper payments, and the Centers for Medicare & Medicaid Services should clamp down by doing a better job overseeing its contractors’ error rate reduction...

Rep. Roger W. Williams (R-TX) has introduced a “trusted provider” bill in the House of Representatives. The measure would give Medicare claim review protections for those who pose a lower risk...

What can you tell us about PEPPER reports?

Medicare Administrative Contractors started a manual review process for outpatient therapy claims too quickly, setting the stage for chaos in late 2012, a government review has revealed.

There was no timely guidance for therapy contractors from the Centers for Medicare & Medicaid Services, according to a recent report from the Government Accountability Office. That resulted in a struggle...