The proposed new Medicare billing codes in the proposed Physician Fee Schedule (PFS) for 2025 include three specific codes for digital mental health treatment (DMHT) relating to professional services ...

The US Justice Department’s criminal division is digging into UnitedHealth Group Inc.’s prescription management services as ...

The Department of Justice has reportedly launched an investigation into UnitedHealth Group's Medicare billing practices, adding to the scrutiny the company is facing.

For decades, Original Medicare has been known for offering relatively few hurdles when it comes to accessing outpatient ...

With the FISS system, Medicare Administrative Contractors (MAC) can enter, correct, adjust, or cancel billing transactions for healthcare services performed in hospitals, home health, hospice, or ...

Medicare billing Original Medicare comprises Part A, which covers inpatient care, and Part B, which covers outpatient medical services.

However, coding and billing guidelines may vary. Healthcare or billing professionals may refer to the Medicare Claims Processing Manual for detailed billing information for medications such as Prolia.

According to the Centers for Medicare & Medicaid Services (CMS), Medicare has determined that it will pay for Prolia when deemed medically necessary and administered by a healthcare professional.